Deficiency Records for Big Spring Care Center For Rehab and Healthcare
Updated as of March 01, 2024
A list of the most recent deficiencies for Big Spring Care Center For Rehab and Healthcare. 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? |
|---|---|---|---|---|
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-10-23 | 2023-11-30 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-04-14 | 2023-05-28 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-04-14 | 2023-05-28 | 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 | 2023-04-14 | 2023-05-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-04-14 | 2023-05-28 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-04-14 | 2023-05-28 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-04-14 | 2023-05-28 | 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 | 2023-04-14 | 2023-05-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-14 | 2023-05-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-14 | 2023-05-28 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-04-14 | 2023-05-28 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-04-14 | 2023-05-28 | N |
| Have enough backup water supply for essential areas of the nursing home. | Health | 2023-04-14 | 2023-05-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-14 | 2023-05-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-28 | 2022-10-31 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-09-28 | 2022-10-31 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-03-25 | 2022-05-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-25 | 2022-05-03 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-12-03 | 2021-12-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-03 | 2021-12-20 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-10-05 | 2021-12-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-05 | 2021-12-20 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-10-05 | 2021-11-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-05 | 2021-11-13 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-10-05 | 2021-11-13 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-06-09 | 2021-07-23 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-12-19 | 2020-01-31 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-12-19 | 2020-01-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-19 | 2020-01-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-12-19 | 2020-01-31 | 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 | 2019-12-19 | 2020-01-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-12-19 | 2020-01-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-19 | 2020-01-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-19 | 2020-01-31 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-12-19 | 2020-01-31 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-12-19 | 2020-01-31 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-10-19 | 2018-11-30 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-10-19 | 2018-11-30 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-10-19 | 2018-11-30 | N |
| Use approved construction type or materials. | Fire Safety | 2018-10-19 | 2018-11-30 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-10-19 | 2018-11-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-10-19 | 2018-11-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-10-19 | 2018-11-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-10-19 | 2018-11-30 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-10-19 | 2018-11-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-10-19 | 2018-11-30 | N |
