CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Bishop Rehabilitation and Nursing Center
View the most recent health deficiencies and inspection results for Bishop Rehabilitation and Nursing Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Bishop Rehabilitation and Nursing Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-04-01 | 2026-05-29 | Y |
| Use approved construction type or materials. | Fire Safety | 2025-05-16 | 2025-06-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-05-16 | 2025-06-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-05-16 | 2025-06-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-05-16 | 2025-06-24 | 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 | 2025-05-16 | 2025-06-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-05-16 | 2025-06-24 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2025-05-16 | 2025-06-24 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2025-05-16 | 2025-06-24 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2025-05-16 | 2025-06-24 | N |
| Install proper backup exit lighting. | Fire Safety | 2025-05-16 | 2025-06-24 | 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 | 2025-05-16 | 2025-06-24 | N |
| Construct fire resistant interior walls. | Fire Safety | 2025-05-16 | 2025-06-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-16 | 2025-06-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-05-16 | 2025-06-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-05-16 | 2025-06-24 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-05-16 | 2025-04-13 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-12-20 | 2025-03-05 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2024-12-20 | 2025-02-14 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-12-20 | 2025-02-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-12-20 | 2025-02-13 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-12-20 | 2025-02-13 | N |
| Use approved construction type or materials. | Fire Safety | 2024-12-20 | 2025-02-13 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-12-20 | 2025-02-13 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-12-20 | 2025-02-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-12-20 | 2025-02-13 | N |
| Post nurse staffing information every day. | Health | 2024-12-20 | 2025-02-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-12-20 | 2025-02-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-12-20 | 2025-02-13 | 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 | 2024-12-20 | 2025-02-13 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-12-20 | 2025-02-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-12-20 | 2025-02-13 | Y |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-12-20 | 2025-02-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-12-20 | 2025-02-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-12-20 | 2025-02-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-12-20 | 2025-02-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-12-20 | 2025-02-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-07-11 | 2024-09-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-11 | 2024-09-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-11 | 2024-09-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-07-11 | 2024-09-10 | 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 | 2024-07-11 | 2024-09-04 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-07-11 | 2024-09-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-11 | 2024-09-04 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-07-11 | 2024-09-04 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-07-11 | 2024-09-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-11 | 2024-09-04 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-07-11 | 2024-09-04 | 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 | 2024-07-11 | 2024-09-04 | 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 | 2024-07-11 | 2024-09-04 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-07-11 | 2024-09-04 | N |
| Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2024-07-11 | 2024-09-04 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-07-11 | 2024-09-04 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-07-11 | 2024-09-04 | 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 | 2024-07-11 | 2024-09-04 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-11 | 2024-09-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-11 | 2024-09-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-11 | 2024-09-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-11 | 2024-09-04 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-07-11 | 2024-09-04 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-11 | 2024-09-04 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-07-11 | 2024-09-04 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-07-11 | 2024-09-04 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2024-07-11 | 2024-09-04 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-07-11 | 2024-09-04 | Y |
| Provide at least two remote exits on each floor or fire section of the building. | Fire Safety | 2024-07-11 | 2024-09-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-07-11 | 2024-09-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-11 | 2024-09-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-07-11 | 2024-09-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-07-11 | 2024-09-04 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-07-11 | 2024-09-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-07-11 | 2024-09-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-07-11 | 2024-09-04 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-07-11 | 2024-09-04 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-07-11 | 2024-09-04 | N |
| Construct fire resistant interior walls. | Fire Safety | 2024-07-11 | 2024-09-04 | 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 | 2024-07-11 | 2024-09-04 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-07-11 | 2024-09-04 | 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 | 2024-07-11 | 2024-09-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-07-11 | 2024-09-04 | N |
| Use approved construction type or materials. | Fire Safety | 2024-07-11 | 2024-09-04 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2024-07-11 | 2024-09-04 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-07-11 | 2024-09-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-05 | 2024-05-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-05 | 2024-05-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-05 | 2024-05-13 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-12-05 | 2024-05-13 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2024-01-19 | 2024-02-16 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-12-05 | 2024-02-02 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-10-13 | 2023-11-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-28 | 2023-07-24 | Y |