CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Bywood East Health Care
View the most recent health deficiencies and inspection results for Bywood East Health Care. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Bywood East Health Care. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2026-02-26 | 2026-03-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-02-26 | 2026-03-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-12-19 | 2026-01-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-12-19 | 2026-01-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-11-21 | 2025-12-07 | Y |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2025-11-21 | 2025-12-07 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2025-11-20 | 2025-12-07 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2025-12-15 | 2025-12-04 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-08-27 | 2025-09-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-08-27 | 2025-09-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-08-27 | 2025-09-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-08-27 | 2025-09-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-27 | 2025-09-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-04-17 | 2025-06-06 | N |
| Respond appropriately to all alleged violations. | Health | 2025-04-17 | 2025-06-06 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-04-17 | 2025-06-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-04-17 | 2025-06-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-17 | 2025-06-06 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2025-04-17 | 2025-06-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-04-17 | 2025-06-06 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2025-04-17 | 2025-06-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-04-17 | 2025-06-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-04-17 | 2025-06-06 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2025-04-17 | 2025-06-06 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-04-17 | 2025-06-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-17 | 2025-06-06 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2025-04-17 | 2025-06-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-17 | 2025-06-06 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2025-04-17 | 2025-06-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-04-17 | 2025-06-06 | 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 | 2025-04-17 | 2025-06-06 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2025-04-17 | 2025-06-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-04-17 | 2025-06-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-04-17 | 2025-06-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-04-17 | 2025-06-06 | N |
| Have exits that are accessible at all times. | Fire Safety | 2025-04-17 | 2025-06-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-04-17 | 2025-06-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-17 | 2025-06-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-04-17 | 2025-06-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-31 | 2025-04-18 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-10-16 | 2024-11-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-10-16 | 2024-11-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-10-16 | 2024-11-22 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-10-16 | 2024-11-22 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-10-16 | 2024-11-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-09-06 | 2024-10-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-06 | 2024-10-25 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-09-06 | 2024-10-25 | Y |
| Ensure the physician properly assigns and delegates tasks to a physician assistant, nurse practitioner or clinical nurse specialist. | Health | 2024-09-06 | 2024-10-25 | Y |
| Ensure the physician properly assigns and delegates tasks to a qualified dietitian (or other qualified nutrition professional); or to a qualified therapist. | Health | 2024-09-06 | 2024-10-25 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2024-09-06 | 2024-10-25 | Y |
| Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2024-09-06 | 2024-10-25 | Y |
| Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. | Health | 2024-09-06 | 2024-10-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-16 | 2024-10-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-26 | 2024-07-17 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-03-07 | 2024-06-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-07 | 2024-05-24 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2024-03-07 | 2024-05-13 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-03-07 | 2024-05-10 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2024-04-11 | 2024-05-10 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2024-04-11 | 2024-05-10 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-03-07 | 2024-05-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-07 | 2024-05-08 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-03-07 | 2024-04-29 | N |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2024-03-07 | 2024-04-29 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-03-07 | 2024-04-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-07 | 2024-04-29 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-03-07 | 2024-04-29 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-03-07 | 2024-04-29 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-03-07 | 2024-04-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-07 | 2024-04-29 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-03-07 | 2024-04-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-07 | 2024-04-29 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-03-07 | 2024-04-29 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-03-07 | 2024-04-05 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-03-07 | 2024-04-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-07 | 2024-03-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-07 | 2024-03-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-03-07 | 2024-03-20 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-03-07 | 2024-03-14 | Y |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-03-07 | 2024-03-14 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-03-07 | 2024-03-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-03-07 | 2024-03-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-03-07 | 2024-03-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-03-07 | 2024-03-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-22 | 2024-02-26 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-01-22 | 2024-02-26 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-22 | 2024-02-26 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-08-31 | 2023-09-23 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-08-31 | 2023-09-23 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-17 | 2023-08-31 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2026-05-07 | Not Fixed | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2026-05-07 | Not Fixed | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-05-07 | Not Fixed | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-05-07 | Not Fixed | 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 | 2026-05-07 | Not Fixed | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-03-07 | Not Fixed | N |
| Conduct testing and exercise requirements. | Fire Safety | 2026-05-07 | Not Fixed | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2026-05-07 | Not Fixed | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2026-05-07 | Not Fixed | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2026-05-07 | Not Fixed | N |
| Post nurse staffing information every day. | Health | 2026-05-07 | Not Fixed | N |
| Provide and implement an infection prevention and control program. | Health | 2026-05-07 | Not Fixed | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2025-04-17 | Not Fixed | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2026-05-07 | Not Fixed | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2026-05-07 | Not Fixed | N |