Deficiency Records for Carrington Place at Wytheville - Birdmont Center
Updated as of June 01, 2021
This is not the most recent data for Carrington Place at Wytheville - Birdmont Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-02-09 | 2017-03-09 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-02-02 | 2017-02-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-02-02 | 2017-02-24 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-02-02 | 2017-02-24 | N |
| Provide housekeeping and maintenance services. | Health | 2017-02-02 | 2017-02-24 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-02-02 | 2017-02-24 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2017-02-02 | 2017-02-24 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-02-02 | 2017-02-24 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-02-02 | 2017-02-24 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-02-02 | 2017-02-24 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-02-02 | 2017-02-24 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-02-02 | 2017-02-24 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-02 | 2017-02-24 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-02-02 | 2017-02-24 | N |
| Provide or obtain laboratory services only when ordered by the attending physician. | Health | 2017-02-02 | 2017-02-24 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-02-02 | 2017-02-24 | N |
