Deficiency Records for West Bloomfield Health and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for West Bloomfield Health and Rehabilitation Center. 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 | 2023-09-20 | 2023-10-09 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-01-26 | 2023-02-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-26 | 2023-02-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-26 | 2023-02-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-26 | 2023-02-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-26 | 2023-02-17 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-01-26 | 2023-02-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-07 | 2022-01-06 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-10-07 | 2021-11-15 | 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 | 2021-10-07 | 2021-11-15 | N |
| Ensure that each resident is free from medications that restrain them, unless needed for medical treatment. | Health | 2021-10-07 | 2021-11-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-10-07 | 2021-11-15 | 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 | 2021-10-07 | 2021-11-15 | 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 | 2021-10-07 | 2021-11-15 | 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 | 2021-10-07 | 2021-11-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-07 | 2021-11-15 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-10-07 | 2021-11-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-10-07 | 2021-11-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-10-07 | 2021-10-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-10-07 | 2021-10-28 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-10-07 | 2021-10-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-04 | 2019-12-31 | 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 | 2019-12-04 | 2019-12-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-12-04 | 2019-12-31 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-12-04 | 2019-12-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-12-04 | 2019-12-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-04 | 2019-12-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-12-04 | 2019-12-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-04 | 2019-12-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-12-04 | 2019-12-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-12-04 | 2019-12-31 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-12-04 | 2019-12-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-04 | 2019-12-31 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-12-04 | 2019-12-31 | 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 | 2019-12-04 | 2019-12-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-12-04 | 2019-12-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-12-04 | 2019-12-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-04 | 2019-12-31 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-12-04 | 2019-12-31 | N |
