Deficiency Records for Eastcastle Pl Bradford Ter Conv Ctr
Updated as of August 01, 2016
This is not the most recent data for Eastcastle Pl Bradford Ter Conv Ctr. For the most recent information, click here.
A list of the most recent deficiencies for Eastcastle Pl Bradford Ter Conv Ctr. 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? |
|---|---|---|---|---|
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-11-09 | 2015-11-19 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-11-09 | 2015-11-19 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2015-11-09 | 2015-11-12 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-11-09 | 2015-11-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2014-08-19 | 2014-09-24 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2014-08-19 | 2014-09-24 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2014-08-19 | 2014-09-24 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-08-19 | 2014-09-24 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-08-19 | 2014-09-24 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2014-08-19 | 2014-09-24 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2014-08-19 | 2014-09-24 | 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 | 2014-08-19 | 2014-09-24 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2014-08-19 | 2014-09-24 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2014-08-19 | 2014-09-24 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2014-08-19 | 2014-09-24 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2014-08-19 | 2014-09-24 | 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 | 2014-08-19 | 2014-09-24 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2014-08-19 | 2014-09-24 | Y |
| Signs that state that exit doors are to be kept closed. | Fire Safety | 2014-07-31 | 2014-08-04 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2014-07-31 | 2014-08-04 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-07-31 | 2014-08-04 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2013-09-19 | 2013-10-18 | 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 | 2013-09-19 | 2013-10-18 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2013-09-19 | 2013-10-18 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2013-09-19 | 2013-10-18 | 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 | 2013-09-19 | 2013-10-18 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2013-09-19 | 2013-10-18 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2013-09-19 | 2013-10-18 | 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 | 2013-09-19 | 2013-10-18 | Y |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2013-09-19 | 2013-10-18 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2013-09-19 | 2013-10-18 | Y |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2013-09-19 | 2013-10-18 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2013-09-19 | 2013-10-10 | N |
| Proper stairway enclosures and vertical shafts. | Fire Safety | 2013-09-18 | 2013-10-09 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2013-09-19 | 2013-09-23 | Y |
| A two-hour-resistant firewall separation. | Fire Safety | 2013-09-18 | 2013-09-18 | 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 | 2014-08-19 | Not Fixed | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-08-19 | Not Fixed | Y |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2013-09-18 | Not Fixed | N |
