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Deficiency Records for Burcham Hills Retirement Center
View the most recent health deficiencies and inspection results for Burcham Hills Retirement Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Burcham Hills Retirement Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-04-24 | 2026-05-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-03-04 | 2026-04-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-03-04 | 2026-04-07 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2025-12-03 | 2026-01-08 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-05-15 | 2025-06-18 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2025-05-15 | 2025-06-18 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-05-15 | 2025-06-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-05-15 | 2025-06-18 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2025-05-15 | 2025-06-18 | 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 | 2025-05-15 | 2025-06-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-05-15 | 2025-06-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-05-15 | 2025-06-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-05-15 | 2025-06-18 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2025-05-15 | 2025-06-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-15 | 2025-06-18 | Y |
| Dispose of garbage and refuse properly. | Health | 2025-05-15 | 2025-06-18 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2025-05-15 | 2025-06-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-05-15 | 2025-06-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-05-15 | 2025-06-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-15 | 2025-06-18 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2025-05-15 | 2025-06-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-03-19 | 2025-04-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-29 | 2025-03-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-28 | 2024-12-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-08 | 2024-09-04 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-08-08 | 2024-09-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-08 | 2024-09-04 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-08-08 | 2024-09-04 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-05-24 | 2024-07-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-24 | 2024-07-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-24 | 2024-06-25 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-05-24 | 2024-06-25 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-05-24 | 2024-06-25 | 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 | 2024-05-24 | 2024-06-25 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-05-24 | 2024-06-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-24 | 2024-06-25 | 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 | 2024-05-24 | 2024-06-25 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-05-24 | 2024-06-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-24 | 2024-06-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-24 | 2024-06-25 | 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 | 2024-05-24 | 2024-06-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-24 | 2024-06-25 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-25 | 2024-02-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-01-25 | 2024-02-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-25 | 2024-02-28 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2023-10-24 | 2023-11-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-24 | 2023-11-28 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-10-24 | 2023-09-01 | 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 | 2023-03-08 | 2023-08-24 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-07-06 | 2023-07-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-06 | 2023-07-21 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-08 | 2023-06-30 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2023-03-08 | 2023-05-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-08 | 2023-03-30 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-03-08 | 2023-03-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-08 | 2023-03-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-08 | 2023-03-30 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-08 | 2023-03-30 | 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 | 2023-03-08 | 2023-03-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-08 | 2023-03-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-08 | 2023-03-30 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-03-08 | 2023-03-30 | 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 | 2023-03-08 | 2023-03-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-08 | 2023-03-30 | 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 | 2023-03-08 | 2023-03-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-08 | 2023-03-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-08 | 2023-03-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-08 | 2023-03-30 | N |