Deficiency Records for Birch Healthcare Center
Updated as of March 01, 2022
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 | 2021-12-13 | 2022-02-22 | 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 | 2021-12-13 | 2022-02-22 | N |
Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-12-13 | 2022-02-22 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-12-13 | 2022-02-22 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-13 | 2022-02-22 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-12-13 | 2022-02-22 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-12-16 | 2022-01-31 | 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 | 2021-12-16 | 2022-01-31 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-12-16 | 2022-01-31 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-16 | 2022-01-31 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-16 | 2022-01-31 | N |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-12-16 | 2022-01-31 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2021-12-16 | 2022-01-31 | 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 | 2021-12-16 | 2022-01-31 | 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 | 2021-12-16 | 2022-01-31 | 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 | 2021-12-16 | 2022-01-31 | N |
Provide and implement an infection prevention and control program. | Health | 2021-12-16 | 2022-01-31 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-12-16 | 2022-01-31 | N |
Perform COVID19 testing on residents and staff. | Health | 2021-12-16 | 2022-01-31 | N |
Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2021-06-07 | 2021-07-19 | Y |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-06-07 | 2021-07-19 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-06-07 | 2021-07-19 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-06-07 | 2021-07-19 | Y |
Report COVID19 data to residents and families. | Health | 2021-06-07 | 2021-07-19 | Y |
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-04-13 | 2021-05-04 | Y |
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 | 2021-05-04 | Y |
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 |