A list of the most recent deficiencies for Bailey Park Community Living 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? |
---|---|---|---|---|
Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-21 | 2024-01-05 | 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 | 2023-11-21 | 2024-01-05 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-21 | 2024-01-05 | 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 | 2023-11-21 | 2024-01-05 | N |
Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-11-21 | 2024-01-05 | 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 | 2023-11-06 | 2023-12-14 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-06 | 2023-12-14 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-22 | 2023-07-06 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-26 | 2023-06-23 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-26 | 2023-06-23 | N |
Keep residents' personal and medical records private and confidential. | Health | 2023-05-26 | 2023-06-20 | N |
Ensure each resident receives an accurate assessment. | Health | 2023-05-26 | 2023-06-20 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-05-26 | 2023-06-20 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2023-05-22 | 2023-06-20 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-22 | 2023-06-20 | 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 | 2022-11-09 | 2022-12-22 | N |
Respond appropriately to all alleged violations. | Health | 2022-11-09 | 2022-12-22 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-09 | 2022-12-22 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-11-08 | 2022-12-22 | 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 | 2022-11-08 | 2022-12-22 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-11-08 | 2022-12-22 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-08 | 2022-12-22 | N |
Provide and implement an infection prevention and control program. | Health | 2022-11-09 | 2022-12-15 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-26 | 2021-05-31 | Y |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-04-26 | 2021-05-31 | Y |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-04-26 | 2021-05-31 | Y |
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 | 2023-11-21 | Not Fixed | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-21 | Not Fixed | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-21 | Not Fixed | N |
Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-11-21 | Not Fixed | 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 | 2022-04-13 | Not Fixed | Y |