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Deficiency Records for Brickyard Healthcare - Brentwood Care Center
A list of the most recent deficiencies for Brickyard Healthcare - Brentwood 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 - Brentwood 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? |
|---|---|---|---|---|
| Implement emergency and standby power systems. | Fire Safety | 2024-02-14 | 2024-03-02 | 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 | 2024-02-14 | 2024-03-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-02-14 | 2024-03-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-14 | 2024-03-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-14 | 2024-03-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-02-14 | 2024-03-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-02-14 | 2024-03-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-14 | 2024-03-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-14 | 2024-03-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-23 | 2024-01-24 | 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 | 2024-01-23 | 2024-01-24 | N |
| Post nurse staffing information every day. | Health | 2024-01-23 | 2024-01-24 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-01-23 | 2024-01-24 | 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 | 2024-01-23 | 2024-01-24 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-01-23 | 2024-01-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-23 | 2024-01-24 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-10-03 | 2023-10-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-14 | 2023-09-18 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-03-23 | 2023-03-14 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-10-31 | 2022-11-02 | Y |
| 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 | 2022-03-30 | 2022-04-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-03-30 | 2022-04-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-03-30 | 2022-04-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-03-30 | 2022-04-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-30 | 2022-04-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-03-30 | 2022-04-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-30 | 2022-04-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-08 | 2022-03-15 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2022-03-08 | 2022-03-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-08 | 2022-03-09 | N |
| Meet other general requirements. | Fire Safety | 2020-08-05 | 2020-09-04 | 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 | 2020-08-05 | 2020-09-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-08-05 | 2020-09-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-08-05 | 2020-09-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-08-05 | 2020-09-04 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2020-02-20 | 2020-03-20 | N |
| 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 | 2020-02-20 | 2020-03-20 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-02-20 | 2020-03-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-20 | 2020-03-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-20 | 2020-03-20 | 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 | 2020-02-20 | 2020-03-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-02-20 | 2020-03-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-20 | 2020-03-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-20 | 2020-03-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-02-20 | 2020-03-20 | N |
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