A list of the most recent deficiencies for Bear Mountain at Reading. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-02 | 2023-12-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-02 | 2023-12-05 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-11-02 | 2023-11-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-02 | 2023-11-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-02 | 2023-11-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-02 | 2023-11-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-13 | 2023-11-16 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-10-13 | 2023-11-16 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-10-13 | 2023-11-16 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-10-13 | 2023-11-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-13 | 2023-11-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-13 | 2023-11-16 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-10-13 | 2023-11-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-13 | 2023-11-16 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-10-13 | 2023-11-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-13 | 2023-11-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-13 | 2023-11-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-10-13 | 2023-11-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-13 | 2023-11-16 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-10-13 | 2023-11-16 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-10-13 | 2023-11-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-13 | 2023-11-16 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-10-13 | 2023-11-16 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-10-13 | 2023-11-16 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-07-17 | 2023-08-14 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-07-17 | 2023-08-14 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-09-21 | 2022-11-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-09-21 | 2022-11-05 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-09-21 | 2022-11-05 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-09-21 | 2022-11-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-21 | 2022-11-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-21 | 2022-11-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-21 | 2022-11-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-02 | 2022-10-24 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-09-02 | 2022-10-24 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-09-02 | 2022-10-24 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-02 | 2022-10-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-02 | 2022-10-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-02 | 2022-10-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-02 | 2022-10-24 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-09-02 | 2022-10-24 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-09-02 | 2022-10-24 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2022-09-02 | 2022-10-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-02 | 2022-10-24 | N |
| Meet other general requirements. | Fire Safety | 2019-12-19 | 2020-01-30 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-12-19 | 2020-01-30 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2019-12-19 | 2020-01-30 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-11-08 | 2019-12-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-08 | 2019-12-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-11-08 | 2019-12-20 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2019-11-08 | 2019-12-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-08 | 2019-12-20 | N |
