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Deficiency Records for Brooke Haven Healthcare

A list of the most recent deficiencies for Brooke Haven Healthcare. 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 Brooke Haven Healthcare. 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?
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-03-01 2024-04-09 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-07-12 2023-08-26 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 2023-07-06 2023-08-20 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-07-06 2023-08-20 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-07-06 2023-08-20 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-07-06 2023-08-20 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-07-06 2023-08-20 Y
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-07-12 2023-08-20 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-07-12 2023-08-20 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-07-12 2023-08-20 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-07-12 2023-08-20 N
Have proper medical gas storage and administration areas. Fire Safety 2023-07-12 2023-08-20 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-06-06 2023-07-17 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-12-29 2023-01-18 Y
Respond appropriately to all alleged violations. Health 2022-12-06 2023-01-04 Y
Provide and implement an infection prevention and control program. Health 2021-10-25 2021-12-15 Y
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 2020-03-09 2020-04-17 N
Have proper medical gas storage and administration areas. Fire Safety 2020-03-09 2020-04-17 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-01-25 2019-03-04 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-01-25 2019-03-04 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2019-01-25 2019-03-04 N

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