A list of the most recent deficiencies for Barron Care and Rehabilitation. 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 and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-25 | 2023-11-24 | 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 | 2023-10-25 | 2023-11-24 | 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 | 2023-10-25 | 2023-11-24 | 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 | 2023-10-25 | 2023-11-24 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-25 | 2023-11-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-25 | 2023-11-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-25 | 2023-11-24 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-10-25 | 2023-11-24 | 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 | 2023-10-25 | 2023-11-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-10 | 2023-07-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-12 | 2023-07-03 | Y |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-09-26 | 2023-02-27 | N |
| Use approved construction type or materials. | Fire Safety | 2022-09-26 | 2022-10-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-09-26 | 2022-10-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-26 | 2022-10-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-26 | 2022-10-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-26 | 2022-10-31 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-09-26 | 2022-10-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-28 | 2022-10-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-09-28 | 2022-10-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-28 | 2022-10-21 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-06-30 | 2021-07-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-06-30 | 2021-07-30 | 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 | 2021-06-30 | 2021-07-30 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-06-29 | 2021-07-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-06-29 | 2021-07-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-29 | 2021-07-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-29 | 2021-07-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-29 | 2021-07-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-06-29 | 2021-07-30 | N |
