A list of the most recent deficiencies for Bluebonnet Rehab at Ennis. 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 smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-12-19 | 2022-12-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-12-19 | 2022-12-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-19 | 2022-12-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-22 | 2022-10-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-22 | 2022-10-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-22 | 2022-10-24 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-09-07 | 2022-09-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-29 | 2022-07-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-06-29 | 2022-07-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-05 | 2022-02-15 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-02 | 2021-10-02 | N |
| Meet other general requirements. | Fire Safety | 2021-09-02 | 2021-09-12 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-08-10 | 2021-09-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-10 | 2021-09-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-08-10 | 2021-09-10 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-08-10 | 2021-09-10 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-06-28 | 2019-08-05 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-06-28 | 2019-08-05 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-06-28 | 2019-08-05 | 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 | 2019-06-28 | 2019-08-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-28 | 2019-08-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-28 | 2019-08-05 | N |
| Use approved construction type or materials. | Fire Safety | 2019-06-26 | 2019-07-19 | 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 | 2019-06-26 | 2019-07-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-26 | 2019-07-19 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-06-26 | 2019-07-19 | N |
