Deficiency Records for Birch Pointe Health and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Birch Pointe Health and Rehabilitation. 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? |
|---|---|---|---|---|
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-12-01 | 2024-01-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-01 | 2024-01-15 | N |
| Respond appropriately to all alleged violations. | Health | 2023-12-01 | 2024-01-15 | 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 | 2023-12-01 | 2024-01-15 | 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 | 2023-12-01 | 2024-01-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-12-01 | 2024-01-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-01 | 2024-01-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-01 | 2024-01-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-01 | 2023-09-14 | 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 | 2023-08-01 | 2023-09-14 | Y |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2023-08-01 | 2023-09-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-01 | 2023-01-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-10 | 2022-12-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-20 | 2022-06-28 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-05-20 | 2022-06-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-20 | 2022-06-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-05-20 | 2022-06-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-20 | 2022-06-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-20 | 2022-06-28 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-11-02 | 2021-12-10 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-06-02 | 2021-07-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-06-02 | 2021-07-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-06-02 | 2021-07-17 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2021-06-02 | 2021-07-17 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-06-02 | 2021-07-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-02 | 2021-07-17 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-06-02 | 2021-07-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-02 | 2021-07-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-02 | 2021-07-17 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-06-02 | 2021-07-17 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-06-02 | 2021-07-17 | 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 | 2021-06-02 | 2021-07-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-02 | 2021-07-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-06-02 | 2021-07-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-10-01 | 2019-11-20 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-10-01 | 2019-11-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-01 | 2019-11-20 | 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 | 2019-10-01 | 2019-11-20 | N |
