Deficiency Records for Birchwood of Grapevine
Updated as of September 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? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2022-06-08 | 2022-06-23 | 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 | 2022-06-23 | 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 | 2022-06-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-08 | 2022-06-23 | N |
| 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 |
