Deficiency Records for Ballard Center
Updated as of February 01, 2020
This is not the most recent data for Ballard Center. For the most recent information, click here.
A list of the most recent deficiencies for Ballard 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? |
---|---|---|---|---|
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-12-26 | 2020-01-14 | 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 | 2019-08-08 | 2019-08-28 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-08 | 2019-08-28 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-08 | 2019-08-28 | 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 | 2019-06-13 | 2019-08-28 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-05-15 | 2019-06-10 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-15 | 2019-06-10 | Y |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-10-29 | 2019-01-02 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-11-07 | 2018-12-20 | N |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-11-07 | 2018-12-20 | 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 | 2018-11-07 | 2018-12-20 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-07 | 2018-12-20 | 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 | 2018-11-07 | 2018-12-20 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-11-07 | 2018-12-20 | N |
Ensure each resident receives an accurate assessment. | Health | 2018-11-07 | 2018-12-20 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-11-07 | 2018-12-20 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-11-07 | 2018-12-20 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-11-07 | 2018-12-20 | 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 | 2018-11-07 | 2018-12-20 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-11-07 | 2018-12-20 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-07 | 2018-12-20 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-11-07 | 2018-12-20 | N |
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 | 2018-11-07 | 2018-12-20 | 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 | 2018-11-07 | 2018-12-20 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2018-11-07 | 2018-12-20 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-11-07 | 2018-12-20 | N |
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install | Health | 2018-11-07 | 2018-12-20 | N |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-11-07 | 2018-12-20 | 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 ne | Health | 2018-11-07 | 2018-12-20 | 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 | 2018-11-07 | 2018-12-20 | N |
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2018-11-07 | 2018-12-20 | 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 | 2018-11-07 | 2018-12-20 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-11-07 | 2018-12-20 | N |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-11-07 | 2018-12-20 | N |
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2018-11-07 | 2018-12-20 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-11-07 | 2018-12-20 | N |
Provide and implement an infection prevention and control program. | Health | 2018-11-07 | 2018-12-20 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-11-07 | 2018-12-20 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-07 | 2018-12-20 | Y |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-11-07 | 2018-12-20 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-07 | 2018-12-20 | Y |
Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-10-29 | 2018-11-30 | N |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-10-29 | 2018-11-30 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-29 | 2018-11-30 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-29 | 2018-11-30 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-10-29 | 2018-11-30 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2018-10-29 | 2018-11-30 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-29 | 2018-11-30 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-29 | 2018-11-30 | N |
Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-10-29 | 2018-11-30 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-14 | 2018-10-12 | Y |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-08-22 | 2018-10-12 | Y |
Respond appropriately to all alleged violations. | Health | 2018-07-31 | 2018-10-12 | Y |
Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-07-13 | 2018-10-12 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-18 | 2018-06-29 | Y |
Permit residents to remain in the facility and not be transferred or discharged without adequate reason. | Health | 2017-11-03 | 2017-12-07 | N |
Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2017-11-03 | 2017-12-07 | N |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-11-03 | 2017-12-07 | N |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-11-03 | 2017-12-07 | N |
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-11-03 | 2017-12-07 | N |
Provide housekeeping and maintenance services. | Health | 2017-11-03 | 2017-12-07 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-11-03 | 2017-12-07 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-11-03 | 2017-12-07 | N |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-11-03 | 2017-12-07 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-11-03 | 2017-12-07 | N |
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-11-03 | 2017-12-07 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-11-03 | 2017-12-07 | N |
Ensure residents maintain acceptable nutritional status. | Health | 2017-11-03 | 2017-12-07 | N |
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-11-03 | 2017-12-07 | 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 | 2017-11-03 | 2017-12-07 | N |
Ensure that residents are safe from serious medication errors. | Health | 2017-11-03 | 2017-12-07 | N |
Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-11-03 | 2017-12-07 | N |
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-11-03 | 2017-12-07 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-11-03 | 2017-12-07 | N |
Provide or obtain dental services for each resident. | Health | 2017-11-03 | 2017-12-07 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-11-03 | 2017-12-07 | N |
Keep all essential equipment working safely. | Health | 2017-11-03 | 2017-12-07 | N |
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2017-11-03 | 2017-12-07 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-11-03 | 2017-12-07 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2017-11-09 | 2017-11-30 | N |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-10-09 | 2017-11-29 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-10-09 | 2017-11-29 | Y |
Develop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home. | Health | 2017-09-11 | 2017-10-02 | Y |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-04-13 | 2017-05-15 | Y |
Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-02-27 | 2017-05-15 | Y |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-02-27 | 2017-05-15 | Y |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-08-04 | 2016-09-15 | N |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-08-04 | 2016-09-15 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-08-04 | 2016-09-15 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-08-04 | 2016-09-15 | N |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-08-04 | 2016-09-15 | N |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-08-04 | 2016-09-15 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-08-04 | 2016-09-15 | 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 | 2016-08-04 | 2016-09-15 | N |
Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-08-04 | 2016-09-15 | N |
Hire sufficient dietary support personnel. | Health | 2016-08-04 | 2016-09-15 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-08-04 | 2016-09-15 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-08-04 | 2016-09-15 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-08-04 | 2016-09-15 | N |