CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Birchaven Retirement Village
View the most recent health deficiencies and inspection results for Birchaven Retirement Village. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Birchaven Retirement Village. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2026-04-09 | 2026-05-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-04-09 | 2026-05-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-04-09 | 2026-05-11 | Y |
| Respond appropriately to all alleged violations. | Health | 2026-04-09 | 2026-05-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-09 | 2025-02-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-01-09 | 2025-02-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2025-01-09 | 2025-02-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-01-09 | 2025-02-10 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-01-09 | 2025-02-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-01-09 | 2025-02-10 | 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 | 2025-01-09 | 2025-02-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-01-09 | 2025-02-10 | 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 | 2025-01-09 | 2025-02-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-09 | 2025-02-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-01-09 | 2025-02-10 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-01-09 | 2025-02-10 | N |
| Respond appropriately to all alleged violations. | Health | 2025-01-09 | 2025-02-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-01-09 | 2025-02-10 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-01-09 | 2025-02-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-01-09 | 2025-02-10 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2025-01-09 | 2025-02-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-01-09 | 2025-02-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-01-09 | 2025-02-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-01-09 | 2025-02-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-09 | 2025-02-10 | 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 | 2022-11-07 | 2023-02-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-07 | 2022-12-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-07 | 2022-12-09 | N |
| Post nurse staffing information every day. | Health | 2022-11-07 | 2022-12-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-07 | 2022-12-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-07 | 2022-12-09 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-11-07 | 2022-12-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-07 | 2022-12-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-07 | 2022-12-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-07 | 2022-12-09 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-11-07 | 2022-12-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-07 | 2022-12-09 | N |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2019-12-18 | 2020-02-03 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2019-12-18 | 2020-02-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-18 | 2020-02-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-12-18 | 2020-02-03 | 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 | 2019-12-18 | 2020-02-03 | 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 | 2019-12-18 | 2020-02-03 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-12-18 | 2020-02-03 | N |