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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? |
|---|---|---|---|---|
| Establish policies and procedures including evacuation. | Fire Safety | 2024-08-14 | 2024-09-20 | 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 | 2024-08-14 | 2024-09-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-08-14 | 2024-09-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-14 | 2024-09-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-08-14 | 2024-09-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-08-14 | 2024-09-20 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-08-14 | 2024-09-20 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-08-14 | 2024-09-20 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-08-14 | 2024-09-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-14 | 2024-09-20 | 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 | 2024-07-26 | 2024-08-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-26 | 2024-08-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-07-26 | 2024-08-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-07-26 | 2024-08-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-26 | 2024-08-07 | N |
| 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 |
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