Deficiency Records for Berry Hill Nursing Home
Updated as of July 01, 2021
This is not the most recent data for Berry Hill Nursing Home. For the most recent information, click here.
A list of the most recent deficiencies for Berry Hill Nursing Home. 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? |
|---|---|---|---|---|
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2020-07-16 | 2020-08-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-07-16 | 2020-08-10 | Y |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2020-01-23 | 2020-03-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-23 | 2020-03-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-01-09 | 2020-02-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-09 | 2020-02-11 | 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 | 2020-01-09 | 2020-02-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-09 | 2020-02-11 | N |
| Keep all essential equipment working safely. | Health | 2020-01-09 | 2020-02-11 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2020-01-09 | 2020-02-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-09 | 2020-02-11 | 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 necessary and PRN use is limited. | Health | 2020-01-09 | 2020-02-11 | 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 | 2020-01-09 | 2020-02-11 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-26 | 2019-01-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-11-26 | 2019-01-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-11-26 | 2019-01-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-11-26 | 2019-01-10 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-11-08 | 2018-12-23 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-11-08 | 2018-12-23 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-11-08 | 2018-12-23 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-11-08 | 2018-12-23 | N |
| Develop a communication plan. | Fire Safety | 2018-11-08 | 2018-12-23 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-11-08 | 2018-12-23 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-11-08 | 2018-12-23 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-11-08 | 2018-12-23 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-11-08 | 2018-12-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-11-08 | 2018-12-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-11-08 | 2018-12-23 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2018-11-08 | 2018-12-23 | 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 | 2018-11-08 | 2018-12-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-11-08 | 2018-12-23 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-11-08 | 2018-12-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-08 | 2018-12-23 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-11-08 | 2018-12-23 | N |
| Provide activities to meet all resident's needs. | Health | 2018-11-08 | 2018-12-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-08 | 2018-12-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-11-08 | 2018-12-23 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-11-08 | 2018-12-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-11-08 | 2018-12-23 | 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 | 2018-11-08 | 2018-12-23 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2018-11-08 | 2018-12-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-08 | 2018-12-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-08 | 2018-12-23 | N |
| Use approved construction type or materials. | Fire Safety | 2017-08-29 | 2017-10-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-08-29 | 2017-10-18 | N |
| Ensure that HVAC heat units are suspended and out of the reach of patients and can be shut off if unit is working improperly. | Fire Safety | 2017-08-29 | 2017-10-18 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2017-08-29 | 2017-10-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-08-29 | 2017-10-18 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-08-10 | 2017-10-15 | N |
| Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable. | Health | 2017-08-10 | 2017-10-15 | N |
| Try to resolve each resident's complaints quickly. | Health | 2017-08-10 | 2017-09-11 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-08-10 | 2017-09-11 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-08-10 | 2017-09-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-08-10 | 2017-09-11 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-10 | 2017-09-11 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-08-10 | 2017-09-11 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-08-10 | 2017-09-11 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-08-10 | 2017-09-11 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-08-10 | 2017-09-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-08-10 | 2017-08-30 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2017-08-10 | 2017-08-22 | N |
