Deficiency Records for Blue Ridge Rehabilitation and Nursing
Updated as of March 01, 2018
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? |
---|---|---|---|---|
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 |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-02-04 | 2016-04-18 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-02-04 | 2016-04-18 | N |
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-02-04 | 2016-04-18 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-02-04 | 2016-04-18 | N |
Ensure that residents are safe from serious medication errors. | Health | 2016-02-04 | 2016-04-18 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2016-02-04 | 2016-04-18 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-02-04 | 2016-04-18 | Y |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-02-04 | 2016-04-18 | Y |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-02-04 | 2016-03-07 | N |
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2016-02-04 | 2016-03-07 | N |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-02-04 | 2016-03-07 | 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 | 2016-02-04 | 2016-03-07 | N |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-02-04 | 2016-03-07 | Y |
Ensure residents maintain acceptable nutritional status. | Health | 2016-02-04 | 2016-03-07 | Y |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-01-08 | 2015-02-23 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-01-08 | 2015-02-23 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-01-08 | 2015-02-23 | N |
Corridor and hallway doors that block smoke. | Fire Safety | 2015-01-23 | 2015-02-13 | N |
Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2015-01-23 | 2015-02-13 | N |
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-01-23 | 2015-02-13 | N |
An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2015-01-23 | 2015-02-13 | N |
Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-01-23 | 2015-02-13 | N |
Properly protected cooking facilities. | Fire Safety | 2015-01-23 | 2015-02-13 | N |
Exits that are free from obstructions and can be used at all times. | Fire Safety | 2015-01-23 | 2015-02-13 | N |
Properly sized and located linen or trash receptacles. | Fire Safety | 2015-01-23 | 2015-02-13 | N |
Have other fire safety features required by fire safety codes. | Fire Safety | 2015-01-23 | 2015-02-13 | N |
Properly installed electrical wiring and equipment. | Fire Safety | 2015-01-23 | 2015-02-13 | N |
Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2015-01-08 | 2015-02-10 | N |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-01-08 | 2015-02-10 | N |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-01-08 | 2015-02-10 | N |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-01-08 | 2015-02-10 | N |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-01-08 | 2015-02-10 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-01-08 | 2015-02-10 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-01-08 | 2015-02-10 | N |
Ensure residents maintain acceptable nutritional status. | Health | 2015-01-08 | 2015-02-10 | N |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-01-08 | 2015-02-10 | N |
Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2015-01-08 | 2015-02-10 | N |
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2015-01-08 | 2015-02-10 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2015-01-08 | 2015-02-10 | N |
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-01-08 | 2015-02-10 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-01-08 | 2015-02-10 | N |
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2015-01-08 | 2015-02-10 | N |
Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. | Health | 2015-01-08 | 2015-02-10 | N |
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2015-01-08 | 2015-02-10 | N |
Provide or obtain laboratory services only when ordered by the attending physician. | Health | 2015-01-08 | 2015-02-10 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-01-08 | 2015-02-10 | N |