Deficiency Records for Bedford Wellness and Rehabilitation
Updated as of June 01, 2022
This is not the most recent data for Bedford Wellness and Rehabilitation. For the most recent information, click here.
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? |
---|---|---|---|---|
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 | 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 | 2022-01-10 | 2022-02-10 | N |
Provide and implement an infection prevention and control program. | Health | 2022-01-10 | 2022-02-10 | N |
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 |
Address subsistence needs for staff and patients. | Fire Safety | 2019-03-20 | 2019-05-03 | N |
Establish policies and procedures including evacuation. | Fire Safety | 2019-03-20 | 2019-05-03 | N |
Create arrangements with other facilities to receive patients. | Fire Safety | 2019-03-20 | 2019-05-03 | N |
Establish emergency prep training and testing. | Fire Safety | 2019-03-20 | 2019-05-03 | N |
Establish staff and initial training requirements. | Fire Safety | 2019-03-20 | 2019-05-03 | N |
Conduct testing and exercise requirements. | Fire Safety | 2019-03-20 | 2019-05-03 | N |
Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-03-20 | 2019-05-03 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-03-20 | 2019-05-03 | 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 | 2019-03-20 | 2019-04-19 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-20 | 2019-04-19 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-03-20 | 2019-04-12 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-03-20 | 2019-04-12 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-03-20 | 2019-04-12 | N |
Provide properly protected cooking facilities. | Fire Safety | 2019-03-20 | 2019-04-12 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-03-20 | 2019-04-12 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-20 | 2019-04-12 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-20 | 2019-04-12 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-03-16 | 2018-04-08 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-16 | 2018-04-08 | N |
Provide and implement an infection prevention and control program. | Health | 2018-03-16 | 2018-04-08 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-03-16 | 2018-04-08 | N |
Provide properly protected cooking facilities. | Fire Safety | 2018-03-14 | 2018-04-08 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-14 | 2018-04-08 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-03-14 | 2018-04-08 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-03-14 | 2018-04-08 | N |