A list of the most recent deficiencies for Best Care Health 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? |
|---|---|---|---|---|
| Honor the resident's right to manage his or her financial affairs. | Health | 2024-02-01 | 2024-02-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-01 | 2024-02-23 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-02-01 | 2024-02-23 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-02-01 | 2024-02-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-01 | 2024-02-23 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-02-01 | 2024-02-23 | Y |
| 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 | 2024-02-01 | 2024-02-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-01 | 2024-02-23 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-01 | 2023-08-18 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-05-01 | 2023-05-15 | Y |
| 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 | 2023-04-28 | 2023-05-15 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-08-08 | 2022-09-29 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-08-08 | 2022-09-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-08-08 | 2022-09-29 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-08-08 | 2022-09-29 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-08-08 | 2022-09-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-08 | 2022-09-29 | N |
| Provide activities to meet all resident's needs. | Health | 2022-08-08 | 2022-09-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-08 | 2022-09-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-08 | 2022-09-29 | 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 | 2022-08-08 | 2022-09-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-08 | 2022-09-29 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-08-08 | 2022-09-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-01 | 2022-09-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-01 | 2022-09-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-01 | 2022-09-29 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-01 | 2022-09-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-01 | 2022-09-29 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-12-21 | 2022-01-13 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-07 | 2019-12-19 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-11-07 | 2019-12-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-07 | 2019-12-19 | 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 | 2019-11-07 | 2019-12-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-07 | 2019-12-19 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-11-07 | 2019-12-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-11-07 | 2019-12-19 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-11-07 | 2019-12-19 | 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 | 2019-11-07 | 2019-12-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-11-07 | 2019-12-19 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-11-07 | 2019-12-19 | N |
| Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2019-11-07 | 2019-12-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-11-07 | 2019-12-19 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-09-13 | 2018-10-18 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-09-13 | 2018-10-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-09-13 | 2018-10-18 | 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 | 2018-09-13 | 2018-10-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-13 | 2018-10-18 | 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 | 2018-09-12 | 2018-10-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-09-12 | 2018-10-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-12 | 2018-10-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-09-12 | 2018-10-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-09-12 | 2018-10-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-09-12 | 2018-10-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-09-12 | 2018-10-18 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-09-12 | 2018-10-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-09-12 | 2018-10-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-09-12 | 2018-10-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-09-12 | 2018-10-18 | N |
