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Deficiency Records for Brookside Care Center
A list of the most recent deficiencies for Brookside Care Center. 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 Care Center. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-16 | 2024-02-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-16 | 2024-02-28 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-01-16 | 2024-02-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-16 | 2024-02-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-16 | 2024-02-28 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-01-16 | 2024-02-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-16 | 2024-02-28 | N |
| Provide activities to meet all resident's needs. | Health | 2024-01-16 | 2024-02-28 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-01-16 | 2024-02-28 | N |
| Provide appropriate foot care. | Health | 2024-01-16 | 2024-02-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-16 | 2024-02-28 | 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 | 2024-01-16 | 2024-02-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-16 | 2024-02-28 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-01-16 | 2024-02-28 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-01-17 | 2024-02-02 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-01-17 | 2024-02-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-01-17 | 2024-02-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-01-17 | 2024-02-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-01-17 | 2024-02-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-17 | 2024-02-02 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-01-17 | 2024-02-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-17 | 2024-02-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-01-17 | 2024-02-02 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-01-17 | 2024-02-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-17 | 2024-02-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-01-17 | 2024-02-02 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-01-17 | 2024-02-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-17 | 2024-02-02 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-01-17 | 2024-02-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-17 | 2024-02-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-17 | 2024-02-02 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-01-03 | 2024-01-30 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-01-03 | 2024-01-30 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-03 | 2024-01-30 | Y |
| Dispose of garbage and refuse properly. | Health | 2024-01-03 | 2024-01-30 | Y |
| Provide a bathroom in or located near each resident?s room. | Health | 2024-01-03 | 2024-01-30 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-01-03 | 2024-01-30 | Y |
| Dispose of garbage and refuse properly. | Health | 2023-07-31 | 2023-08-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-19 | 2023-05-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-19 | 2023-05-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-14 | 2023-03-14 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-09-15 | 2022-09-23 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-09-15 | 2022-09-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-08 | 2022-09-23 | Y |
| Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2022-09-08 | 2022-09-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-29 | 2022-09-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-13 | 2022-09-22 | Y |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2022-08-15 | 2022-08-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-03 | 2022-07-03 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-04-11 | 2022-05-11 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-04-11 | 2022-05-11 | 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 | 2022-04-11 | 2022-05-11 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-04-11 | 2022-05-11 | 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 | 2022-04-11 | 2022-05-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-11 | 2022-05-11 | N |
| Provide activities to meet all resident's needs. | Health | 2022-04-11 | 2022-05-11 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-04-11 | 2022-05-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-11 | 2022-05-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-11 | 2022-05-11 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2022-04-11 | 2022-05-11 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-04-11 | 2022-05-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-11 | 2022-05-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-11 | 2022-05-11 | 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 | 2022-04-11 | 2022-05-11 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-04-11 | 2022-05-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-11 | 2022-05-11 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-04-11 | 2022-05-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-11 | 2022-05-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-11 | 2022-05-11 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-04-11 | 2022-05-11 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-04-11 | 2022-05-09 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-04-11 | 2022-05-09 | 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 | 2022-04-11 | 2022-05-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-11 | 2022-05-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-11 | 2022-05-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-11 | 2022-05-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-11 | 2022-05-09 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-04-11 | 2022-05-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-11 | 2022-05-09 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-04-11 | 2022-05-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-11 | 2022-05-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-30 | 2022-04-30 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-02-16 | 2022-03-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-15 | 2022-03-15 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-02-15 | 2022-03-15 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-02-15 | 2022-03-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-01-12 | 2022-02-12 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2019-11-13 | 2019-12-02 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-11-13 | 2019-12-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-11-13 | 2019-12-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-11-13 | 2019-12-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-11-13 | 2019-12-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-13 | 2019-12-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-13 | 2019-12-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-13 | 2019-12-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-11-13 | 2019-12-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-11-13 | 2019-12-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-11-13 | 2019-12-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-13 | 2019-12-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-13 | 2019-12-02 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-10-08 | 2019-11-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-08 | 2019-11-07 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-10-08 | 2019-11-07 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-10-08 | 2019-11-07 | 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 | 2019-10-08 | 2019-11-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-08 | 2019-11-07 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-10-08 | 2019-11-07 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-10-08 | 2019-11-07 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-10-08 | 2019-11-07 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-10-08 | 2019-11-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-08 | 2019-11-07 | 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 | 2019-10-08 | 2019-11-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-10-08 | 2019-11-07 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-10-08 | 2019-11-07 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-10-08 | 2019-11-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-08 | 2019-11-07 | N |
| Dispose of garbage and refuse properly. | Health | 2019-10-08 | 2019-11-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-10-08 | 2019-11-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-08 | 2019-11-07 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-10-08 | 2019-11-07 | N |
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