A list of the most recent deficiencies for Baldwin Care 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? |
---|---|---|---|---|
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-17 | 2023-09-15 | 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 | 2023-08-17 | 2023-09-15 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-17 | 2023-09-15 | 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 | 2023-08-17 | 2023-09-15 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-17 | 2023-09-15 | 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 | 2023-08-17 | 2023-09-15 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-17 | 2023-09-15 | N |
Provide and implement an infection prevention and control program. | Health | 2023-08-17 | 2023-09-15 | 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 | 2023-08-16 | 2023-09-15 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-16 | 2023-09-15 | N |
Provide and implement an infection prevention and control program. | Health | 2022-08-10 | 2022-09-08 | N |
Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-08-10 | 2022-09-08 | N |
Establish emergency prep training and testing. | Fire Safety | 2022-08-10 | 2022-09-08 | N |
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2022-08-10 | 2022-09-08 | N |
Use approved construction type or materials. | Fire Safety | 2022-08-10 | 2022-09-08 | 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 | 2022-08-10 | 2022-09-08 | 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 | 2022-08-10 | 2022-09-08 | N |
Provide properly protected cooking facilities. | Fire Safety | 2022-08-10 | 2022-09-08 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-10 | 2022-09-08 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2022-08-10 | 2022-09-08 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-10 | 2022-09-08 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-10 | 2022-09-08 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-10 | 2022-09-08 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-08-10 | 2022-09-08 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-10 | 2022-09-08 | N |
Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-08-10 | 2022-09-08 | N |
Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-08-10 | 2022-09-08 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-10 | 2022-09-08 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-10 | 2022-09-08 | 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 | 2021-06-03 | 2021-07-03 | 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 | 2021-06-03 | 2021-07-03 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-06-02 | 2021-07-03 | N |
Establish emergency prep training and testing. | Fire Safety | 2021-06-02 | 2021-07-03 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2021-06-02 | 2021-07-03 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-06-02 | 2021-07-03 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-02 | 2021-07-03 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2021-06-02 | 2021-07-03 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2021-06-02 | 2021-07-03 | N |
Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-06-02 | 2021-07-03 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-02 | 2021-07-03 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2021-06-02 | 2021-07-03 | N |