Inspection Reports for
Bardwell Residences

The establishment was found in compliance with all applicable regulations; no violations were cited.

The facility described corrective actions including implementing new processes to ensure physician certifications are completed as required, conducting routine audits of physician certifications, and presenting audit results to the QA/QI Committee monthly for three months.

The facility committed to reviewing staffing schedules, conducting in-service training with direct care staff, and implementing routine audits of showers and ADL records to ensure compliance. Audits will be presented monthly to the QA/QI Committee for three months.

The facility committed to corrective actions including notifying medical providers of missed doses, updating service plans, completing medication error reports, re-educating licensed and non-licensed nursing staff on medication management policies, and implementing quality assurance monitoring such as random observations and audits of medication administration records.

The facility committed to inservice nursing staff on person-centered comprehensive service plan development, audit current resident charts for compliance, update service plans post-fall incidents, reassess Memory Care residents for fall risk, and conduct monthly chart audits for three months to ensure compliance.

FRI 180971: substantiated with citation of Section 295.4010.

The facility failed to keep resident service plans updated with changes in condition and did not integrate outside services with the facility service plan, potentially affecting the safety of all residents.