A list of the most recent deficiencies for Bayley Place. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-12 | 2022-09-21 | N |
| Respond appropriately to all alleged violations. | Health | 2022-08-12 | 2022-09-21 | 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 | 2022-08-12 | 2022-09-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-12 | 2022-09-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-12 | 2022-09-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-12 | 2022-09-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-12 | 2022-09-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-12 | 2022-09-21 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2022-08-02 | 2022-09-21 | 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 | 2022-08-02 | 2022-09-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-02 | 2022-09-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-02 | 2022-09-21 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-07-18 | 2019-09-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-07-18 | 2019-09-06 | N |
| Respond appropriately to all alleged violations. | Health | 2019-07-18 | 2019-09-06 | 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 | 2019-07-18 | 2019-09-06 | 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 | 2019-07-15 | 2019-09-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-07-15 | 2019-09-06 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2019-07-15 | 2019-09-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-15 | 2019-09-06 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-07-15 | 2019-09-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-15 | 2019-09-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-06-14 | 2018-07-31 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-06-14 | 2018-07-31 | 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 | 2018-06-14 | 2018-07-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-06-14 | 2018-07-31 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2018-06-14 | 2018-07-31 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2018-06-14 | 2018-07-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-06-12 | 2018-07-31 | N |
