A list of the most recent deficiencies for Bay County Medical Care Facility. 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-03-02 | 2023-05-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-03-02 | 2023-05-01 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-03-02 | 2023-05-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-02 | 2023-05-01 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-03-02 | 2023-05-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-02 | 2023-05-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-02 | 2023-05-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-02 | 2023-05-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-02 | 2023-05-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-02 | 2023-05-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-02 | 2023-05-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-02 | 2023-05-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-07 | 2023-04-15 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-03-07 | 2023-04-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-07 | 2023-04-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-07 | 2023-04-15 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-03-07 | 2023-04-15 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-03-07 | 2023-04-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-07 | 2023-04-15 | 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 | 2023-03-07 | 2023-04-15 | 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 | 2023-03-07 | 2023-04-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-07 | 2023-04-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-07 | 2023-04-15 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-03-07 | 2023-04-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-07 | 2023-04-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-30 | 2022-05-09 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-11-18 | 2022-01-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-11-18 | 2022-01-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-11-18 | 2022-01-17 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-11-18 | 2022-01-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-11-18 | 2022-01-17 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-11-18 | 2022-01-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-11-18 | 2022-01-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-11-18 | 2022-01-17 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2021-11-18 | 2022-01-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-19 | 2021-12-29 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-11-19 | 2021-12-29 | N |
| Provide activities to meet all resident's needs. | Health | 2021-11-19 | 2021-12-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-19 | 2021-12-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-19 | 2021-12-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-11-19 | 2021-12-29 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-11-19 | 2021-12-29 | 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 | 2021-11-19 | 2021-12-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-19 | 2021-12-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-19 | 2021-12-29 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-11-19 | 2021-12-29 | N |
| Respond appropriately to all alleged violations. | Health | 2021-11-19 | 2021-12-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-19 | 2021-12-29 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-11-19 | 2021-12-29 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-19 | 2021-12-16 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2019-11-19 | 2020-01-10 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-11-19 | 2019-12-27 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2019-11-19 | 2019-12-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-19 | 2019-12-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-11-19 | 2019-12-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-19 | 2019-12-27 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-11-19 | 2019-12-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-19 | 2019-12-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-11-19 | 2019-12-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-11-19 | 2019-12-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-15 | 2019-12-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-11-15 | 2019-12-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-15 | 2019-12-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-11-15 | 2019-12-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-11-15 | 2019-12-24 | 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 | 2019-11-15 | 2019-12-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-15 | 2019-12-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-15 | 2019-12-24 | N |
