A list of the most recent deficiencies for Bentwood Nursing and Rehab. 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? |
|---|---|---|---|---|
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2023-07-18 | 2023-07-28 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-18 | 2023-07-24 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-20 | 2023-02-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-20 | 2023-01-24 | Y |
| Keep all essential equipment working safely. | Health | 2022-12-20 | 2023-01-24 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-20 | 2023-01-24 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-12-20 | 2023-01-24 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-20 | 2023-01-24 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-05-06 | 2022-09-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-05-06 | 2022-09-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-06 | 2022-09-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-30 | 2022-06-30 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-06 | 2022-06-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-05-06 | 2022-06-29 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-05-06 | 2022-06-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-05-06 | 2022-06-15 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-05-06 | 2022-06-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-05-06 | 2022-06-15 | 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 | 2022-05-06 | 2022-06-15 | 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 | 2022-05-06 | 2022-06-15 | N |
| 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 | 2022-05-06 | 2022-06-15 | 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 | 2022-05-06 | 2022-06-15 | 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 | 2022-05-06 | 2022-06-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-06 | 2022-06-15 | 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 | 2022-05-06 | 2022-06-15 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-05-06 | 2022-06-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-06 | 2022-06-15 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2022-05-06 | 2022-06-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-06 | 2022-06-15 | 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 | 2022-05-06 | 2022-06-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-05-06 | 2022-06-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-06 | 2022-06-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-06 | 2022-06-15 | Y |
| 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 | 2022-05-06 | 2022-06-15 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-06 | 2022-06-15 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-05-06 | 2022-06-15 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-06 | 2022-06-15 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-05-06 | 2022-06-15 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2022-05-06 | 2022-06-15 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-05-06 | 2022-06-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-05-06 | 2022-06-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-06 | 2022-06-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-06 | 2022-06-15 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-05-06 | 2022-06-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-05-06 | 2022-06-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-06 | 2021-11-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-11-21 | 2020-01-06 | N |
| Respond appropriately to all alleged violations. | Health | 2019-11-21 | 2020-01-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-11-21 | 2020-01-06 | 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 | 2019-11-21 | 2020-01-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-11-21 | 2020-01-06 | 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 | 2019-11-21 | 2020-01-06 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-11-21 | 2020-01-06 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-11-21 | 2020-01-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-21 | 2020-01-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-09 | 2019-01-25 | N |
| Provide or arrange emergency care by a doctor 24 hours a day. | Health | 2018-11-09 | 2019-01-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-09 | 2019-01-02 | N |
| 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 | 2018-11-09 | 2018-12-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-11-09 | 2018-12-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-11-09 | 2018-12-08 | 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 | 2018-11-09 | 2018-12-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-09 | 2018-12-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-11-09 | 2018-12-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-11-09 | 2018-11-30 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-11-09 | 2018-11-30 | 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 | 2018-11-09 | 2018-11-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-11-09 | 2018-11-20 | N |
| Have an externally vented heating system. | Fire Safety | 2018-11-09 | 2018-11-20 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2018-11-09 | 2018-11-09 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-11-09 | 2018-11-09 | N |
