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Deficiency Records for Birchwood Rehabilitation and Healthcare Center
View the most recent health deficiencies and inspection results for Birchwood Rehabilitation and Healthcare Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Birchwood Rehabilitation and Healthcare Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install an approved automatic sprinkler system. | Fire Safety | 2025-12-11 | 2025-12-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-12-11 | 2025-12-31 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-12-11 | 2025-12-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-12-11 | 2025-12-31 | 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 | 2025-12-11 | 2025-12-31 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2025-12-11 | 2025-12-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-12-11 | 2025-12-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-14 | 2024-12-06 | Y |
| Install proper backup exit lighting. | Fire Safety | 2024-08-06 | 2024-09-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-06 | 2024-09-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-06 | 2024-09-03 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-06 | 2024-09-03 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-06 | 2024-09-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-08-06 | 2024-09-03 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-08-06 | 2024-09-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-06 | 2024-09-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-06 | 2024-09-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-06 | 2024-09-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-06 | 2024-08-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-08-06 | 2024-08-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-06 | 2024-08-30 | N |
| 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 | 2024-08-06 | 2024-08-27 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-08-04 | 2022-09-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-08-04 | 2022-09-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-04 | 2022-09-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-04 | 2022-09-03 | 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 | 2022-08-04 | 2022-09-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-04 | 2022-09-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-04 | 2022-09-03 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-08-04 | 2022-09-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-04 | 2022-09-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-04 | 2022-09-03 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-08-04 | 2022-09-03 | 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 | 2022-08-04 | 2022-09-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-08-04 | 2022-09-03 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-08-04 | 2022-09-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-08-04 | 2022-09-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-08-04 | 2022-09-03 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-08-04 | 2022-09-03 | N |