Deficiency Records for Carrington Place at Wytheville - Birdmont Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Carrington Place at Wytheville - Birdmont 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2022-08-16 | 2023-01-19 | N |
| 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 | 2022-08-16 | 2022-12-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-16 | 2022-12-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-16 | 2022-12-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-08-16 | 2022-12-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-08-16 | 2022-12-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-16 | 2022-12-30 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2022-08-16 | 2022-10-03 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-08-16 | 2022-10-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-16 | 2022-10-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-16 | 2022-10-03 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-08-16 | 2022-10-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-08-16 | 2022-10-03 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-05-12 | 2022-05-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-12 | 2022-05-13 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-05-12 | 2022-05-13 | N |
| 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 | 2019-06-20 | 2019-07-29 | 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 | 2019-06-20 | 2019-07-29 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-06-20 | 2019-07-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-06-20 | 2019-07-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-06-07 | 2019-07-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-06-07 | 2019-07-19 | 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 | 2019-06-07 | 2019-07-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-06-07 | 2019-07-19 | 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 | 2019-06-07 | 2019-07-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-06-07 | 2019-07-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-07 | 2019-07-19 | N |
| 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 | 2019-06-07 | 2019-07-19 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-06-07 | 2019-07-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-06-07 | 2019-07-19 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-06-07 | 2019-07-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-06-07 | 2019-07-19 | 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 | 2019-06-07 | 2019-07-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-06-07 | 2019-07-19 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-06-07 | 2019-07-19 | 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 | 2019-06-07 | 2019-07-19 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-06-07 | 2019-07-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-07 | 2019-07-19 | 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 | 2018-03-12 | 2018-04-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-03-01 | 2018-04-04 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-03-01 | 2018-04-04 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2018-03-01 | 2018-04-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-03-01 | 2018-04-04 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-03-01 | 2018-04-04 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-03-01 | 2018-04-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-01 | 2018-04-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-01 | 2018-04-04 | N |
| 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 | 2018-03-01 | 2018-04-04 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2018-03-01 | 2018-04-04 | N |
| Post nurse staffing information every day. | Health | 2018-03-01 | 2018-04-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-03-01 | 2018-04-04 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-03-01 | 2018-04-04 | 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 | 2018-03-01 | 2018-04-04 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-03-01 | 2018-04-04 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-03-01 | 2018-04-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-01 | 2018-04-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-03-01 | 2018-04-04 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2018-03-01 | 2018-04-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-01 | 2018-04-04 | N |
