Deficiency Records for Birchwood Care Home
Updated as of August 01, 2018
This is not the most recent data for Birchwood Care Home. For the most recent information, click here.
A list of the most recent deficiencies for Birchwood Care Home. 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 each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-11-02 | 2017-12-01 | N |
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-11-02 | 2017-12-01 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-11-02 | 2017-12-01 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-11-02 | 2017-12-01 | N |
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-01-10 | 2017-02-02 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2017-01-10 | 2017-02-02 | N |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-01-10 | 2017-02-02 | N |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-01-10 | 2017-02-02 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-01-10 | 2017-02-02 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-01-10 | 2017-02-02 | N |
Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-01-10 | 2017-02-02 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-01-10 | 2017-02-02 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-01-10 | 2017-02-02 | N |
Install noncombustible or limited-combustible interior walls. | Fire Safety | 2017-01-10 | 2017-02-01 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-01-10 | 2017-02-01 | 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 | 2017-01-10 | 2017-02-01 | N |
Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2017-01-10 | 2017-02-01 | 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 | 2017-01-10 | 2017-02-01 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-01-10 | 2017-02-01 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-01-10 | 2017-02-01 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-01-10 | 2017-02-01 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-01-10 | 2017-02-01 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2017-01-10 | 2017-02-01 | N |
Have restrictions on the use of portable space heaters. | Fire Safety | 2017-01-10 | 2017-02-01 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-01-10 | 2017-02-01 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-02-24 | 2016-03-14 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-02-24 | 2016-03-14 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-02-24 | 2016-03-14 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2016-02-24 | 2016-03-14 | N |
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-02-24 | 2016-03-14 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-02-24 | 2016-03-14 | N |
Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-02-25 | 2016-03-09 | N |