A list of the most recent deficiencies for Bedford Wellness and Rehabilitation. 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? |
|---|---|---|---|---|
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-03 | 2023-08-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-15 | 2023-08-17 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-04 | 2023-08-05 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2023-08-04 | 2023-08-05 | 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 | 2023-08-03 | 2023-08-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-23 | 2023-06-24 | Y |
| 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. | Health | 2023-06-23 | 2023-06-24 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-23 | 2023-06-24 | 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 | 2022-06-16 | 2022-07-22 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-06-16 | 2022-07-11 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-06-16 | 2022-07-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-16 | 2022-06-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-06-16 | 2022-06-18 | 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 | 2022-06-16 | 2022-06-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-16 | 2022-06-18 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-06-16 | 2022-06-18 | 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 | 2022-06-16 | 2022-06-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-16 | 2022-06-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-16 | 2022-06-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-06-16 | 2022-06-18 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-06-16 | 2022-06-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-10 | 2022-02-10 | 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 | 2022-01-10 | 2022-02-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-10 | 2022-02-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-11 | 2021-11-11 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-08-06 | 2021-08-09 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-03-12 | 2021-04-12 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-03-12 | 2021-04-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-03-12 | 2021-04-12 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-03-12 | 2021-04-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-12 | 2021-04-12 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2021-03-12 | 2021-04-12 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-03-11 | 2021-04-02 | 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 | 2021-03-11 | 2021-04-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-11 | 2021-03-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-03-11 | 2021-03-15 | 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 | 2021-03-11 | 2021-03-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-03-11 | 2021-03-13 | N |
