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Deficiency Records for Brunswick Nursing and Rehab

A list of the most recent deficiencies for Brunswick Nursing and Rehab. 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 Brunswick Nursing and Rehab. 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 and implement an infection prevention and control program. Health 2024-04-18 2024-07-23 N
Implement a program that monitors antibiotic use. Health 2024-04-18 2024-07-23 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2024-04-18 2024-07-23 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-04-18 2024-06-01 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2024-04-18 2024-06-01 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-04-18 2024-06-01 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2024-04-18 2024-06-01 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 2024-04-18 2024-06-01 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2024-04-18 2024-06-01 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-04-18 2024-06-01 N
Assess the resident when there is a significant change in condition Health 2024-04-18 2024-06-01 N
Ensure each resident receives an accurate assessment. Health 2024-04-18 2024-06-01 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2024-04-18 2024-06-01 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-04-18 2024-06-01 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 2024-04-18 2024-06-01 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2024-04-18 2024-06-01 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-04-18 2024-06-01 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-04-18 2024-06-01 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2024-04-18 2024-06-01 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 2024-04-18 2024-06-01 N
Post nurse staffing information every day. Health 2024-04-18 2024-06-01 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 2024-04-18 2024-06-01 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 2024-04-18 2024-06-01 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-04-18 2024-06-01 N
Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. Health 2024-04-18 2024-06-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-04-18 2024-06-01 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2024-04-18 2024-06-01 N
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. Health 2024-04-18 2024-06-01 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2024-04-18 2024-06-01 Y
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2024-04-18 2024-06-01 Y
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2024-04-18 2024-06-01 N
Have exits that are accessible at all times. Fire Safety 2024-04-18 2024-06-01 N
Have an enclosure around a vertical opening shaft. Fire Safety 2024-04-18 2024-06-01 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-04-18 2024-06-01 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-04-18 2024-06-01 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-04-18 2024-06-01 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-04-18 2024-06-01 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-04-18 2024-06-01 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-04-18 2024-06-01 N
Have proper medical gas storage and administration areas. Fire Safety 2024-04-18 2024-06-01 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2024-04-18 2024-06-01 N
Respond appropriately to all alleged violations. Health 2023-11-14 2023-12-12 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-04-20 2023-04-24 Y
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2022-09-29 2022-11-14 N
Honor the resident's right to manage his or her financial affairs. Health 2022-09-29 2022-11-02 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-09-29 2022-11-02 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 2022-09-29 2022-11-02 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 2022-09-29 2022-11-02 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-09-29 2022-11-02 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 2022-09-29 2022-11-02 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 2022-09-29 2022-11-02 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 2022-09-29 2022-11-02 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2022-09-29 2022-11-02 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-09-29 2022-11-02 N
Provide and implement an infection prevention and control program. Health 2022-09-29 2022-11-02 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-09-29 2022-11-02 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-09-29 2022-11-02 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2022-09-29 2022-11-02 N
Address subsistence needs for staff and patients. Fire Safety 2022-09-29 2022-11-02 N
Establish policies and procedures including evacuation. Fire Safety 2022-09-29 2022-11-02 N
List the names and contact information of those in the facility. Fire Safety 2022-09-29 2022-11-02 N
Provide a means of sharing information on occupancy/needs. Fire Safety 2022-09-29 2022-11-02 N
Establish emergency prep training and testing. Fire Safety 2022-09-29 2022-11-02 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-09-29 2022-11-02 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 2022-09-29 2022-11-02 N
Provide properly protected cooking facilities. Fire Safety 2022-09-29 2022-11-02 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-09-29 2022-11-02 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-09-29 2022-11-02 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-09-29 2022-11-02 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2022-09-29 2022-11-02 N
Have proper medical gas storage and administration areas. Fire Safety 2022-09-29 2022-11-02 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-03-22 2022-04-12 Y
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2019-12-05 2020-01-10 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2024-06-21 Not Fixed Y

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