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Deficiency Records for Brookside Skilled Nursing Hospital
A list of the most recent deficiencies for Brookside Skilled Nursing Hospital. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Brookside Skilled Nursing Hospital. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-14 | 2022-02-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-01-14 | 2022-02-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-14 | 2022-02-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-14 | 2022-02-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-14 | 2022-02-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-14 | 2022-02-16 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2022-01-14 | 2022-02-16 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-01-14 | 2022-02-16 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2022-01-20 | 2022-02-08 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-01-20 | 2022-02-08 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-01-20 | 2022-02-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-01-20 | 2022-02-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-01-20 | 2022-02-08 | 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 | 2022-01-20 | 2022-02-08 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-01-20 | 2022-02-08 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-01-20 | 2022-02-08 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-01-20 | 2022-02-08 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-01-20 | 2022-02-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-20 | 2022-02-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-01-20 | 2022-02-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-01-20 | 2022-02-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-01-20 | 2022-02-08 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-01-20 | 2022-02-08 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-01-20 | 2022-02-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-01-20 | 2022-02-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-20 | 2020-03-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-02-20 | 2020-03-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-20 | 2020-03-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-20 | 2020-03-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-02-20 | 2020-03-03 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2020-01-17 | 2020-03-02 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2020-01-17 | 2020-03-02 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-01-17 | 2020-03-02 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2020-01-17 | 2020-03-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-17 | 2020-03-02 | 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 | 2020-01-17 | 2020-03-02 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2020-01-17 | 2020-03-02 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2020-01-17 | 2020-03-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-11 | 2019-02-27 | 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 | 2019-01-11 | 2019-02-27 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2019-01-11 | 2019-02-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-01-11 | 2019-02-27 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-01-11 | 2019-02-27 | 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 | 2019-01-11 | 2019-02-27 | 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 | 2019-01-11 | 2019-02-27 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2019-01-11 | 2019-02-27 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-01-11 | 2019-02-27 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-01-11 | 2019-02-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-11 | 2019-02-27 | N |
| Dispose of garbage and refuse properly. | Health | 2019-01-11 | 2019-02-27 | N |
| 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 | 2019-01-11 | 2019-02-27 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-01-11 | 2019-02-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-11 | 2019-02-27 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2019-01-11 | 2019-02-27 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-02-06 | 2019-02-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-06 | 2019-02-21 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-02-06 | 2019-02-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-09-18 | Not Fixed | Y |
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