A list of the most recent deficiencies for Boulder City Hospital Snf. 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 | 2023-04-28 | 2023-06-27 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-04-28 | 2023-06-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-04-28 | 2023-06-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-28 | 2023-06-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-04-28 | 2023-06-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-04-28 | 2023-06-27 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2023-04-28 | 2023-06-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-28 | 2023-06-27 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-04-28 | 2023-06-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-28 | 2023-06-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-20 | 2023-06-05 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-04-20 | 2023-06-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-04-20 | 2023-05-31 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-04-20 | 2023-05-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-20 | 2023-05-17 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2021-10-15 | 2021-11-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-15 | 2021-11-10 | Y |
| Develop a communication plan. | Fire Safety | 2021-10-14 | 2021-11-08 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-10-14 | 2021-11-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-10-14 | 2021-11-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-10-14 | 2021-11-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-10-14 | 2021-11-08 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-10-14 | 2021-11-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-10-14 | 2021-11-08 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-10-14 | 2021-11-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-15 | 2021-11-05 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-10-15 | 2021-10-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-21 | 2021-06-18 | 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 | 2021-05-21 | 2021-06-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-21 | 2021-05-27 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-05-21 | 2021-05-21 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-26 | 2019-09-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-07-26 | 2019-09-06 | 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 | 2019-07-26 | 2019-09-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-07-26 | 2019-09-06 | N |
| Provide appropriate foot care. | Health | 2019-07-26 | 2019-09-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-26 | 2019-09-06 | 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 | 2019-07-26 | 2019-09-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-07-26 | 2019-09-05 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-07-26 | 2019-08-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-07-26 | 2019-08-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-07-26 | 2019-08-22 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-07-26 | 2019-08-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-07-26 | 2019-08-21 | N |
| Meet other general requirements. | Fire Safety | 2019-07-26 | 2019-08-10 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-07-26 | 2019-08-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-26 | 2019-07-26 | N |
