Deficiency Records for Broad Mountain Health and Rehabilitation Center
Updated as of October 01, 2020
This is not the most recent data for Broad Mountain Health and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Broad Mountain Health and Rehabilitation 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? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-05-16 | 2019-07-31 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-07-12 | 2019-07-31 | 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 | 2019-07-12 | 2019-07-31 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-12 | 2019-07-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-12 | 2019-07-31 | 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 | 2019-07-12 | 2019-07-31 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-07-12 | 2019-07-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-07-12 | 2019-07-31 | N |
| Post nurse staffing information every day. | Health | 2019-07-12 | 2019-07-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-07-12 | 2019-07-31 | 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 | 2019-07-12 | 2019-07-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-12 | 2019-07-31 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-07-12 | 2019-07-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-12 | 2019-07-31 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-07-12 | 2019-07-31 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-07-01 | 2019-07-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-01 | 2019-07-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-07-01 | 2019-07-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-07-01 | 2019-07-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-06-20 | 2018-07-12 | N |
| 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 | 2018-06-07 | 2018-07-12 | 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 | 2018-06-07 | 2018-07-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-06-07 | 2018-07-12 | N |
| Provide or obtain dental services for each resident. | Health | 2018-06-07 | 2018-07-12 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-07-21 | 2017-10-24 | Y |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-07-21 | 2017-10-24 | Y |
| Quickly tell the resident's doctor the results of laboratory tests. | Health | 2017-07-21 | 2017-10-24 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-07-21 | 2017-09-26 | N |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2017-07-21 | 2017-08-28 | N |
| Provide housekeeping and maintenance services. | Health | 2017-07-21 | 2017-08-28 | N |
| Maintain comfortable sound levels. | Health | 2017-07-21 | 2017-08-28 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-07-21 | 2017-08-28 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-07-21 | 2017-08-28 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-07-21 | 2017-08-28 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-07-21 | 2017-08-28 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-07-21 | 2017-08-28 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2017-07-21 | 2017-08-28 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-07-21 | 2017-08-28 | N |
| Provide timely notification to the resident before transfer or discharge. | Health | 2017-07-21 | 2017-08-28 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-07-21 | 2017-08-28 | Y |
| Use approved construction type or materials. | Fire Safety | 2017-07-26 | 2017-08-22 | N |
| Have exits that are accessible at all times. | Fire Safety | 2017-07-26 | 2017-08-22 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-07-26 | 2017-08-22 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2017-07-26 | 2017-08-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-07-26 | 2017-08-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-07-26 | 2017-08-22 | N |
