Deficiency Records for Birchwood Care Home
Updated as of October 01, 2020
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? |
|---|---|---|---|---|
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-11-27 | 2020-01-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-27 | 2020-01-15 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2019-11-27 | 2020-01-15 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-11-27 | 2020-01-15 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2019-11-27 | 2020-01-15 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-01-16 | 2019-02-09 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-01-16 | 2019-02-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-16 | 2019-02-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-01-16 | 2019-02-09 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2019-01-16 | 2019-02-09 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-01-16 | 2019-02-09 | N |
| 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 |
