A list of the most recent deficiencies for Bellbrook. 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? |
---|---|---|---|---|
Provide and implement an infection prevention and control program. | Health | 2024-01-10 | 2024-02-07 | N |
Provide properly protected cooking facilities. | Fire Safety | 2024-01-09 | 2024-02-07 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-09 | 2024-02-07 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-01-09 | 2024-02-07 | N |
Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-01-09 | 2024-02-07 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2022-12-14 | 2023-01-19 | N |
Implement emergency and standby power systems. | Fire Safety | 2022-12-14 | 2023-01-19 | N |
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2022-12-14 | 2023-01-19 | N |
Use approved construction type or materials. | Fire Safety | 2022-12-14 | 2023-01-19 | N |
Have a combustible roofing system that meets safety standards. | Fire Safety | 2022-12-14 | 2023-01-19 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-12-14 | 2023-01-19 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2022-12-14 | 2023-01-19 | N |
Provide properly protected cooking facilities. | Fire Safety | 2022-12-14 | 2023-01-19 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-12-14 | 2023-01-19 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-14 | 2023-01-19 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2022-12-14 | 2023-01-19 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-14 | 2023-01-19 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-12-14 | 2023-01-19 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-14 | 2023-01-19 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-12-14 | 2023-01-19 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-12-14 | 2023-01-19 | N |
Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-12-14 | 2023-01-19 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-14 | 2023-01-19 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2022-12-14 | 2023-01-19 | 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 | 2022-12-14 | 2023-01-17 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-14 | 2023-01-17 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-14 | 2023-01-17 | Y |
Ensure that residents are free from significant medication errors. | Health | 2022-12-14 | 2023-01-17 | Y |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-09-14 | 2021-10-14 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-09-14 | 2021-10-14 | N |
Provide and implement an infection prevention and control program. | Health | 2021-09-14 | 2021-10-14 | N |