A list of the most recent deficiencies for Bluebonnet Point Wellness. 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? |
|---|---|---|---|---|
| Install an approved automatic sprinkler system. | Fire Safety | 2023-06-13 | 2023-07-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-26 | 2023-05-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-04-26 | 2023-05-15 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-04-26 | 2023-05-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-17 | 2023-04-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-17 | 2023-04-06 | Y |
| 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 | 2022-02-22 | 2022-03-08 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-02-09 | 2022-03-04 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-02-09 | 2022-03-04 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-02-09 | 2022-03-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-09 | 2022-03-04 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-02-09 | 2022-03-01 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-02-09 | 2022-02-22 | Y |
| Use approved construction type or materials. | Fire Safety | 2020-07-07 | 2020-10-29 | N |
| Install proper backup exit lighting. | Fire Safety | 2020-07-07 | 2020-10-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-07-07 | 2020-10-29 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-07-07 | 2020-10-29 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2020-07-07 | 2020-10-29 | N |
| Construct fire resistant interior walls. | Fire Safety | 2020-07-07 | 2020-10-29 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-07-07 | 2020-10-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-07-07 | 2020-10-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-07-07 | 2020-10-29 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2020-07-07 | 2020-10-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-07-07 | 2020-10-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-07-07 | 2020-10-29 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2020-07-07 | 2020-10-29 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2020-07-07 | 2020-10-29 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2020-07-07 | 2020-10-29 | N |
