Deficiency Records for Birchaven Retirement Village
Updated as of June 01, 2019
This is not the most recent data for Birchaven Retirement Village. For the most recent information, click here.
A list of the most recent deficiencies for Birchaven Retirement Village. 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? |
---|---|---|---|---|
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-10-25 | 2018-12-05 | Y |
Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2018-10-25 | 2018-12-05 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-10-25 | 2018-12-05 | Y |
Respond appropriately to all alleged violations. | Health | 2018-10-25 | 2018-12-05 | Y |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-10-25 | 2018-12-05 | N |
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2018-10-25 | 2018-12-05 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-25 | 2018-12-05 | N |
Ensure each resident receives an accurate assessment. | Health | 2018-10-25 | 2018-12-05 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-10-25 | 2018-12-05 | 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 | 2018-10-25 | 2018-12-05 | N |
Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-10-25 | 2018-12-05 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-25 | 2018-12-05 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-25 | 2018-12-05 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-10-25 | 2018-12-05 | N |
Provide and implement an infection prevention and control program. | Health | 2018-10-25 | 2018-12-05 | N |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2018-10-25 | 2018-12-05 | Y |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-10-25 | 2018-12-05 | Y |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2017-11-28 | 2017-12-07 | Y |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-08-24 | 2017-10-27 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-08-24 | 2017-10-27 | N |
Provide timely notification to the resident before transfer or discharge. | Health | 2017-07-17 | 2017-07-28 | Y |
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-06-08 | 2017-07-28 | Y |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-11-03 | 2016-12-15 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-11-03 | 2016-12-15 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2016-11-03 | 2016-12-15 | N |
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-11-03 | 2016-12-15 | N |