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Deficiency Records for Brush Hill Care Center
A list of the most recent deficiencies for Brush Hill 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 Brush Hill 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? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-01-09 | 2024-02-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-01-09 | 2024-02-09 | 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 | 2023-07-17 | 2023-12-17 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-07-17 | 2023-10-29 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-07-17 | 2023-10-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-17 | 2023-10-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-17 | 2023-10-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-17 | 2023-10-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-17 | 2023-10-29 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-07-17 | 2023-10-29 | N |
| Keep all essential equipment working safely. | Health | 2023-07-17 | 2023-10-29 | N |
| Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2023-07-17 | 2023-10-29 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-07-17 | 2023-09-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-17 | 2023-09-18 | 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 | 2023-07-17 | 2023-09-18 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-07-17 | 2023-09-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-17 | 2023-09-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-17 | 2023-09-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-17 | 2023-09-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-17 | 2023-08-18 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-07-17 | 2023-08-18 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-07-17 | 2023-08-18 | 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 | 2023-07-17 | 2023-08-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-17 | 2023-08-18 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-07-17 | 2023-08-18 | N |
| Provide activities to meet all resident's needs. | Health | 2023-07-17 | 2023-08-18 | N |
| Provide appropriate foot care. | Health | 2023-07-17 | 2023-08-18 | 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 | 2023-07-17 | 2023-08-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-07-17 | 2023-08-18 | N |
| Post nurse staffing information every day. | Health | 2023-07-17 | 2023-08-18 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-07-17 | 2023-08-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-07-17 | 2023-08-18 | 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 | 2023-07-17 | 2023-08-18 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-07-17 | 2023-08-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-07 | 2022-05-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-07 | 2022-05-10 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2022-04-07 | 2022-05-10 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2022-04-07 | 2022-05-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-02 | 2021-11-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-02 | 2021-10-22 | N |
| Respond appropriately to all alleged violations. | Health | 2021-09-02 | 2021-10-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-09-02 | 2021-10-18 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2021-09-02 | 2021-10-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-02 | 2021-10-18 | 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 | 2021-09-02 | 2021-10-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-09-02 | 2021-10-18 | 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 | 2021-09-02 | 2021-10-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-02 | 2021-10-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-09-02 | 2021-10-18 | N |
| Post nurse staffing information every day. | Health | 2021-09-02 | 2021-10-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-09-02 | 2021-10-18 | 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 | 2021-09-02 | 2021-10-18 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-09-02 | 2021-10-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-02 | 2021-10-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-09-02 | 2021-10-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-02 | 2021-10-18 | N |
| Report COVID19 data to residents and families. | Health | 2021-09-02 | 2021-10-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-06-24 | 2019-08-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-06-24 | 2019-08-06 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-06-24 | 2019-08-06 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-06-24 | 2019-08-06 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-06-24 | 2019-08-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-06-24 | 2019-08-06 | N |
| Respond appropriately to all alleged violations. | Health | 2019-06-24 | 2019-08-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-06-24 | 2019-08-06 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-06-24 | 2019-08-06 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-06-24 | 2019-08-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-06-24 | 2019-08-06 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-06-24 | 2019-08-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-24 | 2019-08-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-06-24 | 2019-08-06 | N |
| Provide activities to meet all resident's needs. | Health | 2019-06-24 | 2019-08-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-24 | 2019-08-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-06-24 | 2019-08-06 | 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 | 2019-06-24 | 2019-08-06 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2019-06-24 | 2019-08-06 | 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 | 2019-06-24 | 2019-08-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-24 | 2019-08-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-06-24 | 2019-08-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-24 | 2019-08-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-06-24 | 2019-08-06 | N |
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