Deficiency Records for Birch Pointe Health and Rehabilitation
Updated as of October 01, 2021
This is not the most recent data for Birch Pointe Health and Rehabilitation. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| 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 |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-06-02 | 2021-07-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-02 | 2021-07-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | 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 |
| 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 | 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 |
| Provide and implement an infection prevention and control program. | Health | 2020-12-22 | 2021-02-05 | Y |
| 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 |
| 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 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-10-01 | 2019-11-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-07-19 | 2019-07-22 | Y |
| 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 | 2018-11-05 | 2018-12-07 | N |
