Deficiency Records for Birchwood of Grapevine
Updated as of March 01, 2020
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 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 ne | 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 |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-07-27 | 2017-07-29 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-07-27 | 2017-07-29 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-07-27 | 2017-07-29 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-01-26 | 2017-02-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-01-26 | 2017-02-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-01-26 | 2017-02-28 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2017-01-26 | 2017-02-28 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-01-26 | 2017-02-28 | N |
| Assess in a timely manner the resident when the resident enters the nursing home. | Health | 2017-01-26 | 2017-02-28 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-01-26 | 2017-02-28 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-01-26 | 2017-02-28 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2017-01-26 | 2017-02-28 | N |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | Health | 2017-01-26 | 2017-02-28 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-01-26 | 2017-02-28 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-01-26 | 2017-02-28 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2017-01-26 | 2017-02-28 | N |
