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Deficiency Records for Brookside Healthcare Center
A list of the most recent deficiencies for Brookside Healthcare 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 Healthcare 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? |
|---|---|---|---|---|
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-10-25 | 2024-12-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-25 | 2024-12-04 | N |
| Provide activities to meet all resident's needs. | Health | 2024-10-25 | 2024-12-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-25 | 2024-12-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-10-25 | 2024-12-04 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-10-25 | 2024-12-04 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-10-25 | 2024-12-04 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-10-25 | 2024-12-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-25 | 2024-12-04 | 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 | 2024-10-25 | 2024-12-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-10-25 | 2024-12-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-25 | 2024-12-04 | N |
| Use approved construction type or materials. | Fire Safety | 2024-11-06 | 2024-12-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-11-06 | 2024-12-02 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2024-11-06 | 2024-12-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-11-06 | 2024-12-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-11-06 | 2024-12-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-11-06 | 2024-12-02 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-11-06 | 2024-12-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-04 | 2024-09-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-11 | 2024-07-26 | 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 | 2024-01-03 | 2024-01-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-09 | 2023-11-27 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-30 | 2023-10-09 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-20 | 2023-07-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-04-05 | 2023-04-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-05 | 2023-04-19 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-27 | 2022-11-09 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-31 | 2022-09-14 | Y |
| 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 | 2022-04-22 | 2022-05-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-22 | 2022-05-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-22 | 2022-05-13 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-04-22 | 2022-05-13 | 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 | 2022-04-22 | 2022-05-13 | 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 | 2022-04-22 | 2022-05-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-22 | 2022-05-13 | N |
| Dispose of garbage and refuse properly. | Health | 2022-04-22 | 2022-05-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-22 | 2022-05-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-22 | 2022-05-13 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-04-22 | 2022-05-13 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-22 | 2022-05-13 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-04-26 | 2022-05-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-26 | 2022-05-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-26 | 2022-05-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-26 | 2022-05-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-04-26 | 2022-05-09 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-08-01 | 2019-08-22 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-08-01 | 2019-08-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-01 | 2019-08-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-01 | 2019-08-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-01 | 2019-08-22 | N |
| 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 | 2019-07-18 | 2019-08-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-18 | 2019-08-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-18 | 2019-08-15 | N |
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