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Deficiency Records for Brickyard Healthcare - Terrace Care Center
A list of the most recent deficiencies for Brickyard Healthcare - Terrace 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 Brickyard Healthcare - Terrace 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? |
---|---|---|---|---|
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-17 | 2024-07-01 | Y |
Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-06-17 | 2024-07-01 | Y |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-04-18 | 2024-05-05 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-18 | 2024-05-05 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-18 | 2024-05-05 | 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 | 2024-04-18 | 2024-05-05 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-18 | 2024-05-05 | 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 | 2024-04-18 | 2024-05-05 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-18 | 2024-05-05 | 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 | 2024-04-18 | 2024-05-05 | N |
Provide or obtain dental services for each resident. | Health | 2024-04-18 | 2024-05-05 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-04-18 | 2024-05-05 | N |
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-04-18 | 2024-05-05 | 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 | 2024-04-18 | 2024-05-05 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-18 | 2024-05-05 | N |
Create arrangements with other facilities to receive patients. | Fire Safety | 2024-04-22 | 2024-05-05 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-22 | 2024-05-05 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-22 | 2024-05-05 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-04-22 | 2024-05-05 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-22 | 2024-05-05 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-04-22 | 2024-05-05 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-28 | 2024-03-12 | Y |
Provide enough food/fluids to maintain a resident's health. | Health | 2024-01-09 | 2024-01-31 | Y |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-01-09 | 2024-01-31 | Y |
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-09-27 | 2023-09-28 | Y |
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-09-27 | 2023-09-28 | Y |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-05-03 | 2023-05-17 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-03 | 2023-05-17 | Y |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-02-09 | 2023-03-31 | 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 | 2023-02-09 | 2023-03-31 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-09 | 2023-03-31 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-02-09 | 2023-03-31 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-09 | 2023-03-31 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-09 | 2023-03-31 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-24 | 2023-02-07 | N |
Assist a resident in gaining access to vision and hearing services. | Health | 2023-01-24 | 2023-02-07 | 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 | 2023-01-24 | 2023-02-07 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-24 | 2023-02-07 | 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 | 2023-01-24 | 2023-02-07 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-01-24 | 2023-02-07 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-01-24 | 2023-02-07 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-24 | 2023-02-07 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-24 | 2023-02-07 | Y |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-01-24 | 2023-02-07 | Y |
Ensure that residents are free from significant medication errors. | Health | 2023-01-24 | 2023-02-07 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-01-24 | 2023-02-07 | Y |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2020-01-30 | 2020-03-05 | N |
Provide properly protected cooking facilities. | Fire Safety | 2020-01-30 | 2020-03-05 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-30 | 2020-03-05 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2020-01-30 | 2020-03-05 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-01-30 | 2020-03-05 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-30 | 2020-03-05 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-30 | 2020-03-05 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-30 | 2020-03-05 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-11-14 | 2019-12-14 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-11-14 | 2019-12-14 | 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 | 2019-11-14 | 2019-12-14 | N |
Provide activities to meet all resident's needs. | Health | 2019-11-14 | 2019-12-14 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-14 | 2019-12-14 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-11-14 | 2019-12-14 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2019-11-14 | 2019-12-14 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-11-14 | 2019-12-14 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-11-14 | 2019-12-14 | N |
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-11-14 | 2019-12-14 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-14 | 2019-12-14 | N |
Provide and implement an infection prevention and control program. | Health | 2019-11-14 | 2019-12-14 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-11-14 | 2019-12-14 | N |
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