Deficiency Records for The Bluffs Rehabilitation and Healthcare Center
Updated as of April 01, 2024
A list of the most recent deficiencies for The Bluffs Rehabilitation and Healthcare 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-26 | 2023-11-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-26 | 2023-11-24 | 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 | 2023-10-26 | 2023-11-24 | 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 | 2023-10-26 | 2023-11-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-26 | 2023-11-24 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-06-16 | 2022-07-22 | 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 | 2022-06-16 | 2022-07-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-16 | 2022-07-22 | N |
| Provide activities to meet all resident's needs. | Health | 2022-06-16 | 2022-07-22 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-06-16 | 2022-07-22 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-06-17 | 2022-07-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-26 | 2019-06-25 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-04-26 | 2019-06-25 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-04-26 | 2019-06-25 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-04-26 | 2019-06-25 | N |
| Respond appropriately to all alleged violations. | Health | 2019-04-26 | 2019-06-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-26 | 2019-06-25 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-04-26 | 2019-06-25 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-04-26 | 2019-06-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-26 | 2019-06-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-26 | 2019-06-25 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-04-26 | 2019-06-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-04-26 | 2019-06-25 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-04-26 | 2019-06-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-26 | 2019-06-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-26 | 2019-06-25 | N |
