Deficiency Records for Birchwood of Grapevine
Updated as of August 01, 2022
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 appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-30 | 2022-04-05 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-22 | 2022-02-28 | Y |
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2022-01-25 | 2022-02-15 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-01-25 | 2022-02-15 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-05 | 2021-10-06 | Y |
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 |
Post nurse staffing information every day. | Health | 2019-04-17 | 2019-05-30 | 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 | 2019-04-17 | 2019-05-30 | N |
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 |
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 |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-26 | Not Fixed | N |
Provide and implement an infection prevention and control program. | Health | 2022-07-26 | Not Fixed | N |
Ensure each resident receives an accurate assessment. | Health | 2022-06-08 | Not Fixed | 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 | 2022-06-08 | Not Fixed | N |
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-06-08 | Not Fixed | N |
Provide and implement an infection prevention and control program. | Health | 2022-06-08 | Not Fixed | N |