A list of the most recent deficiencies for Birchwood 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? |
|---|---|---|---|---|
| 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 | 2022-02-14 | 2022-02-28 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-02-14 | 2022-02-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-02-14 | 2022-02-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-14 | 2022-02-28 | N |
| Use approved construction type or materials. | Fire Safety | 2022-02-08 | 2022-02-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-02-08 | 2022-02-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-02-08 | 2022-02-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-02-08 | 2022-02-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-02-08 | 2022-02-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-03 | 2019-11-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-03 | 2019-11-12 | 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 | 2019-10-03 | 2019-11-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-03 | 2019-11-12 | 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 | 2019-10-03 | 2019-11-12 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-10-03 | 2019-11-12 | 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 | 2019-10-03 | 2019-11-12 | 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 | 2019-10-03 | 2019-11-12 | N |
| Provide or obtain dental services for each resident. | Health | 2019-10-03 | 2019-11-12 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-10-03 | 2019-11-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-03 | 2019-11-12 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-10-03 | 2019-11-12 | N |
| Use approved construction type or materials. | Fire Safety | 2019-10-03 | 2019-11-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-10-03 | 2019-11-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-03 | 2019-11-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-03 | 2019-11-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-10-03 | 2019-11-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-10-03 | 2019-11-12 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-10-03 | 2019-11-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-03 | 2019-11-12 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-10-03 | 2019-11-06 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2018-08-23 | 2018-09-30 | 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 | 2018-08-23 | 2018-09-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-08-23 | 2018-09-30 | 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 | 2018-08-23 | 2018-09-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-23 | 2018-09-30 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2018-08-23 | 2018-09-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-23 | 2018-09-30 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-08-20 | 2018-09-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-20 | 2018-09-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-08-20 | 2018-09-30 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-08-20 | 2018-09-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-08-20 | 2018-09-30 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-08-23 | 2018-09-21 | N |
