A list of the most recent deficiencies for Barton Hospital D/p Snf. 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 appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-10-05 | 2023-10-25 | 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 | 2023-10-05 | 2023-10-25 | N |
| Use approved construction type or materials. | Fire Safety | 2023-10-09 | 2023-10-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-09 | 2023-10-23 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-10-09 | 2023-10-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-09 | 2023-10-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-09 | 2023-10-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-23 | 2021-05-12 | Y |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-07-31 | 2019-08-08 | N |
| Use approved construction type or materials. | Fire Safety | 2019-07-31 | 2019-08-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-31 | 2019-08-08 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-07-31 | 2019-08-08 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-06-07 | 2019-07-26 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-07-24 | 2018-08-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-07-24 | 2018-08-06 | 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 | 2018-07-24 | 2018-08-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-07-24 | 2018-08-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-07-24 | 2018-08-06 | 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 | 2018-06-14 | 2018-07-19 | 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 | 2018-06-14 | 2018-07-19 | N |
