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Deficiency Records for Elderwood at Burlington
View the most recent health deficiencies and inspection results for Elderwood at Burlington. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Elderwood at Burlington. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2026-03-25 | 2026-05-09 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2026-03-25 | 2026-05-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-03-25 | 2026-05-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-03-25 | 2026-05-09 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2026-03-25 | 2026-05-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-03-25 | 2026-05-09 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2026-03-25 | 2026-05-09 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2026-03-25 | 2026-05-09 | 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 | 2026-03-25 | 2026-05-09 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2026-01-14 | 2026-02-27 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2026-01-14 | 2026-02-27 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-01-14 | 2026-02-27 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-12-10 | 2026-01-09 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-08-11 | 2025-09-08 | Y |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-08-11 | 2025-09-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-05-12 | 2025-06-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-05-12 | 2025-06-13 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-04-02 | 2025-05-17 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2025-04-02 | 2025-05-17 | Y |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2025-04-02 | 2025-05-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-04-02 | 2025-05-17 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2025-04-02 | 2025-05-17 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-04-02 | 2025-05-17 | 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 | 2025-04-02 | 2025-05-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-02 | 2025-05-17 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-04-02 | 2025-05-17 | 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 | 2025-04-02 | 2025-05-17 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2025-04-02 | 2025-05-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-04-02 | 2025-05-17 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-08-15 | 2024-09-27 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-08-15 | 2024-09-27 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-08-15 | 2024-09-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-15 | 2024-09-27 | Y |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-01-11 | 2024-04-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-11 | 2024-04-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-11 | 2024-04-12 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-01-11 | 2024-04-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-23 | 2024-03-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-23 | 2024-03-28 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2024-01-11 | 2024-02-14 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-01-11 | 2024-02-14 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-01-11 | 2024-02-14 | N |
| 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. | Health | 2024-01-11 | 2024-02-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-11 | 2024-02-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-11 | 2024-02-14 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-01-11 | 2024-02-14 | 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 | 2024-01-11 | 2024-02-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-11 | 2024-02-14 | N |
| Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2024-01-11 | 2024-02-14 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-01-11 | 2024-02-14 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-01-11 | 2024-02-14 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-01-11 | 2024-02-14 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2024-01-11 | 2024-02-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-11 | 2024-02-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-11 | 2024-02-14 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-01-11 | 2024-02-14 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-01-11 | 2024-02-14 | 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 | 2024-01-11 | 2024-02-14 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-01-11 | 2024-02-14 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-01-11 | 2024-02-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-11 | 2024-02-14 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-01-11 | 2024-02-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-11 | 2024-02-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-11 | 2024-02-14 | N |
| Provide activities to meet all resident's needs. | Health | 2024-01-11 | 2024-02-14 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-01-11 | 2024-02-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-11 | 2024-02-14 | 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 | 2024-01-11 | 2024-02-14 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2024-01-11 | 2024-02-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-01-11 | 2024-02-14 | N |