A list of the most recent deficiencies for Broken Bow Nursing Home. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-31 | 2023-10-16 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-08-31 | 2023-10-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-31 | 2023-10-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-31 | 2023-10-16 | 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 | 2023-08-31 | 2023-10-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-31 | 2023-10-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-31 | 2023-10-16 | 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 | 2023-08-31 | 2023-10-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-31 | 2023-08-31 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-14 | 2023-04-17 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-03-14 | 2023-04-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-14 | 2023-04-17 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-09-29 | 2022-11-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-09-29 | 2022-11-14 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-09-29 | 2022-11-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-29 | 2022-11-14 | 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 | 2022-09-29 | 2022-11-14 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-09-29 | 2022-11-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-29 | 2022-11-14 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-09-29 | 2022-11-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-29 | 2022-11-14 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-09-29 | 2022-11-14 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2022-09-29 | 2022-11-14 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-09-28 | 2022-11-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-09-28 | 2022-11-14 | 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 | 2022-09-28 | 2022-11-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-28 | 2022-11-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-28 | 2022-11-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-09-28 | 2022-11-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-28 | 2022-11-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-09-28 | 2022-11-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-06-01 | 2021-08-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-01 | 2021-08-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-01 | 2021-08-01 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-06-01 | 2021-08-01 | 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 | 2021-06-01 | 2021-08-01 | 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 | 2021-06-01 | 2021-08-01 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-06-01 | 2021-08-01 | 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 | 2021-06-01 | 2021-08-01 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2021-06-01 | 2021-08-01 | 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 | 2021-05-25 | 2021-08-01 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-05-25 | 2021-08-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-25 | 2021-08-01 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-02-25 | 2019-04-11 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-02-25 | 2019-04-11 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-02-25 | 2019-04-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-25 | 2019-04-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-02-25 | 2019-04-11 | N |
