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Deficiency Records for The Bartlett Skilled Nursing and Assisted Living
View the most recent health deficiencies and inspection results for The Bartlett Skilled Nursing and Assisted Living. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Bartlett Skilled Nursing and Assisted Living. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-04-11 | 2026-04-30 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2026-04-11 | 2026-04-30 | Y |
| Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Health | 2026-04-11 | 2026-04-30 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2026-04-11 | 2026-04-14 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2025-08-22 | 2025-10-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-08-22 | 2025-10-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-08-22 | 2025-10-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-08-22 | 2025-10-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-08-22 | 2025-10-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-08-22 | 2025-10-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-08-22 | 2025-10-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-08-07 | 2025-08-27 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-08-07 | 2025-08-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-08-07 | 2025-08-27 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-08-22 | 2025-08-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-08-22 | 2025-08-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-22 | 2025-08-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-08-22 | 2025-08-25 | N |
| Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | Health | 2025-08-22 | 2025-08-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-03-13 | 2025-03-14 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2025-02-06 | 2025-02-07 | 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 | 2025-02-06 | 2025-02-07 | Y |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2024-07-11 | 2024-08-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-07-11 | 2024-07-31 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-07-11 | 2024-07-26 | 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 | 2024-07-11 | 2024-07-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-11 | 2024-07-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-11 | 2024-07-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-11 | 2024-07-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-11 | 2024-07-12 | 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 | 2024-07-11 | 2024-07-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-11 | 2024-07-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-15 | 2023-08-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-15 | 2023-07-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-15 | 2023-07-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-06-15 | 2023-07-03 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-06-15 | 2023-07-03 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-06-15 | 2023-07-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-15 | 2023-07-03 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-06-15 | 2023-07-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-15 | 2023-07-03 | 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 | 2023-06-15 | 2023-07-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-15 | 2023-07-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-15 | 2023-07-03 | 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 | 2023-06-15 | 2023-07-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-15 | 2023-07-03 | N |
| Dispose of garbage and refuse properly. | Health | 2023-06-15 | 2023-07-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-15 | 2023-07-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-15 | 2023-07-03 | N |