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Deficiency Records for Diversicare of Brookhaven
A list of the most recent deficiencies for Diversicare of Brookhaven. 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 Diversicare of Brookhaven. 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? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2024-06-20 | 2024-07-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-06-20 | 2024-07-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-20 | 2024-07-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-06-20 | 2024-07-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-21 | 2024-05-02 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-31 | 2023-10-03 | 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 | 2023-08-31 | 2023-10-03 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-12-01 | 2023-01-05 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-12-01 | 2023-01-05 | 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 | 2022-12-01 | 2023-01-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-01 | 2023-01-05 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-12-01 | 2023-01-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-09-12 | 2019-10-18 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2019-09-12 | 2019-10-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-12 | 2019-10-18 | N |
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