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Deficiency Records for Brookside Inn
A list of the most recent deficiencies for Brookside Inn. 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 Inn. 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-05 | 2024-04-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-05 | 2024-04-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-03-05 | 2024-04-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-05 | 2024-04-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-03-05 | 2024-04-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-05 | 2024-04-14 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-02-08 | 2024-02-29 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-02-08 | 2024-02-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-08 | 2024-02-28 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-02-08 | 2024-02-28 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-02-08 | 2024-02-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-08 | 2024-02-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-06 | 2023-01-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-12-06 | 2022-12-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-06 | 2022-12-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-11-03 | 2022-12-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-03 | 2022-12-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-03 | 2022-12-05 | N |
| Respond appropriately to all alleged violations. | Health | 2022-11-03 | 2022-12-05 | N |
| Provide activities to meet all resident's needs. | Health | 2022-11-03 | 2022-12-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-03 | 2022-12-05 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-11-03 | 2022-12-05 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-11-03 | 2022-12-05 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2022-11-03 | 2022-12-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-03 | 2022-12-05 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2022-11-03 | 2022-12-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-08-05 | 2021-10-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-05 | 2021-09-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-08-05 | 2021-09-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-08-05 | 2021-09-29 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-08-05 | 2021-09-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-08-05 | 2021-09-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-05 | 2021-09-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-08-05 | 2021-08-23 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-07-15 | 2021-08-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-05 | 2021-08-09 | N |
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