A list of the most recent deficiencies for Berkshire Place. 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? |
|---|---|---|---|---|
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-11-14 | 2023-12-14 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-08-01 | 2023-08-31 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-08 | 2023-07-08 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-08 | 2023-07-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-08 | 2023-07-08 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-06-08 | 2023-07-08 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-06-08 | 2023-07-08 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-06-08 | 2023-07-08 | Y |
| 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 | 2023-06-08 | 2023-07-08 | Y |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-06-08 | 2023-07-08 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-08 | 2023-07-08 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-08 | 2023-07-08 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-06-08 | 2023-07-08 | 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 | 2023-06-08 | 2023-07-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-25 | 2023-05-04 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-04-25 | 2023-05-04 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-25 | 2023-05-04 | Y |
| Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2023-04-25 | 2023-05-04 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-11 | 2023-05-04 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-11 | 2023-05-04 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-04-11 | 2023-05-04 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-11 | 2023-05-04 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-10 | 2023-04-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-10 | 2023-04-28 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-16 | 2023-04-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-07 | 2023-03-24 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-14 | 2023-03-16 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-01-31 | 2023-02-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-29 | 2023-01-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-12-29 | 2023-01-16 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-10-31 | 2022-12-09 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-18 | 2022-11-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-26 | 2022-10-13 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-21 | 2022-10-12 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2022-09-09 | 2022-09-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-28 | 2022-07-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-28 | 2022-07-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-05-13 | 2022-06-13 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-05-13 | 2022-06-13 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-13 | 2022-06-13 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-05-13 | 2022-06-13 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-13 | 2022-06-13 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-05-13 | 2022-06-13 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-05-13 | 2022-06-13 | Y |
| 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 | 2022-05-13 | 2022-06-13 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-13 | 2022-06-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-13 | 2022-06-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-23 | 2022-06-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-05 | 2022-04-18 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-03-30 | 2022-04-14 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-30 | 2022-04-14 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-03-08 | 2022-04-07 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-02-15 | 2022-03-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-14 | 2022-02-13 | Y |
| 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 | 2022-01-14 | 2022-02-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-12 | 2021-12-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-26 | 2021-12-09 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-08 | 2021-11-01 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-09-21 | 2021-10-15 | 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 | 2021-07-13 | 2021-08-12 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-07-13 | 2021-08-12 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2021-07-13 | 2021-08-12 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-07-13 | 2021-08-12 | Y |
| 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 | 2021-07-13 | 2021-08-12 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-07-13 | 2021-08-12 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-06-15 | 2021-07-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-10 | 2021-05-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-10 | 2021-05-30 | Y |
| 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 | 2021-02-11 | 2021-02-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-02-11 | 2021-02-23 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-02-11 | 2021-02-23 | 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 | 2021-02-11 | 2021-02-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-02-11 | 2021-02-23 | N |
