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Deficiency Records for Bruceville Terrace - D/p Snf of Methodist Hospital
View the most recent health deficiencies and inspection results for Bruceville Terrace - D/p Snf of Methodist Hospital. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Bruceville Terrace - D/p Snf of Methodist Hospital. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-02-24 | 2026-03-09 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-12-19 | 2026-01-15 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2025-07-30 | 2025-08-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-07-22 | 2025-08-05 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-07-22 | 2025-08-05 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-07-22 | 2025-08-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-07-08 | 2025-07-24 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-02-27 | 2025-03-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-02-27 | 2025-03-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-02-27 | 2025-03-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-02-27 | 2025-03-20 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-02-27 | 2025-03-20 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2025-02-27 | 2025-03-20 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2025-02-27 | 2025-03-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-02-27 | 2025-03-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-02-27 | 2025-03-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-10 | 2024-10-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-09-18 | 2024-10-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-11 | 2024-07-30 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-09 | 2024-03-03 | 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 | 2024-02-09 | 2024-03-03 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-02-09 | 2024-03-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-02-09 | 2024-03-03 | 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 | 2024-02-09 | 2024-03-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-09 | 2024-03-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-09 | 2024-03-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-09 | 2024-03-03 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-02-09 | 2024-03-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-02-09 | 2024-03-03 | N |
| Use approved construction type or materials. | Fire Safety | 2024-02-09 | 2024-02-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-02-09 | 2024-02-26 | 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 | 2024-02-09 | 2024-02-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-09 | 2024-02-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-02-09 | 2024-02-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-09 | 2024-02-26 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-02-09 | 2024-02-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-09 | 2024-02-26 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-07-05 | 2023-07-20 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-02-09 | 2023-03-03 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-02-09 | 2023-03-03 | N |
| Post nurse staffing information every day. | Health | 2023-02-09 | 2023-03-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-02-09 | 2023-03-03 | N |
| Keep all essential equipment working safely. | Health | 2023-02-09 | 2023-03-03 | 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 | 2023-02-09 | 2023-03-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-02-09 | 2023-03-03 | 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 | 2023-02-09 | 2023-03-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-09 | 2023-03-03 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-02-09 | 2023-03-03 | 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 | 2023-02-09 | 2023-03-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-09 | 2023-03-03 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-02-09 | 2023-03-03 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-02-09 | 2023-03-03 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-02-09 | 2023-03-03 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-02-09 | 2023-03-03 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-02-09 | 2023-02-14 | N |
| Use approved construction type or materials. | Fire Safety | 2023-02-09 | 2023-02-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-02-09 | 2023-02-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-09 | 2023-02-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-09 | 2023-02-14 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-02-09 | 2023-02-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-09 | 2023-02-14 | N |