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Deficiency Records for Brookside Rehabilitation and Healthcare Center
A list of the most recent deficiencies for Brookside 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 Brookside 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? |
|---|---|---|---|---|
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-05-02 | 2024-06-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-02 | 2024-06-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-02 | 2024-06-07 | 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 | 2024-05-02 | 2024-06-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-05-02 | 2024-06-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-02 | 2024-06-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-05-02 | 2024-06-07 | 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 | 2024-05-02 | 2024-06-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-02 | 2024-06-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-02 | 2024-06-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-08 | 2024-06-05 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-05-08 | 2024-06-05 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-05-08 | 2024-06-05 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-05-08 | 2024-06-05 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-11-09 | 2022-12-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-11-09 | 2022-12-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-11-09 | 2022-12-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-09 | 2022-12-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-01 | 2022-12-16 | N |
| Provide appropriate foot care. | Health | 2022-11-01 | 2022-12-13 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-11-01 | 2022-12-13 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-11-01 | 2022-12-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-11-01 | 2022-12-13 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2022-11-01 | 2022-12-13 | N |
| Report COVID19 data to residents and families. | Health | 2022-11-01 | 2022-12-13 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-11-01 | 2022-12-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-17 | 2022-12-02 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-11-17 | 2022-12-02 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-28 | 2022-08-15 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-06-28 | 2022-08-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-06 | 2021-12-23 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-06-11 | 2021-09-11 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-06-11 | 2021-08-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-11 | 2021-08-01 | 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 | 2021-06-11 | 2021-08-01 | N |
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