Deficiency Records for Atherton Baptist Home
Updated as of March 01, 2022
This is not the most recent data for Atherton Baptist Home. For the most recent information, click here.
A list of the most recent deficiencies for Atherton Baptist Home. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2021-01-15 | 2021-03-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-01-05 | 2021-02-25 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-01-05 | 2021-02-25 | N |
| Report COVID19 data to residents and families. | Health | 2021-01-05 | 2021-02-25 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2020-10-29 | 2020-11-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-12-12 | 2019-12-18 | Y |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-05-07 | 2019-05-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-05-07 | 2019-05-28 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-05-07 | 2019-05-28 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-05-07 | 2019-05-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-07 | 2019-05-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-05-07 | 2019-05-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-07 | 2019-05-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-07 | 2019-05-28 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2019-04-26 | 2019-05-24 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-04-26 | 2019-05-24 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-04-26 | 2019-05-24 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-04-26 | 2019-05-24 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-26 | 2019-05-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-26 | 2019-05-24 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-04-26 | 2019-05-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-04-26 | 2019-05-24 | 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 | 2019-04-26 | 2019-05-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-26 | 2019-05-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-26 | 2019-05-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-06-08 | 2018-07-09 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-06-08 | 2018-07-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-06-08 | 2018-07-09 | N |
| Construct fire resistant interior walls. | Fire Safety | 2018-06-08 | 2018-07-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-08 | 2018-07-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-06-08 | 2018-07-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-06-08 | 2018-07-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-05-24 | 2018-06-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-05-24 | 2018-06-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-05-24 | 2018-06-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-05-24 | 2018-06-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-24 | 2018-06-26 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-05-24 | 2018-06-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-05-24 | 2018-06-26 | 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 | 2018-05-24 | 2018-06-26 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2018-05-24 | 2018-06-26 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-05-24 | 2018-06-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-24 | 2018-06-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-24 | 2018-06-26 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-05-24 | 2018-06-26 | N |
| Tell the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2017-05-21 | 2017-06-20 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-05-21 | 2017-06-20 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-05-21 | 2017-06-20 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-05-21 | 2017-06-20 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-05-21 | 2017-06-20 | N |
| Provide housekeeping and maintenance services. | Health | 2017-05-21 | 2017-06-20 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-05-21 | 2017-06-20 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-05-21 | 2017-06-20 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-05-21 | 2017-06-20 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-05-21 | 2017-06-20 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-05-21 | 2017-06-20 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-05-21 | 2017-06-20 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-21 | 2017-06-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-05-21 | 2017-06-20 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-05-20 | 2017-06-15 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-05-20 | 2017-06-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-05-20 | 2017-06-15 | N |
