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Deficiency Records for Briarwood Health Care Center
A list of the most recent deficiencies for Briarwood Health 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 Briarwood Health 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? |
|---|---|---|---|---|
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-06-05 | 2023-06-30 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-06-05 | 2023-06-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-05 | 2023-06-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-05 | 2023-06-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-05 | 2023-06-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-05 | 2023-06-25 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-06-05 | 2023-06-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-05 | 2023-06-23 | 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 | 2023-06-05 | 2023-06-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-05 | 2023-06-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-05 | 2023-06-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-09 | 2023-06-07 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-05-09 | 2023-06-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-09 | 2023-06-02 | 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 | 2023-05-09 | 2023-06-02 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2023-05-09 | 2023-06-02 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-05-09 | 2023-06-02 | N |
| Provide activities to meet all resident's needs. | Health | 2023-05-09 | 2023-06-01 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-05-09 | 2023-06-01 | 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 | 2023-05-09 | 2023-06-01 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2023-05-09 | 2023-05-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-09 | 2023-05-31 | N |
| 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 | 2022-04-14 | 2022-06-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-04-14 | 2022-06-07 | 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 | 2022-04-14 | 2022-06-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-04-14 | 2022-06-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-14 | 2022-06-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-14 | 2022-06-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-14 | 2022-06-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-04-14 | 2022-06-07 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-04-14 | 2022-06-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-14 | 2022-06-07 | N |
| Provide activities to meet all resident's needs. | Health | 2022-03-15 | 2022-04-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-15 | 2022-04-13 | 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 | 2022-03-15 | 2022-04-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-15 | 2022-04-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-15 | 2022-04-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-15 | 2022-03-15 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2021-02-03 | 2021-04-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-02-03 | 2021-04-21 | N |
| 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 | 2021-02-03 | 2021-04-19 | 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 | 2021-02-03 | 2021-04-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-02-03 | 2021-04-19 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-02-03 | 2021-04-19 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2021-02-03 | 2021-04-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-02-03 | 2021-04-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-02-03 | 2021-04-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-02-03 | 2021-04-16 | N |
| Use approved construction type or materials. | Fire Safety | 2021-02-03 | 2021-03-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-02-03 | 2021-03-31 | N |
| Provide large enough exits. | Fire Safety | 2021-02-03 | 2021-03-31 | N |
| Install resident room doors of proper design and width. | Fire Safety | 2021-02-03 | 2021-03-31 | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2021-02-03 | 2021-03-31 | N |
| Conform to length requirements for dead end corridors. | Fire Safety | 2021-02-03 | 2021-03-31 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-02-03 | 2021-03-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-02-03 | 2021-03-31 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-02-03 | 2021-03-31 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-02-03 | 2021-03-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-02-03 | 2021-03-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-02-03 | 2021-03-31 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-02-03 | 2021-03-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-02-03 | 2021-03-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-02-03 | 2021-03-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-02-03 | 2021-03-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-02-03 | 2021-03-31 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-02-03 | 2021-03-31 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2021-02-03 | 2021-03-31 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2021-02-03 | 2021-03-31 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-02-03 | 2021-03-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-02-03 | 2021-03-31 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-02-03 | 2021-03-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-02-03 | 2021-03-31 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-01-14 | 2021-02-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-01-14 | 2021-02-10 | 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 | 2021-01-14 | 2021-02-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-01-14 | 2021-02-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-01-14 | 2021-02-10 | 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 | 2021-01-14 | 2021-02-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-01-14 | 2021-02-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-01-14 | 2021-02-10 | N |
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