Deficiency Records for Bailey-Boushay House
Updated as of October 01, 2020
This is not the most recent data for Bailey-Boushay House. For the most recent information, click here.
A list of the most recent deficiencies for Bailey-Boushay House. 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? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2019-06-14 | 2019-07-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-06-14 | 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 | 2019-06-14 | 2019-07-19 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-06-12 | 2019-07-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-06-12 | 2019-07-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-06-12 | 2019-07-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-12 | 2019-07-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-12 | 2019-07-05 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-06-12 | 2019-07-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-06-12 | 2019-07-05 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2018-05-22 | 2018-07-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-22 | 2018-07-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-05-22 | 2018-07-03 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-05-22 | 2018-07-03 | Y |
| Use approved construction type or materials. | Fire Safety | 2018-05-29 | 2018-07-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-05-29 | 2018-07-02 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-05-29 | 2018-07-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-05-29 | 2018-07-02 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-05-29 | 2018-07-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-05-29 | 2018-07-02 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-04-17 | 2017-05-31 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-04-17 | 2017-05-31 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-04-17 | 2017-05-31 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-04-17 | 2017-05-31 | 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 | 2017-04-17 | 2017-05-31 | N |
| Provide food in a way that meets a resident's needs. | Health | 2017-04-17 | 2017-05-31 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-04-17 | 2017-05-31 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-04-17 | 2017-05-31 | N |
| Use approved construction type or materials. | Fire Safety | 2017-04-14 | 2017-05-23 | N |
| Install noncombustible or limited-combustible interior walls. | Fire Safety | 2017-04-14 | 2017-05-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-04-14 | 2017-05-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-04-14 | 2017-05-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-04-14 | 2017-05-23 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-04-14 | 2017-05-23 | N |
