A list of the most recent deficiencies for Bedford Hills Center. 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? |
|---|---|---|---|---|
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-29 | 2023-08-18 | 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 | 2023-06-27 | 2023-07-27 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-06-27 | 2023-07-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-27 | 2023-07-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-27 | 2023-07-27 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-06-27 | 2023-07-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-29 | 2023-07-26 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-06-15 | 2022-08-01 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-06-13 | 2022-08-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-13 | 2022-08-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-06-13 | 2022-08-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-13 | 2022-08-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-15 | 2022-07-29 | 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 | 2022-06-15 | 2022-07-29 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-06-15 | 2022-07-26 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-06-15 | 2022-07-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-15 | 2022-07-15 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-06-15 | 2022-07-12 | 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 | 2022-03-21 | 2022-04-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-21 | 2022-04-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-21 | 2022-04-11 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-03-21 | 2022-04-11 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-21 | 2022-04-05 | Y |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-05-25 | 2021-08-10 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-05-25 | 2021-08-10 | 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 | 2021-05-25 | 2021-08-10 | 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 | 2021-05-25 | 2021-08-10 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-05-25 | 2021-08-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-25 | 2021-08-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-25 | 2021-08-10 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2021-05-25 | 2021-08-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-05-25 | 2021-08-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-25 | 2021-08-10 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-05-25 | 2021-08-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-05-25 | 2021-08-10 | N |
| Respond appropriately to all alleged violations. | Health | 2021-05-27 | 2021-07-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-27 | 2021-07-27 | 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 | 2021-05-27 | 2021-07-27 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-05-27 | 2021-07-27 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-04-15 | 2021-04-26 | Y |
