A list of the most recent deficiencies for Birmingham Green. 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 specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor. | Health | 2022-04-21 | 2022-05-20 | Y |
| 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 | 2021-01-27 | 2021-03-15 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-01-27 | 2021-03-15 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-01-27 | 2021-03-15 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2020-01-31 | 2020-03-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-01-31 | 2020-03-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-31 | 2020-03-15 | 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 | 2020-01-31 | 2020-03-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-01-31 | 2020-03-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-31 | 2020-03-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-31 | 2020-03-15 | 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 | 2020-01-31 | 2020-03-15 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-03-06 | 2018-04-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-03-06 | 2018-04-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-03-06 | 2018-04-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-03-06 | 2018-04-20 | 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 | 2018-03-06 | 2018-04-20 | 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 | 2018-03-06 | 2018-04-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-06 | 2018-04-20 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-03-06 | 2018-04-20 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-03-06 | 2018-04-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-08 | 2018-04-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-03-08 | 2018-04-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-03-08 | 2018-04-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-03-08 | 2018-04-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-03-08 | 2018-04-16 | N |
