Deficiency Records for Baptist Health Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Baptist Health 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? |
|---|---|---|---|---|
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-24 | 2023-12-07 | N |
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2023-10-24 | 2023-11-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-24 | 2023-11-27 | 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 | 2023-10-24 | 2023-11-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-24 | 2023-11-27 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-10-24 | 2023-11-27 | N |
| Dispose of garbage and refuse properly. | Health | 2023-10-24 | 2023-11-27 | 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 | 2023-10-24 | 2023-11-27 | Y |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-10-24 | 2023-11-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-24 | 2023-11-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-12 | 2023-11-21 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-10-24 | 2023-11-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-28 | 2023-11-13 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-12 | 2023-11-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-19 | 2023-07-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-08 | 2023-05-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-14 | 2022-03-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-14 | 2022-03-25 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-02-14 | 2022-03-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-14 | 2022-03-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-10 | 2021-09-24 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-08-10 | 2021-09-03 | 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 | 2021-08-10 | 2021-08-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-10 | 2021-08-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-08-10 | 2021-08-13 | 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 | 2019-06-18 | 2019-08-17 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-06-18 | 2019-08-17 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-06-18 | 2019-08-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-06-18 | 2019-08-17 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-06-18 | 2019-08-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-06-18 | 2019-08-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-18 | 2019-08-17 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-06-18 | 2019-08-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-06-18 | 2019-08-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-18 | 2019-08-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-06-18 | 2019-08-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-06-18 | 2019-08-17 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-06-18 | 2019-08-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-06-18 | 2019-08-17 | N |
