Deficiency Records for Bainbridge Island Health and Rehab Center
Updated as of June 01, 2018
This is not the most recent data for Bainbridge Island Health and Rehab Center. For the most recent information, click here.
A list of the most recent deficiencies for Bainbridge Island Health and Rehab 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? |
|---|---|---|---|---|
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-05-03 | 2018-07-17 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2018-05-04 | 2018-06-04 | N |
| Respond appropriately to all alleged violations. | Health | 2018-05-04 | 2018-06-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-04 | 2018-06-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-04 | 2018-06-04 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-05-04 | 2018-06-04 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2018-05-04 | 2018-06-04 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2018-05-04 | 2018-06-04 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-05-04 | 2018-06-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-05-04 | 2018-06-04 | 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 | 2018-05-04 | 2018-06-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-04 | 2018-06-04 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-05-04 | 2018-06-04 | N |
| Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2018-05-04 | 2018-06-04 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2018-05-04 | 2018-06-04 | 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 | 2017-10-11 | 2017-11-06 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-09-06 | 2017-10-07 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-09-13 | 2017-10-05 | Y |
| Use approved construction type or materials. | Fire Safety | 2017-03-27 | 2017-05-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-03-27 | 2017-05-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-03-27 | 2017-05-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-03-27 | 2017-05-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-03-27 | 2017-05-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-03-27 | 2017-05-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-03-27 | 2017-05-22 | 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 | 2017-03-24 | 2017-04-20 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-03-24 | 2017-04-20 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-24 | 2017-04-20 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-03-24 | 2017-04-20 | Y |
| 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 | 2016-05-23 | 2016-06-30 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2016-05-23 | 2016-06-30 | Y |
| Corridors that are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2016-05-17 | 2016-06-22 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-05-17 | 2016-06-22 | N |
| Keep clinical record information safe. | Health | 2016-04-18 | 2016-05-09 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-04-04 | 2016-04-22 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-04-04 | 2016-04-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-08-03 | 2015-08-31 | Y |
