Deficiency Records for Birch Hill Health Services
Updated as of October 01, 2019
This is not the most recent data for Birch Hill Health Services. For the most recent information, click here.
A list of the most recent deficiencies for Birch Hill Health Services. 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? |
|---|---|---|---|---|
| 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 | 2019-04-02 | 2019-04-17 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-02-26 | 2019-04-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-02-26 | 2019-04-02 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-03 | 2018-10-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-10-03 | 2018-10-25 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-10-03 | 2018-10-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-03 | 2018-10-25 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-10-03 | 2018-10-25 | 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 | 2018-07-25 | 2018-08-20 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-07-25 | 2018-08-20 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-08-08 | 2017-09-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-08-08 | 2017-09-07 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-08-08 | 2017-09-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-08-08 | 2017-09-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-08-08 | 2017-09-07 | 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 | 2017-08-07 | 2017-09-07 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-08-07 | 2017-09-07 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-08-07 | 2017-09-07 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-12-29 | 2017-01-23 | Y |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2016-12-29 | 2017-01-23 | Y |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-06-08 | 2016-07-09 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2016-06-09 | 2016-07-09 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-06-09 | 2016-07-09 | N |
| Provide special eating equipment and utensils for each resident who needs them. | Health | 2016-06-09 | 2016-07-09 | N |
| Operate and provide services according to Federal, State, and local laws and professional standards. | Health | 2016-06-09 | 2016-07-09 | N |
