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Deficiency Records for Springs Rehabilitation at Brandywine
A list of the most recent deficiencies for Springs Rehabilitation at Brandywine. 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 Springs Rehabilitation at Brandywine. 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? |
|---|---|---|---|---|
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-12-16 | 2025-01-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-12-16 | 2025-01-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-12-16 | 2025-01-15 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-11-15 | 2025-01-02 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-11-15 | 2025-01-02 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-11-15 | 2025-01-02 | 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 | 2024-11-15 | 2025-01-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-11-15 | 2025-01-02 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-11-15 | 2025-01-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-11-15 | 2025-01-02 | 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 | 2024-11-15 | 2025-01-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-11-15 | 2025-01-02 | N |
| Provide activities to meet all resident's needs. | Health | 2024-11-15 | 2025-01-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-15 | 2025-01-02 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-11-15 | 2025-01-02 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-11-15 | 2025-01-02 | 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 | 2024-11-15 | 2025-01-02 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-11-15 | 2025-01-02 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-11-15 | 2025-01-02 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-11-15 | 2025-01-02 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2024-11-15 | 2025-01-02 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-11-15 | 2025-01-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-15 | 2025-01-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-11-15 | 2025-01-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-11-15 | 2025-01-02 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-11-15 | 2025-01-02 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-11-15 | 2025-01-02 | N |
| 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 | 2024-11-15 | 2025-01-02 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-11-08 | 2024-01-03 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-11-08 | 2024-01-03 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-11-08 | 2024-01-03 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-08 | 2024-01-03 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2023-11-08 | 2024-01-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-08 | 2024-01-03 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-11-08 | 2024-01-03 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-08 | 2024-01-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-08 | 2024-01-03 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-08 | 2023-12-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-08 | 2023-12-26 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-11-08 | 2023-12-26 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-08 | 2023-12-26 | 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 | 2023-11-08 | 2023-12-26 | 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 | 2023-11-08 | 2023-12-26 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2023-11-08 | 2023-12-26 | N |
| Keep all essential equipment working safely. | Health | 2023-11-08 | 2023-12-26 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-11-08 | 2023-12-26 | Y |
| 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 | 2023-11-08 | 2023-12-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-08 | 2023-12-26 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-11-08 | 2023-12-26 | 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 | 2023-11-08 | 2023-12-26 | Y |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-11-09 | 2023-12-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-09 | 2023-12-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-11-09 | 2023-12-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-09 | 2023-12-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-09 | 2023-12-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-09 | 2023-12-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-08 | 2022-09-19 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-06 | 2021-06-21 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2021-05-06 | 2021-06-21 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2021-05-06 | 2021-06-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-06 | 2021-06-21 | N |
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