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Deficiency Records for Briarwood Rehabilitation and Healthcare Center

A list of the most recent deficiencies for Briarwood Rehabilitation and Healthcare 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 Briarwood Rehabilitation and Healthcare 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?
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-05-23 2023-06-23 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-05-12 2023-06-12 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2023-05-12 2023-06-12 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-05-12 2023-06-12 N
Respond appropriately to all alleged violations. Health 2023-05-12 2023-06-12 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-05-12 2023-06-12 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-05-12 2023-06-12 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-05-12 2023-06-12 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 2023-05-12 2023-06-12 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2023-05-12 2023-06-12 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-05-12 2023-06-12 N
Provide care or services that was trauma informed and/or culturally competent. Health 2023-05-12 2023-06-12 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2023-05-12 2023-06-12 N
Ensure that residents are free from significant medication errors. Health 2023-05-12 2023-06-12 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 2023-05-12 2023-06-12 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-05-12 2023-06-12 N
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2023-05-12 2023-06-12 N
Provide and implement an infection prevention and control program. Health 2023-05-12 2023-06-12 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-04-28 2021-05-24 N
Give the resident's representative the ability to exercise the resident's rights. Health 2021-04-28 2021-05-24 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2021-04-28 2021-05-24 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2021-04-28 2021-05-24 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2021-04-28 2021-05-24 N
Provide and implement an infection prevention and control program. Health 2021-04-28 2021-05-24 N
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Health 2019-04-02 2019-06-21 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-04-02 2019-06-21 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2019-04-02 2019-06-21 N
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2019-04-02 2019-06-21 N
Provide and implement an infection prevention and control program. Health 2019-04-02 2019-06-21 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-04-02 2019-05-07 N
Keep residents' personal and medical records private and confidential. Health 2019-04-02 2019-05-07 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2019-04-02 2019-05-07 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 2019-04-02 2019-05-07 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 2019-04-02 2019-05-07 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-04-02 2019-05-07 N
Assist a resident in gaining access to vision and hearing services. Health 2019-04-02 2019-05-07 N
Provide appropriate foot care. Health 2019-04-02 2019-05-07 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2019-04-02 2019-05-07 N
Ensure medication error rates are not 5 percent or greater. Health 2019-04-02 2019-05-07 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2019-04-02 2019-05-07 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2019-04-02 2019-05-07 N

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