Deficiency Records for Blue Circle Rehab and Nursing
Updated as of March 01, 2020
This is not the most recent data for Blue Circle Rehab and Nursing. For the most recent information, click here.
A list of the most recent deficiencies for Blue Circle Rehab and Nursing. 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? |
---|---|---|---|---|
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-04-30 | 2019-06-12 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-04-30 | 2019-06-12 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-30 | 2019-06-12 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-30 | 2019-06-12 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-04-30 | 2019-06-12 | 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 | 2019-04-30 | 2019-06-12 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-04-30 | 2019-06-12 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2019-04-30 | 2019-06-12 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2019-04-30 | 2019-06-12 | N |
Ensure that residents are free from significant medication errors. | Health | 2019-04-30 | 2019-06-12 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-04-30 | 2019-06-12 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-30 | 2019-06-12 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-01 | 2018-10-25 | Y |
Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-05-18 | 2018-06-30 | N |
Meet other general requirements. | Fire Safety | 2018-05-18 | 2018-06-30 | 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 | 2018-05-18 | 2018-06-30 | N |
Have exits that are accessible at all times. | Fire Safety | 2018-05-18 | 2018-06-30 | N |
Install proper backup exit lighting. | Fire Safety | 2018-05-18 | 2018-06-30 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-05-18 | 2018-06-30 | N |
Provide properly protected cooking facilities. | Fire Safety | 2018-05-18 | 2018-06-30 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-18 | 2018-06-30 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-05-18 | 2018-06-30 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-05-18 | 2018-06-30 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-05-18 | 2018-06-30 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-05-18 | 2018-06-30 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2018-05-18 | 2018-06-30 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2018-05-18 | 2018-06-30 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-05-18 | 2018-06-30 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-05-18 | 2018-06-30 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-05-18 | 2018-06-30 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-05-18 | 2018-06-30 | 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 | 2018-05-18 | 2018-06-30 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2018-05-18 | 2018-06-30 | 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 | Health | 2018-05-18 | 2018-06-30 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2018-05-18 | 2018-06-30 | N |
Provide and implement an infection prevention and control program. | Health | 2018-05-18 | 2018-06-30 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-05-18 | 2018-06-30 | Y |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-04-17 | 2017-05-31 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-04-17 | 2017-05-31 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-04-17 | 2017-05-31 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-04-17 | 2017-05-31 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-04-17 | 2017-05-31 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2017-04-17 | 2017-05-31 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2017-04-17 | 2017-05-31 | N |
Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2017-04-17 | 2017-05-31 | N |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-04-17 | 2017-05-31 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-04-17 | 2017-05-31 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-04-17 | 2017-05-31 | N |
Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-04-17 | 2017-05-31 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-04-17 | 2017-05-31 | N |
Have enough backup water supply for essential areas of the nursing home. | Health | 2017-04-17 | 2017-05-31 | N |