Deficiency Records for Bruceville Terrace - D/p Snf of Methodist Hospital
Updated as of September 01, 2019
This is not the most recent data for Bruceville Terrace - D/p Snf of Methodist Hospital. For the most recent information, click here.
A list of the most recent deficiencies for Bruceville Terrace - D/p Snf of Methodist Hospital. 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 timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-15 | 2018-12-03 | Y |
| Develop a communication plan. | Fire Safety | 2018-08-15 | 2018-09-04 | N |
| Respond appropriately to all alleged violations. | Health | 2018-07-05 | 2018-08-23 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-07-12 | 2018-08-06 | 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 | Health | 2018-07-12 | 2018-08-06 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-07-12 | 2018-08-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-12 | 2018-08-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-26 | 2018-07-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-28 | 2018-07-06 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-03-15 | 2018-04-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-22 | 2018-04-13 | Y |
| Keep clinical record information safe. | Health | 2018-01-29 | 2018-03-12 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2017-12-28 | 2018-03-09 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-09-06 | 2017-10-10 | Y |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-08-24 | 2017-10-10 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-08-24 | 2017-10-10 | N |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2017-08-24 | 2017-10-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-08-24 | 2017-10-10 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-08-24 | 2017-10-10 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-08-24 | 2017-10-10 | N |
| Provide adequate and comfortable lighting levels in all areas. | Health | 2017-08-24 | 2017-10-10 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-08-24 | 2017-10-10 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-08-24 | 2017-10-10 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-08-24 | 2017-10-10 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-24 | 2017-10-10 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-08-24 | 2017-10-10 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-08-24 | 2017-10-10 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-08 | 2017-04-13 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-09-01 | 2016-10-03 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-09-01 | 2016-10-03 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-09-01 | 2016-10-03 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-09-01 | 2016-10-03 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-09-01 | 2016-10-03 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-09-01 | 2016-10-03 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-09-01 | 2016-10-03 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-09-01 | 2016-10-03 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-09-01 | 2016-10-03 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-09-01 | 2016-10-03 | N |
| Keep all essential equipment working safely. | Health | 2016-09-01 | 2016-10-03 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-09-08 | 2016-09-23 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-09-08 | 2016-09-23 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-09-08 | 2016-09-23 | N |
