Deficiency Records for Birch Healthcare Center
Updated as of June 01, 2021
This is not the most recent data for Birch Healthcare Center. For the most recent information, click here.
A list of the most recent deficiencies for Birch Healthcare 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? |
|---|---|---|---|---|
| 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 | 2021-02-04 | 2021-04-08 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-02-04 | 2021-04-08 | 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 | 2021-02-04 | 2021-04-08 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-02-04 | 2021-04-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-02-04 | 2021-04-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-02-04 | 2021-04-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-02-04 | 2021-04-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-02-04 | 2021-04-08 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-02-08 | 2021-03-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-02-08 | 2021-03-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-02-08 | 2021-03-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-02-08 | 2021-03-15 | 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 | 2021-02-08 | 2021-03-15 | N |
| 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 | 2021-02-08 | 2021-03-15 | 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 | 2021-02-08 | 2021-03-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-02-08 | 2021-03-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-02-08 | 2021-03-15 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-02-08 | 2021-03-15 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2021-02-08 | 2021-03-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-08-17 | 2020-09-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-08-17 | 2020-09-16 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2020-06-01 | 2020-06-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-06-01 | 2020-06-23 | 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 | 2019-04-23 | 2019-06-13 | 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 | 2019-04-23 | 2019-06-13 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-04-26 | 2019-06-07 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-04-26 | 2019-06-07 | N |
| 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 | 2019-04-26 | 2019-06-07 | 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 | 2019-04-26 | 2019-06-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-26 | 2019-06-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-26 | 2019-06-07 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-08-02 | 2018-09-05 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-08-02 | 2018-09-05 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-08-02 | 2018-09-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-08-02 | 2018-09-05 | 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 | 2018-08-02 | 2018-09-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-02 | 2018-09-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-08-02 | 2018-09-05 | 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 | 2018-08-03 | 2018-08-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-04-13 | Not Fixed | Y |
