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Deficiency Records for Sarah S Brayton Center
A list of the most recent deficiencies for Sarah S Brayton 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 Sarah S Brayton 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? |
---|---|---|---|---|
Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-12-05 | 2024-01-11 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-05 | 2024-01-11 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-05 | 2024-01-11 | Y |
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 | 2023-09-18 | 2023-11-22 | N |
Provide and implement an infection prevention and control program. | Health | 2023-09-18 | 2023-11-22 | N |
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 | 2023-09-18 | 2023-10-20 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-09-18 | 2023-10-20 | 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 | 2023-09-18 | 2023-10-20 | N |
Ensure each resident receives an accurate assessment. | Health | 2023-09-18 | 2023-10-20 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-18 | 2023-10-20 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-18 | 2023-10-20 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-09-18 | 2023-10-20 | N |
Provide activities to meet all resident's needs. | Health | 2023-09-18 | 2023-10-20 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-18 | 2023-10-20 | 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 | 2023-09-18 | 2023-10-20 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-09-18 | 2023-10-20 | N |
Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-09-18 | 2023-10-20 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2023-09-18 | 2023-10-20 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-09-18 | 2023-10-20 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-18 | 2023-10-20 | N |
Keep all essential equipment working safely. | Health | 2023-09-18 | 2023-10-20 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-06 | 2023-08-14 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-10-06 | 2022-11-18 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-12-27 | 2022-02-12 | Y |
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2021-12-27 | 2022-02-12 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-27 | 2022-02-12 | Y |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-03-23 | 2021-05-07 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-03-18 | 2021-05-02 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-03-18 | 2021-05-02 | N |
Respond appropriately to all alleged violations. | Health | 2021-03-18 | 2021-05-02 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-03-18 | 2021-05-02 | 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 | 2021-03-18 | 2021-05-02 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-03-18 | 2021-05-02 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-03-18 | 2021-05-02 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-18 | 2021-05-02 | N |
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-03-18 | 2021-05-02 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-03-18 | 2021-05-02 | N |
Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2021-03-18 | 2021-05-02 | 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 | 2021-03-18 | 2021-05-02 | N |
Implement a program that monitors antibiotic use. | Health | 2021-03-18 | 2021-05-02 | N |
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2021-03-18 | 2021-05-02 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-06-07 | 2019-07-22 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-07 | 2019-07-22 | 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 | 2019-06-07 | 2019-07-22 | N |
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-06-07 | 2019-07-22 | N |
Provide routine and 24-hour emergency dental care for each resident. | Health | 2019-06-07 | 2019-07-22 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-06-07 | 2019-07-22 | N |
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2019-06-07 | 2019-07-22 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-07 | 2019-07-22 | N |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-06-07 | 2019-07-22 | N |
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