Deficiency Records for Bedford Center For Nursing and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Bedford Center For Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2023-06-13 | 2023-08-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-13 | 2023-08-08 | Y |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-03-31 | 2023-05-22 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-03-31 | 2023-05-22 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-03-31 | 2023-05-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-31 | 2023-05-22 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-03-31 | 2023-05-22 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-31 | 2023-05-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-31 | 2023-05-22 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-03-31 | 2023-05-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-31 | 2023-05-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-31 | 2023-05-22 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-03-28 | 2023-05-17 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-03-28 | 2023-05-17 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-03-28 | 2023-05-17 | N |
| Have exits that are accessible at all times. | Fire Safety | 2020-02-27 | 2020-04-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-02-27 | 2020-04-27 | 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 | 2020-02-27 | 2020-02-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-27 | 2020-02-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-27 | 2020-02-28 | N |
| Provide activities to meet all resident's needs. | Health | 2020-02-27 | 2020-02-27 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2020-02-27 | 2020-02-27 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-11-09 | 2019-01-09 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-11-09 | 2019-01-09 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-11-09 | 2019-01-09 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-11-09 | 2019-01-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-11-09 | 2019-01-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-09 | 2019-01-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-11-09 | 2019-01-09 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-11-09 | 2019-01-04 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2018-11-09 | 2019-01-04 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-11-09 | 2019-01-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-11-09 | 2019-01-04 | 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 | 2018-11-09 | 2019-01-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-09 | 2019-01-04 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-11-09 | 2019-01-04 | N |
