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Deficiency Records for Ballard Center
View the most recent health deficiencies and inspection results for Ballard Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Ballard Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2026-04-16 | 2026-05-09 | 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 | 2026-04-16 | 2026-05-09 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2026-04-16 | 2026-05-09 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2026-04-16 | 2026-05-09 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2026-04-16 | 2026-05-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-03-25 | 2026-04-11 | Y |
| Respond appropriately to all alleged violations. | Health | 2026-03-25 | 2026-04-11 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-12-31 | 2026-01-26 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-11-14 | 2025-12-14 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2025-11-14 | 2025-12-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-05-08 | 2025-05-12 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-04-21 | 2025-05-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-03-28 | 2025-04-04 | 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 | 2025-03-28 | 2025-04-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-03-28 | 2025-04-04 | Y |
| Establish policies and procedures including evacuation. | Fire Safety | 2025-01-08 | 2025-03-27 | N |
| Establish emergency prep training and testing. | Fire Safety | 2025-01-08 | 2025-03-27 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-01-08 | 2025-03-27 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-01-08 | 2025-03-27 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2025-01-08 | 2025-03-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-01-08 | 2025-03-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-08 | 2025-03-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-01-08 | 2025-03-06 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-01-08 | 2025-03-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-01-08 | 2025-02-10 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2025-01-08 | 2025-02-10 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2025-01-08 | 2025-02-10 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2025-01-08 | 2025-02-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-01-08 | 2025-02-10 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2025-01-08 | 2025-02-10 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2025-01-08 | 2025-02-10 | N |
| Establish methods for sharing information. | Fire Safety | 2025-01-08 | 2025-02-10 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2025-01-08 | 2025-02-10 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-01-08 | 2025-02-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-01-08 | 2025-02-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-01-08 | 2025-02-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-01-08 | 2025-02-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-01-08 | 2025-02-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-01-08 | 2025-02-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-01-08 | 2025-02-10 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2025-01-08 | 2025-02-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-01-08 | 2025-02-10 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2025-01-08 | 2025-02-10 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2025-01-08 | 2025-02-10 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-01-08 | 2025-02-07 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-01-08 | 2025-02-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-01-08 | 2025-02-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-01-08 | 2025-02-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-01-08 | 2025-02-07 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-01-08 | 2025-02-07 | 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 | 2025-01-08 | 2025-02-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-01-08 | 2025-02-07 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2025-01-08 | 2025-02-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-01-08 | 2025-02-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-08 | 2025-02-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-01-08 | 2025-02-07 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-01-08 | 2025-02-07 | 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 | 2025-01-08 | 2025-02-07 | 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 | 2025-01-08 | 2025-02-07 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2025-01-08 | 2025-02-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-08 | 2025-02-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-08 | 2025-02-07 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2025-01-08 | 2025-02-07 | N |
| Keep all essential equipment working safely. | Health | 2025-01-06 | 2025-02-03 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-01-06 | 2025-02-03 | Y |
| Provide or obtain dental services for each resident. | Health | 2024-02-28 | 2024-04-04 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-13 | 2023-12-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-09-13 | 2023-12-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-13 | 2023-12-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-13 | 2023-12-14 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-09-13 | 2023-12-14 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-09-13 | 2023-12-14 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-10-23 | 2023-10-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-13 | 2023-10-25 | 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 | 2023-09-13 | 2023-10-25 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-09-13 | 2023-10-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-09-13 | 2023-10-25 | 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 | 2023-09-13 | 2023-10-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-13 | 2023-10-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-13 | 2023-10-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-13 | 2023-10-25 | 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 | 2023-09-13 | 2023-10-25 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-09-13 | 2023-10-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-09-13 | 2023-10-25 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-09-13 | 2023-10-25 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-09-13 | 2023-10-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-13 | 2023-10-25 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-09-13 | 2023-10-25 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-09-13 | 2023-10-25 | 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 | 2023-09-13 | 2023-10-25 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-09-13 | 2023-10-19 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-09-13 | 2023-10-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-09-13 | 2023-10-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-09-13 | 2023-10-19 | 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 | 2023-09-13 | 2023-10-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-09-13 | 2023-10-19 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-09-13 | 2023-10-19 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-09-13 | 2023-10-19 | N |
| Develop a communication plan. | Fire Safety | 2023-09-13 | 2023-10-19 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-09-13 | 2023-10-19 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-09-13 | 2023-10-19 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-09-13 | 2023-10-19 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-09-13 | 2023-10-19 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-09-13 | 2023-10-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-09-13 | 2023-10-19 | 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 | 2023-09-13 | 2023-10-19 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-09-13 | 2023-10-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-13 | 2023-10-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-09-13 | 2023-10-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-09-13 | 2023-10-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-13 | 2023-10-19 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-09-13 | 2023-10-19 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-07-30 | 2022-09-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-07-30 | 2022-08-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-30 | 2022-08-31 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-07-30 | 2022-08-31 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-07-30 | 2022-08-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-30 | 2022-08-31 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-07-30 | 2022-08-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-30 | 2022-08-31 | 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 | 2022-07-30 | 2022-08-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-30 | 2022-08-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-30 | 2022-08-30 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-07-30 | 2022-08-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-07-30 | 2022-08-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-07-30 | 2022-08-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-07-30 | 2022-08-30 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-07-30 | 2022-08-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-30 | 2022-08-30 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-07-30 | 2022-08-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-30 | 2022-08-30 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-07-30 | 2022-08-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-07-30 | 2022-08-30 | N |
| Meet other general requirements. | Fire Safety | 2022-07-30 | 2022-08-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-07-30 | 2022-08-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-04-16 | Not Fixed | Y |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2026-04-16 | Not Fixed | Y |