Deficiency Records for Blue Ridge Rehabilitation and Nursing
Updated as of November 01, 2019
This is not the most recent data for Blue Ridge Rehabilitation and Nursing. For the most recent information, click here.
A list of the most recent deficiencies for Blue Ridge Rehabilitation and Nursing. 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 hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-03-25 | 2019-04-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-25 | 2019-04-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-25 | 2019-04-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-03-25 | 2019-04-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-03-25 | 2019-04-17 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-03-07 | 2019-04-03 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-03-07 | 2019-04-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-07 | 2019-04-03 | N |
| Provide activities to meet all resident's needs. | Health | 2019-03-07 | 2019-04-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-07 | 2019-04-03 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-03-07 | 2019-04-03 | 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 ne | Health | 2019-03-07 | 2019-04-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-03-07 | 2019-04-03 | N |
| Provide or obtain dental services for each resident. | Health | 2019-03-07 | 2019-04-03 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-03-07 | 2019-04-03 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-03-07 | 2019-04-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-07 | 2019-04-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-07 | 2019-04-03 | N |
| Keep all essential equipment working safely. | Health | 2019-03-07 | 2019-04-03 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-12-19 | 2019-01-02 | 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 ne | Health | 2018-12-19 | 2019-01-02 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-12-19 | 2019-01-02 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-04-17 | 2018-05-18 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2018-04-17 | 2018-05-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-04-17 | 2018-05-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-17 | 2018-05-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-04-17 | 2018-05-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-04-17 | 2018-05-18 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-04-17 | 2018-05-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-04-17 | 2018-05-18 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2018-04-17 | 2018-05-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-04-17 | 2018-05-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-04-17 | 2018-05-18 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-04-17 | 2018-05-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-04-17 | 2018-05-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-29 | 2018-05-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-03-29 | 2018-05-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-29 | 2018-05-10 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-03-29 | 2018-04-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-03-29 | 2018-04-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-29 | 2018-04-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-03-29 | 2018-04-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-03-29 | 2018-04-24 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of schedul | Health | 2018-03-29 | 2018-04-24 | 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 | 2017-02-02 | 2017-03-13 | N |
| Provide large enough exits. | Fire Safety | 2017-02-02 | 2017-03-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-02-02 | 2017-03-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-02-02 | 2017-03-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-02-02 | 2017-03-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-02-02 | 2017-03-13 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-02-02 | 2017-03-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-02-02 | 2017-03-13 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2017-02-02 | 2017-03-13 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-02-02 | 2017-03-13 | N |
| Ensure gas cylinders are properly stored. | Fire Safety | 2017-02-02 | 2017-03-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-02-02 | 2017-03-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-02-02 | 2017-03-13 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2017-01-26 | 2017-02-24 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-01-26 | 2017-02-24 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-01-26 | 2017-02-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-01-26 | 2017-02-24 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-01-26 | 2017-02-24 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-01-26 | 2017-02-24 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-01-26 | 2017-02-24 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-01-26 | 2017-02-24 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-01-26 | 2017-02-24 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-01-26 | 2017-02-24 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-01-26 | 2017-02-24 | N |
