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Deficiency Records for Focused Care at Burnet Bay
View the most recent health deficiencies and inspection results for Focused Care at Burnet Bay. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Focused Care at Burnet Bay. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2025-03-06 | 2025-03-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-03-06 | 2025-03-10 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-03-06 | 2025-03-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-03-06 | 2025-03-10 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2025-03-06 | 2025-03-10 | 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 | 2025-03-06 | 2025-03-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-03-06 | 2025-03-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-03-06 | 2025-03-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-03-06 | 2025-03-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-23 | 2024-06-10 | Y |
| 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 | 2024-04-23 | 2024-05-10 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2024-04-23 | 2024-05-10 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-13 | 2024-01-04 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-12-13 | 2023-12-28 | Y |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-12-13 | 2023-12-28 | Y |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-12-13 | 2023-12-28 | Y |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2023-12-13 | 2023-12-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-13 | 2023-12-28 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-12-13 | 2023-12-28 | Y |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2023-12-13 | 2023-12-28 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-12-13 | 2023-12-28 | N |
| Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Health | 2023-12-13 | 2023-12-28 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2023-12-13 | 2023-12-28 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-12-13 | 2023-12-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-09-25 | 2023-10-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-25 | 2023-10-12 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-05 | 2022-11-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-05 | 2022-11-04 | 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 | 2022-10-05 | 2022-11-04 | 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 | 2022-10-05 | 2022-11-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-05 | 2022-11-04 | N |
| Keep all essential equipment working safely. | Health | 2022-10-05 | 2022-11-04 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2022-10-05 | 2022-10-27 | N |