Deficiency Records for Bedford Nursing and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Bedford Nursing and Rehabilitation 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 | 2023-12-15 | 2024-01-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-15 | 2024-01-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-15 | 2024-01-15 | 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 | 2023-12-15 | 2024-01-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-15 | 2024-01-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-15 | 2024-01-09 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-12-15 | 2024-01-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-15 | 2024-01-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-15 | 2023-12-20 | 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 | 2022-11-01 | 2022-12-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-01 | 2022-12-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-01 | 2022-12-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-01 | 2022-12-06 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-11-03 | 2022-11-28 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-11-03 | 2022-11-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-11-03 | 2022-11-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-03 | 2022-11-16 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-11-03 | 2022-11-10 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-11-03 | 2022-11-07 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-08-26 | 2021-09-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-08-24 | 2021-09-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-24 | 2021-09-16 | N |
