Deficiency Records for Birchwood of Grapevine
Updated as of September 01, 2021
This is not the most recent data for Birchwood of Grapevine. For the most recent information, click here.
A list of the most recent deficiencies for Birchwood of Grapevine. 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 pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-23 | 2021-06-07 | N |
| Use approved construction type or materials. | Fire Safety | 2021-04-22 | 2021-06-06 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-04-22 | 2021-06-06 | N |
| Have an externally vented heating system. | Fire Safety | 2021-04-22 | 2021-06-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-01-24 | 2021-02-14 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2020-02-21 | 2020-03-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-14 | 2019-12-29 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-04-16 | 2019-05-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-04-16 | 2019-05-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-04-16 | 2019-05-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-16 | 2019-05-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-04-16 | 2019-05-30 | N |
| Post nurse staffing information every day. | Health | 2019-04-17 | 2019-05-30 | Y |
| 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 | 2019-04-17 | 2019-05-30 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2018-11-28 | 2019-02-18 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-11-28 | 2018-12-28 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-28 | 2018-12-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-11-28 | 2018-12-28 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-11-28 | 2018-12-28 | Y |
| 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 | 2018-11-28 | 2018-12-28 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-02-15 | 2018-04-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-02-14 | 2018-03-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-02-14 | 2018-03-31 | 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 | 2018-02-15 | 2018-03-30 | N |
| 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 | 2018-02-15 | 2018-03-30 | 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 | 2018-02-15 | 2018-03-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-02-14 | 2018-03-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-02-15 | 2018-02-16 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-02-15 | 2018-02-16 | 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 | 2018-02-15 | 2018-02-16 | 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 | 2018-02-14 | 2018-02-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-02-14 | 2018-02-15 | N |
