Most Recent Deficiencies for BAILEY PARK CLC

Updated as of August 01, 2020

The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

The tables below are too small to fit on a phone. More information can be seen using a larger device such as a tablet, laptop, or desktop computer.

Deficiency Deficiency Date
Establish emergency prep training and testing. 2019-12-02
Establish staff and initial training requirements. 2019-12-02
Conduct testing and exercise requirements. 2019-12-02
Inspect, test, and maintain automatic sprinkler systems. 2019-12-02
Have simulated fire drills held at unexpected times. 2019-12-02
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. 2019-02-25
Ensure proper usage of power strips and extension cords. 2019-02-25
Conduct risk assessment and an All-Hazards approach. 2018-04-10
Establish policies and procedures for volunteers. 2018-04-10
Create arrangements with other facilities to receive patients. 2018-04-10
Inspect, test, and maintain automatic sprinkler systems. 2018-04-10
Properly select, install, inspect, or maintain portable fire extinguishes. 2018-04-10
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. 2019-12-04
Provide safe and appropriate respiratory care for a resident when needed. 2019-12-04
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. 2019-02-28
Ensure services provided by the nursing facility meet professional standards of quality. 2019-02-28
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. 2019-02-28
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. 2019-02-28
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. 2019-02-28
Administer the facility in a manner that enables it to use its resources effectively and efficiently. 2019-02-28
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. 2019-02-28
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. 2019-02-28
Provide and implement an infection prevention and control program. 2019-02-28
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. 2018-04-11
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. 2018-04-11
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. 2018-04-11
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. 2018-04-11
Provide and implement an infection prevention and control program. 2018-04-11