Deficiency Records for Baptist Health Nursing and Rehabilitation Center
Updated as of May 01, 2022
This is not the most recent data for Baptist Health Nursing and Rehabilitation Center. For the most recent information, click here.
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? |
---|---|---|---|---|
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 |
Provide and implement an infection prevention and control program. | Health | 2021-02-01 | 2021-03-26 | 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 |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-06-07 | 2019-06-20 | Y |
Keep residents' personal and medical records private and confidential. | Health | 2017-08-24 | 2017-10-23 | N |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-08-24 | 2017-10-23 | N |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-08-24 | 2017-10-23 | N |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-08-24 | 2017-10-23 | N |
Ensure residents maintain acceptable nutritional status. | Health | 2017-08-24 | 2017-10-23 | N |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-08-24 | 2017-10-23 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-08-24 | 2017-10-23 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-24 | 2017-10-23 | N |
Give or get x-rays and other tests in a timely manner to meet the needs of residents. | Health | 2017-08-24 | 2017-10-23 | N |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2017-08-24 | 2017-10-23 | N |
Provide properly protected cooking facilities. | Fire Safety | 2017-08-24 | 2017-10-23 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2017-08-24 | 2017-10-23 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-08-24 | 2017-10-23 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2017-08-24 | 2017-10-23 | N |
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-08-24 | 2017-10-23 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-08-24 | 2017-10-23 | N |