Deficiency Records for Burke Health and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Burke Health and Rehabilitation Center. 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? |
|---|---|---|---|---|
| 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 | 2023-06-29 | 2023-08-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-29 | 2023-08-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-29 | 2023-08-01 | 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 | 2023-06-29 | 2023-08-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-06-29 | 2023-08-01 | 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 | 2023-06-29 | 2023-08-01 | N |
| 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 | 2023-06-29 | 2023-08-01 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-29 | 2023-08-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-29 | 2023-08-01 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-06-29 | 2023-08-01 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-06-29 | 2023-08-01 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-10-21 | 2021-11-23 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-10-21 | 2021-11-23 | 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 | 2021-10-21 | 2021-11-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-10-21 | 2021-11-23 | 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 | 2021-10-21 | 2021-11-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-21 | 2021-11-23 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-04-01 | 2021-04-30 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2021-04-01 | 2021-04-30 | 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 | 2021-04-01 | 2021-04-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-01 | 2021-04-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-04-01 | 2021-04-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-03-19 | 2021-04-14 | 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 | 2021-03-19 | 2021-04-14 | N |
| 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 | 2021-03-19 | 2021-04-14 | 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 | 2021-03-19 | 2021-04-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-03-19 | 2021-04-14 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-03-19 | 2021-04-14 | 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 | 2021-03-19 | 2021-04-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-19 | 2021-04-14 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-06-14 | 2018-07-05 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-06-14 | 2018-07-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-06-14 | 2018-07-05 | 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 | 2018-06-14 | 2018-07-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-14 | 2018-07-05 | N |
