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Deficiency Records for Birch Hill Health Services
View the most recent health deficiencies and inspection results for Birch Hill Health Services. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Birch Hill Health Services. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2026-02-11 | 2026-03-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2026-02-11 | 2026-03-11 | N |
| Respond appropriately to all alleged violations. | Health | 2026-02-11 | 2026-03-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-02-11 | 2026-03-11 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2026-02-11 | 2026-03-11 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2026-02-11 | 2026-03-09 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2026-02-11 | 2026-03-09 | N |
| Respond appropriately to all alleged violations. | Health | 2025-11-10 | 2025-12-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-11-10 | 2025-12-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-11-10 | 2025-12-18 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-11-10 | 2025-12-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-05-20 | 2025-06-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-05-20 | 2025-06-13 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-09-25 | 2024-10-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-09-25 | 2024-10-25 | 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 | 2024-09-25 | 2024-10-25 | 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 necessary and PRN use is limited. | Health | 2024-09-25 | 2024-10-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-09-25 | 2024-10-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-25 | 2024-10-25 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-09-25 | 2024-10-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-25 | 2024-10-25 | 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 | 2024-09-25 | 2024-10-25 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-09-25 | 2024-10-25 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-09-25 | 2024-10-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-30 | 2023-09-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-08-30 | 2023-09-30 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-08-30 | 2023-09-30 | 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 | 2023-08-30 | 2023-09-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-30 | 2023-09-30 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2023-08-30 | 2023-09-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-30 | 2023-09-30 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-08-30 | 2023-09-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-08-30 | 2023-09-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-30 | 2023-09-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-30 | 2023-09-30 | N |