A list of the most recent deficiencies for Bishop Care Center. 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 treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-29 | 2024-03-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-11-30 | 2024-01-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-15 | 2023-11-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-27 | 2023-10-09 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-09-27 | 2023-10-09 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-05-24 | 2023-07-03 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-05-24 | 2023-07-03 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-05-24 | 2023-07-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-05-24 | 2023-07-03 | N |
| Use approved construction type or materials. | Fire Safety | 2023-05-24 | 2023-07-03 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-05-24 | 2023-07-03 | 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 | 2023-05-24 | 2023-07-03 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-05-24 | 2023-07-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-05-24 | 2023-07-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-24 | 2023-07-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-24 | 2023-07-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-24 | 2023-07-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-05-24 | 2023-07-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-24 | 2023-07-03 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-06-07 | 2023-06-21 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-05-11 | 2023-06-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-11 | 2023-06-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-11 | 2023-06-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-11 | 2023-06-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-05-11 | 2023-06-10 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-05-11 | 2023-06-10 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-05-11 | 2023-06-10 | 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 | 2023-05-11 | 2023-06-10 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-05-11 | 2023-06-10 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-05-11 | 2023-06-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-11 | 2023-06-10 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-02 | 2023-03-14 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-02-23 | 2023-03-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-20 | 2023-03-06 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-02-20 | 2023-03-06 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-11-17 | 2022-12-06 | Y |
| Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. | Health | 2022-11-17 | 2022-12-06 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-07-21 | 2022-08-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-10 | 2022-06-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-13 | 2022-02-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-21 | 2021-09-30 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-08-30 | 2021-09-07 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2021-08-01 | 2021-08-16 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-07-31 | 2021-08-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-07-30 | 2021-08-16 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-07 | 2021-08-04 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2019-11-06 | 2019-12-18 | N |
| Use approved construction type or materials. | Fire Safety | 2019-11-06 | 2019-12-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-11-06 | 2019-12-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-11-06 | 2019-12-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-11-06 | 2019-12-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-06 | 2019-12-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-10-10 | 2019-11-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-10 | 2019-11-08 | 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 | 2019-10-10 | 2019-11-08 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-10-10 | 2019-11-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-10 | 2019-11-08 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-03-12 | 2019-04-17 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-03-12 | 2019-04-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-03-12 | 2019-04-17 | N |
| Use approved construction type or materials. | Fire Safety | 2019-03-12 | 2019-04-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-03-12 | 2019-04-17 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-03-12 | 2019-04-17 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-03-12 | 2019-04-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-03-12 | 2019-04-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-12 | 2019-04-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-12 | 2019-04-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-03-12 | 2019-04-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-12 | 2019-04-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-03-12 | 2019-04-17 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-11-08 | 2019-01-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-11-08 | 2019-01-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-08 | 2019-01-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-11-08 | 2019-01-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-08 | 2019-01-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-08 | 2019-01-02 | N |
