A list of the most recent deficiencies for Burnett Medical 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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-12-27 | 2024-01-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-27 | 2024-01-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-18 | 2023-10-19 | Y |
| 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 | 2023-07-24 | 2023-09-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-24 | 2023-09-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-07-24 | 2023-09-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-24 | 2023-09-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-07-24 | 2023-09-08 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2023-07-24 | 2023-09-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-26 | 2023-08-26 | N |
| Respond appropriately to all alleged violations. | Health | 2023-07-26 | 2023-08-26 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-07-26 | 2023-08-26 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-07-26 | 2023-08-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-26 | 2023-08-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-26 | 2023-08-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-26 | 2023-08-26 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-06-16 | 2022-08-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-06-16 | 2022-08-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-16 | 2022-08-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-16 | 2022-08-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-06-16 | 2022-08-01 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-06-16 | 2022-08-01 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2022-06-16 | 2022-08-01 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-06-15 | 2022-08-01 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2022-06-15 | 2022-08-01 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-06-15 | 2022-08-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-15 | 2022-08-01 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2021-04-19 | 2021-09-30 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-04-13 | 2021-05-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-13 | 2021-05-13 | 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 | 2021-04-13 | 2021-05-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-04-19 | 2021-05-13 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-04-19 | 2021-05-13 | 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 | 2021-04-19 | 2021-05-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-19 | 2021-05-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-19 | 2021-05-13 | N |
