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Deficiency Records for Complete Care at Brick LLC

A list of the most recent deficiencies for Complete Care at Brick LLC. 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 Complete Care at Brick LLC. 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 a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-06-06 2024-07-14 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 2024-06-06 2024-07-14 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2024-06-06 2024-07-14 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2024-06-06 2024-07-14 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-06-06 2024-07-14 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 2024-06-06 2024-07-14 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 2024-06-06 2024-07-14 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-06-06 2024-07-14 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2024-06-06 2024-07-14 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-06-06 2024-07-14 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-06-06 2024-07-14 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-06-06 2024-07-14 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2024-06-06 2024-07-14 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-06-06 2024-07-14 Y
Provide and implement an infection prevention and control program. Health 2024-06-06 2024-07-14 Y
Install an approved automatic sprinkler system. Fire Safety 2024-06-06 2024-07-14 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-06-06 2024-07-14 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-06-06 2024-07-14 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-06-06 2024-07-14 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2023-08-31 2023-10-20 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2023-08-31 2023-10-20 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 2023-08-31 2023-10-20 Y
Provide and implement an infection prevention and control program. Health 2022-07-06 2022-09-30 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2022-07-06 2022-07-11 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 2022-07-06 2022-07-11 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-07-06 2022-07-11 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-07-06 2022-07-11 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-07-06 2022-07-07 N
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 2022-07-06 2022-07-07 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2022-07-06 2022-07-07 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-07-06 2022-07-07 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-07-06 2022-07-07 N

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