Deficiency Records for Bowling Green Health and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Bowling Green 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? |
|---|---|---|---|---|
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-04-27 | 2022-06-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-27 | 2022-06-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-04-27 | 2022-06-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-04-27 | 2022-06-05 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2022-04-27 | 2022-06-05 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-04-27 | 2022-06-05 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-04-21 | 2022-05-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-21 | 2022-05-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-21 | 2022-05-18 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-04-21 | 2022-05-18 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-04-21 | 2022-05-18 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-04-21 | 2022-05-18 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-04-21 | 2022-05-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-21 | 2022-05-18 | N |
| Dispose of garbage and refuse properly. | Health | 2022-04-21 | 2022-05-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-21 | 2022-05-18 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-04-21 | 2022-05-18 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-01-20 | 2022-02-02 | 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 | 2021-07-15 | 2021-08-18 | Y |
| Install proper backup exit lighting. | Fire Safety | 2020-09-18 | 2020-10-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-09-18 | 2020-10-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-09-18 | 2020-10-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-09-18 | 2020-10-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-09-18 | 2020-10-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-09-18 | 2020-10-22 | 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 | 2020-02-13 | 2020-03-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-02-13 | 2020-03-23 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-02-13 | 2020-03-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-13 | 2020-03-23 | 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 | 2020-02-13 | 2020-03-23 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-02-13 | 2020-03-23 | 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 | 2020-02-13 | 2020-03-23 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-02-13 | 2020-03-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-13 | 2020-03-23 | 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 | 2020-02-13 | 2020-03-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-13 | 2020-03-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-13 | 2020-03-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-13 | 2020-03-23 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2020-02-13 | 2020-03-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-13 | 2020-03-23 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-02-13 | 2020-03-23 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2020-02-13 | 2020-03-23 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-02-13 | 2020-03-23 | 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 | 2020-02-13 | 2020-03-23 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-02-13 | 2020-03-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-02-13 | 2020-03-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-13 | 2020-03-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-13 | 2020-03-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-13 | 2020-03-23 | 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 | 2018-11-29 | 2018-12-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-11-29 | 2018-12-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-11-29 | 2018-12-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-29 | 2018-12-19 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2018-11-29 | 2018-12-19 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-11-16 | 2018-12-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-16 | 2018-12-18 | 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 | 2018-11-16 | 2018-12-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-16 | 2018-12-18 | 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 | 2018-11-16 | 2018-12-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-11-16 | 2018-12-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-11-16 | 2018-12-18 | N |
| Provide activities to meet all resident's needs. | Health | 2018-11-16 | 2018-12-18 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-11-16 | 2018-12-18 | 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 | 2018-11-16 | 2018-12-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-11-16 | 2018-12-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-16 | 2018-12-18 | N |
