Deficiency Records for Birchaven Retirement Village
Updated as of October 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 |
