A list of the most recent deficiencies for Batavia Nursing Care 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? |
|---|---|---|---|---|
| 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 | 2023-12-28 | 2024-01-02 | Y |
| Have proper power supply for life support equipment. | Fire Safety | 2022-10-25 | 2023-02-10 | 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 | 2022-10-31 | 2022-11-28 | 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 | 2022-10-31 | 2022-11-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-31 | 2022-11-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-31 | 2022-11-28 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-10-25 | 2022-11-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-25 | 2022-11-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-10-25 | 2022-11-28 | N |
| 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 | 2022-04-04 | 2022-04-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-24 | 2021-12-08 | Y |
| 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 | 2019-11-21 | 2019-12-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-21 | 2019-12-17 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-11-21 | 2019-12-17 | 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 | 2019-11-21 | 2019-12-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-11-21 | 2019-12-17 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-11-21 | 2019-12-17 | 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 | 2019-11-21 | 2019-12-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-11-18 | 2019-12-17 | 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 | 2019-11-18 | 2019-12-17 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-11-18 | 2019-12-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-11-18 | 2019-12-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-18 | 2019-12-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-11-18 | 2019-12-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-11-18 | 2019-12-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-11-18 | 2019-12-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-18 | 2019-12-17 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-09-28 | 2018-10-26 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2018-09-28 | 2018-10-26 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2018-09-28 | 2018-10-26 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-09-28 | 2018-10-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-09-28 | 2018-10-26 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2018-09-28 | 2018-10-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-09-28 | 2018-10-26 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-09-28 | 2018-10-26 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-09-27 | 2018-10-26 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-09-27 | 2018-10-26 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-09-27 | 2018-10-26 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-09-27 | 2018-10-26 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-09-27 | 2018-10-26 | 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 | 2018-09-27 | 2018-10-26 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-09-27 | 2018-10-26 | N |
