A list of the most recent deficiencies for Bedrockhc at Spring Meadows, LLC. 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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-05-05 | 2023-07-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-26 | 2023-04-26 | Y |
| 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 | 2022-07-25 | 2022-08-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-25 | 2022-08-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-25 | 2022-08-19 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-07-25 | 2022-08-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-25 | 2022-08-19 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-07-25 | 2022-08-19 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-07-25 | 2022-08-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-25 | 2022-08-19 | N |
| Respond appropriately to all alleged violations. | Health | 2022-07-25 | 2022-08-19 | Y |
| 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 | 2022-07-18 | 2022-07-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-18 | 2022-07-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-07-18 | 2022-07-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-07-18 | 2022-07-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-18 | 2022-07-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-07-18 | 2022-07-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-12 | 2020-04-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-03-12 | 2020-04-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-03-12 | 2020-04-26 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2020-03-12 | 2020-04-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-12 | 2020-04-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-12 | 2020-04-26 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2019-04-17 | 2019-05-10 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-04-17 | 2019-05-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-17 | 2019-05-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-17 | 2019-05-10 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-04-15 | 2019-05-10 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-04-15 | 2019-05-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-15 | 2019-05-10 | N |
