A list of the most recent deficiencies for Bayberry Nursing Home. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-30 | 2023-07-07 | 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 | 2023-05-30 | 2023-07-07 | 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 | 2020-09-11 | 2020-11-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-09-11 | 2020-11-18 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2020-09-11 | 2020-11-10 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2020-09-11 | 2020-11-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-09-11 | 2020-11-10 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2020-09-11 | 2020-11-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-09-11 | 2020-11-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-31 | 2019-01-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-31 | 2019-01-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-10-31 | 2019-01-15 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-10-31 | 2019-01-09 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-10-31 | 2019-01-09 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-10-31 | 2019-01-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-31 | 2019-01-09 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2018-10-31 | 2019-01-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-10-31 | 2019-01-09 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-10-31 | 2019-01-09 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2018-10-31 | 2019-01-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-31 | 2019-01-09 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-10-31 | 2019-01-09 | N |
