Deficiency Records for Berkshire Health and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Berkshire 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? |
|---|---|---|---|---|
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-04-05 | 2023-05-12 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2023-04-05 | 2023-05-12 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-04-05 | 2023-05-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-08 | 2023-04-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-05 | 2023-04-03 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-08-18 | 2022-10-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-08-18 | 2022-10-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-18 | 2022-10-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-18 | 2022-10-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-18 | 2022-10-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-08-19 | 2022-08-23 | N |
| Meet other general requirements. | Fire Safety | 2022-08-19 | 2022-08-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-01-29 | 2020-02-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-29 | 2020-02-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-29 | 2020-02-19 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2020-01-29 | 2020-02-19 | 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 | 2020-01-22 | 2020-02-14 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-01-22 | 2020-02-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-22 | 2020-02-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-22 | 2020-02-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-22 | 2020-02-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-22 | 2020-02-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-01-22 | 2020-02-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-01-22 | 2020-02-14 | 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 | 2020-01-22 | 2020-02-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-22 | 2020-02-14 | N |
| Have policies on smoking. | Health | 2020-01-22 | 2020-02-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-12-21 | 2019-02-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-21 | 2019-02-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-12-21 | 2019-02-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-12-21 | 2019-02-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-12-21 | 2019-02-06 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2018-12-21 | 2019-02-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-12-21 | 2019-02-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-11-29 | 2019-01-01 | 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 | 2018-11-29 | 2019-01-01 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-11-29 | 2019-01-01 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2018-11-29 | 2019-01-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-29 | 2019-01-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-11-29 | 2019-01-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-11-29 | 2019-01-01 | 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 | 2018-11-29 | 2019-01-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-29 | 2019-01-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-11-29 | 2019-01-01 | 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 | 2018-11-29 | 2019-01-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-29 | 2019-01-01 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2018-11-29 | 2019-01-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-29 | 2019-01-01 | N |
