Deficiency Records for Baldwin Health Center
Updated as of September 01, 2021
This is not the most recent data for Baldwin Health Center. For the most recent information, click here.
A list of the most recent deficiencies for Baldwin Health 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-04 | 2021-07-21 | 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 | 2021-06-04 | 2021-07-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-06-04 | 2021-07-21 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-06-04 | 2021-07-21 | 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 | 2021-06-04 | 2021-07-21 | 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 | 2021-06-04 | 2021-07-21 | 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 | 2021-06-04 | 2021-07-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-06-04 | 2021-07-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-06-04 | 2021-07-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-04 | 2021-07-21 | 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 | 2021-06-04 | 2021-07-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-04 | 2021-07-21 | N |
| Provide activities to meet all resident's needs. | Health | 2021-06-04 | 2021-07-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-04 | 2021-07-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-04 | 2021-07-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-04 | 2021-07-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-06-04 | 2021-07-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-06-04 | 2021-07-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-06-04 | 2021-07-21 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2021-06-04 | 2021-07-21 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-06-04 | 2021-07-21 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-06-04 | 2021-07-21 | 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 | 2021-06-04 | 2021-07-21 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2021-06-04 | 2021-07-21 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-06-04 | 2021-07-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-04 | 2021-07-21 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-06-04 | 2021-07-21 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-06-04 | 2021-07-21 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-06-01 | 2021-06-10 | 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 | 2021-06-01 | 2021-06-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-01 | 2021-06-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-22 | 2021-04-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-01-15 | 2021-02-11 | Y |
| 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 | 2021-01-15 | 2021-02-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-01-15 | 2021-02-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-01-02 | 2021-02-10 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-08-15 | 2019-09-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-15 | 2019-09-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-08-15 | 2019-09-05 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2019-08-15 | 2019-09-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-16 | 2019-09-05 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-08-16 | 2019-09-05 | 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 | 2019-08-16 | 2019-09-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-16 | 2019-09-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-16 | 2019-09-05 | 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 | 2019-08-16 | 2019-09-05 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-08-16 | 2019-09-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-16 | 2019-09-05 | N |
| Dispose of garbage and refuse properly. | Health | 2019-08-16 | 2019-09-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-08-16 | 2019-09-05 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-07-01 | 2019-08-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-28 | 2019-06-19 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-04-02 | 2019-04-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-12 | 2019-03-08 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2018-11-06 | 2018-11-28 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-11-06 | 2018-11-28 | Y |
| 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 | 2018-09-11 | 2018-10-23 | 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 | 2018-09-11 | 2018-10-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-11 | 2018-10-23 | N |
| Provide appropriate foot care. | Health | 2018-09-11 | 2018-10-23 | 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 | 2018-09-11 | 2018-10-23 | 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 | 2018-09-11 | 2018-10-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-09-11 | 2018-10-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-11 | 2018-10-23 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-09-11 | 2018-10-23 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-09-10 | 2018-09-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-10 | 2018-09-27 | 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 | 2019-05-28 | Not Fixed | Y |
