Deficiency Records for Birchwood of Golfcrest
Updated as of May 01, 2024
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Deficiency Records for Birchwood of Golfcrest
A list of the most recent deficiencies for Birchwood of Golfcrest. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Birchwood of Golfcrest. 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? |
|---|---|---|---|---|
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-02-18 | 2024-03-18 | 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 | 2024-02-18 | 2024-03-18 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-02-18 | 2024-03-18 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-02-18 | 2024-03-18 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-02-18 | 2024-03-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-30 | 2024-03-08 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-02-18 | 2024-02-19 | 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 | 2024-02-18 | 2024-02-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-18 | 2024-02-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-18 | 2024-02-18 | 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 | 2024-01-30 | 2024-01-31 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-10-20 | 2022-10-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-21 | 2022-10-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-10-21 | 2022-10-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-21 | 2022-10-22 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-17 | 2022-02-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-17 | 2022-02-28 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-11-01 | 2021-12-01 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-08-19 | 2021-09-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-19 | 2021-09-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-08-19 | 2021-09-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-08-19 | 2021-09-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-08-19 | 2021-09-15 | 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 | 2021-08-19 | 2021-09-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-19 | 2021-09-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-08-18 | 2021-09-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-08-18 | 2021-09-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-08-18 | 2021-09-08 | N |
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