Deficiency Records for Birchwood Care Home
Updated as of January 01, 2023
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 a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-20 | 2022-11-04 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2022-10-10 | 2022-10-27 | Y |
Honor the resident's right to manage his or her financial affairs. | Health | 2022-10-10 | 2022-10-27 | Y |
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2022-10-10 | 2022-10-27 | Y |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-10-10 | 2022-10-27 | Y |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-10-10 | 2022-10-27 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-06-09 | 2022-06-30 | Y |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-03-02 | 2022-04-08 | N |
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 | 2022-03-02 | 2022-04-08 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2022-03-02 | 2022-04-08 | N |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-03-02 | 2022-04-08 | 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 | 2022-03-02 | 2022-04-08 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-03-02 | 2022-04-08 | N |
Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2022-03-02 | 2022-04-08 | 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 | 2022-03-01 | 2022-03-22 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-01 | 2022-03-22 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-03-01 | 2022-03-22 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-03-01 | 2022-03-22 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-03-01 | 2022-03-22 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-01 | 2022-03-20 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-01 | 2022-03-20 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-15 | 2021-12-21 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-15 | 2021-12-21 | Y |
Provide and implement an infection prevention and control program. | Health | 2020-04-29 | 2020-05-15 | N |
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 |