Deficiency Records for Birch Healthcare Center
Updated as of August 01, 2020
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 | 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 |
| Ensure each resident receives an accurate assessment. | Health | 2018-04-24 | 2018-06-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-04-24 | 2018-06-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-04-24 | 2018-06-03 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-05-15 | 2017-07-10 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-05-17 | 2017-06-23 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-05-17 | 2017-06-23 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-17 | 2017-06-23 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-05-17 | 2017-06-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-05-17 | 2017-06-23 | Y |
