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Deficiency Records for Brio of Johnston, LLC
A list of the most recent deficiencies for Brio of Johnston, LLC. 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 Brio of Johnston, LLC. 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-19 | 2024-07-18 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-05-02 | 2024-05-24 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-05-02 | 2024-05-24 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-05-02 | 2024-05-24 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2024-05-02 | 2024-05-24 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-05-02 | 2024-05-24 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-05-02 | 2024-05-20 | 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 | 2024-05-02 | 2024-05-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-05-02 | 2024-05-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-25 | 2024-05-11 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-04-25 | 2024-05-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-25 | 2024-05-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-02 | 2024-05-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-14 | 2023-04-28 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-02 | 2023-03-17 | N |
| Perform COVID19 testing on residents and staff. | Health | 2023-02-02 | 2023-03-17 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-02-02 | 2023-03-17 | Y |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-02-06 | 2023-02-24 | 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 | 2021-09-02 | 2021-10-28 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-09-02 | 2021-10-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-09-02 | 2021-10-28 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2021-09-02 | 2021-10-19 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-09-02 | 2021-10-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-09-02 | 2021-09-30 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-09-02 | 2021-09-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-09-02 | 2021-09-29 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-09-02 | 2021-09-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-09-02 | 2021-09-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-09-02 | 2021-09-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-02 | 2021-09-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-08-26 | 2021-09-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-26 | 2021-09-09 | N |
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