Deficiency Records for Bentleys Extended Care
Updated as of August 01, 2021
This is not the most recent data for Bentleys Extended Care. For the most recent information, click here.
A list of the most recent deficiencies for Bentleys Extended Care. 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? |
---|---|---|---|---|
Provide and implement an infection prevention and control program. | Health | 2020-11-25 | 2020-12-23 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-09-21 | 2020-11-06 | Y |
Establish policies and procedures for volunteers. | Fire Safety | 2020-06-26 | 2020-07-20 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-07 | 2019-12-10 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-07 | 2019-12-10 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-11-07 | 2019-12-10 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-11-07 | 2019-12-10 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2019-11-07 | 2019-12-10 | 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 | 2019-11-07 | 2019-12-10 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-11-07 | 2019-12-10 | N |
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-11-07 | 2019-12-10 | N |
Provide and implement an infection prevention and control program. | Health | 2019-11-07 | 2019-12-10 | N |
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-11-07 | 2019-12-05 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-11-07 | 2019-11-25 | N |
Meet other general requirements that are deficient. | Fire Safety | 2019-11-07 | 2019-11-25 | 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 | 2019-08-06 | 2019-09-13 | Y |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-30 | 2019-07-10 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-01-30 | 2019-04-10 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2019-01-30 | 2019-03-25 | N |
Use approved construction type or materials. | Fire Safety | 2019-01-30 | 2019-03-10 | 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 | 2019-01-30 | 2019-03-10 | N |
Meet other general requirements that are deficient. | Fire Safety | 2019-01-30 | 2019-03-10 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-01-30 | 2019-03-10 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-01-30 | 2019-03-10 | 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 | 2019-01-30 | 2019-03-10 | N |
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-01-30 | 2019-03-10 | N |
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-01-30 | 2019-03-10 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-01-30 | 2019-03-10 | 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 | 2019-01-30 | 2019-03-10 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-01-30 | 2019-03-10 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-01-30 | 2019-03-10 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-01-30 | 2019-03-10 | 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 | 2019-01-30 | 2019-03-10 | N |
Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-01-30 | 2019-03-10 | 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 | 2019-01-30 | 2019-03-10 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-30 | 2019-03-10 | N |
Provide and implement an infection prevention and control program. | Health | 2019-01-30 | 2019-03-10 | N |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-01-30 | 2019-03-10 | 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 | 2018-10-12 | 2018-10-13 | Y |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-03-09 | 2018-04-06 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-09 | 2018-04-06 | N |
The resident has the right to receive notices in a format and a language he or she understands. | Health | 2018-03-09 | 2018-04-06 | N |
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-03-09 | 2018-04-06 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-03-09 | 2018-04-06 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-03-09 | 2018-04-06 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-09 | 2018-04-06 | N |
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 | 2018-03-09 | 2018-04-06 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-03-09 | 2018-04-06 | N |
Provide and implement an infection prevention and control program. | Health | 2018-03-09 | 2018-04-06 | N |