A list of the most recent deficiencies for Bertrand Nursing Home. 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? |
|---|---|---|---|---|
| Install an approved automatic sprinkler system. | Fire Safety | 2023-04-18 | 2023-05-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-18 | 2023-05-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-18 | 2023-05-31 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-04-18 | 2023-05-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-20 | 2023-05-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-02 | 2022-01-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-12-01 | 2022-01-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-02 | 2021-12-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-02 | 2021-12-31 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-12-02 | 2021-12-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-01 | 2021-12-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-02 | 2021-12-29 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-12-01 | 2021-12-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-02 | 2021-12-06 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-12-17 | 2020-01-23 | 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 | 2019-12-17 | 2020-01-23 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-12-11 | 2020-01-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-11 | 2020-01-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-11 | 2020-01-23 | N |
