A list of the most recent deficiencies for Borgess Gardens. 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? |
---|---|---|---|---|
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-03 | 2024-02-02 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-06 | 2023-10-13 | Y |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-07-12 | 2023-08-09 | N |
Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-07-12 | 2023-08-09 | 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 | 2023-07-12 | 2023-08-09 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-12 | 2023-08-09 | N |
Provide and implement an infection prevention and control program. | Health | 2023-07-12 | 2023-08-09 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-12 | 2023-08-09 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-12 | 2023-08-09 | 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 | 2023-07-12 | 2023-08-09 | Y |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-07-13 | 2023-08-09 | N |
Provide properly protected cooking facilities. | Fire Safety | 2023-07-13 | 2023-08-09 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-13 | 2023-08-09 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-07-13 | 2023-08-09 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-24 | 2022-04-29 | 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 | 2022-03-24 | 2022-04-29 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-24 | 2022-04-29 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-24 | 2022-04-29 | N |
Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2022-03-24 | 2022-04-29 | N |
Provide and implement an infection prevention and control program. | Health | 2022-03-24 | 2022-04-29 | N |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-03-23 | 2022-04-11 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-03-23 | 2022-04-11 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2022-03-23 | 2022-04-11 | N |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-03-23 | 2022-04-11 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-03-23 | 2022-04-11 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-23 | 2022-04-11 | N |
Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-03-23 | 2022-04-11 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-27 | 2020-03-30 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-27 | 2020-03-30 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-27 | 2020-03-30 | N |
Provide and implement an infection prevention and control program. | Health | 2020-02-27 | 2020-03-30 | N |