Deficiency Records for Burleson Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Burleson Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-07-13 | 2023-08-13 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-07-13 | 2023-08-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-13 | 2023-08-13 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-13 | 2023-08-13 | Y |
| Establish policies and procedures including evacuation. | Fire Safety | 2023-07-13 | 2023-08-13 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-07-13 | 2023-08-13 | 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 | 2023-07-13 | 2023-08-13 | 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 | 2023-07-13 | 2023-08-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-13 | 2023-08-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-07-13 | 2023-08-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-13 | 2023-08-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-13 | 2023-08-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-07-13 | 2023-08-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-13 | 2023-08-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-08-11 | 2022-09-11 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-05-19 | 2022-06-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-05-19 | 2022-06-19 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-02-06 | 2022-03-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-06 | 2022-03-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-22 | 2021-11-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-02 | 2021-10-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-02 | 2021-10-02 | Y |
| Provide family notifications of emergency plan. | Fire Safety | 2019-05-01 | 2019-06-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-05-01 | 2019-06-07 | 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 | 2019-05-02 | 2019-06-05 | 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 | 2019-05-02 | 2019-06-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-05-02 | 2019-06-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-05-01 | 2019-06-05 | 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 | 2019-05-01 | 2019-06-05 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2019-05-01 | 2019-06-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-05-01 | 2019-06-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-01 | 2019-06-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-05-01 | 2019-06-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-01 | 2019-06-05 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-05-01 | 2019-05-31 | N |
