A list of the most recent deficiencies for Bath Creek Estates. 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? |
|---|---|---|---|---|
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-21 | 2024-01-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-12-18 | 2024-01-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-12-18 | 2024-01-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-12-18 | 2024-01-10 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-12-18 | 2024-01-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-18 | 2024-01-10 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-09-18 | 2023-10-05 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-05-04 | 2021-06-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-04 | 2021-06-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-05-04 | 2021-06-01 | 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 | 2021-05-04 | 2021-06-01 | 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 | 2021-05-04 | 2021-06-01 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-05-04 | 2021-06-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-04 | 2021-06-01 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2021-05-04 | 2021-06-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-04 | 2021-06-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-04 | 2021-06-01 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-03-05 | 2021-03-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-05 | 2021-03-30 | N |
| Report COVID19 data to residents and families. | Health | 2021-03-05 | 2021-03-30 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-03-05 | 2021-03-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-02-07 | 2019-02-22 | 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 | 2019-02-05 | 2019-02-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-05 | 2019-02-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-05 | 2019-02-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-02-05 | 2019-02-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-02-05 | 2019-02-22 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-02-05 | 2019-02-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-02-05 | 2019-02-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-02-05 | 2019-02-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-02-05 | 2019-02-22 | N |
