Deficiency Records for Bezalel Rehabilitation and Nursing Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Bezalel Rehabilitation and Nursing 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2022-03-15 | 2022-08-30 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2022-03-15 | 2022-06-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-03-15 | 2022-06-07 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-03-15 | 2022-05-14 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-03-15 | 2022-05-14 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-03-15 | 2022-05-14 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-03-15 | 2022-05-14 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-03-15 | 2022-05-14 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-03-15 | 2022-05-05 | 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 | 2022-03-15 | 2022-05-05 | 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 | 2022-03-15 | 2022-05-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-15 | 2022-05-05 | N |
| Dispose of garbage and refuse properly. | Health | 2022-03-15 | 2022-05-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-15 | 2022-05-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-06-17 | 2019-08-14 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-06-17 | 2019-08-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-06-17 | 2019-08-14 | 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 | 2019-06-17 | 2019-08-14 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-06-17 | 2019-08-14 | 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 | 2019-06-17 | 2019-08-14 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-06-17 | 2019-08-14 | 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 | 2019-06-17 | 2019-08-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-17 | 2019-08-14 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-06-17 | 2019-07-01 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2017-09-14 | 2017-11-29 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-09-14 | 2017-11-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-09-14 | 2017-11-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-09-14 | 2017-11-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-09-14 | 2017-11-10 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-09-14 | 2017-11-03 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-09-14 | 2017-11-03 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-09-14 | 2017-11-03 | N |
