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Deficiency Records for Brooklyn Gardens Nursing and Rehabilitation Center

A list of the most recent deficiencies for Brooklyn Gardens Nursing and Rehabilitation 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 Brooklyn Gardens Nursing and Rehabilitation 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?
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-10-27 2023-12-20 Y
Respond appropriately to all alleged violations. Health 2023-10-27 2023-12-20 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2023-10-27 2023-12-20 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-06-29 2023-08-15 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-06-29 2023-08-15 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-06-29 2023-08-15 Y
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2023-06-29 2023-08-15 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-06-29 2023-08-15 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-05-17 2023-06-29 N
Install proper backup exit lighting. Fire Safety 2023-05-17 2023-06-29 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-05-17 2023-06-29 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-05-17 2023-06-29 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-05-17 2023-06-29 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-05-17 2023-06-29 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2023-05-17 2023-06-29 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-05-17 2023-06-29 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2023-05-17 2023-06-29 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 2023-05-16 2023-06-17 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-05-16 2023-06-17 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 2023-05-16 2023-06-17 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-05-16 2023-06-17 N
Provide and implement an infection prevention and control program. Health 2023-05-16 2023-06-17 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-05-16 2023-06-17 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2023-05-16 2023-06-17 Y
Assist a resident in gaining access to vision and hearing services. Health 2022-11-23 2023-01-20 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2020-11-09 2020-12-18 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2020-11-09 2020-12-18 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2020-11-09 2020-12-15 N
Have restrictions on the use of portable space heaters. Fire Safety 2020-11-09 2020-12-15 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2020-11-09 2020-12-03 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 2020-11-09 2020-12-02 N
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Health 2018-10-11 2018-12-07 N
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2018-10-11 2018-12-07 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2018-10-11 2018-12-07 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 2018-10-11 2018-12-07 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2018-10-11 2018-12-07 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 2018-10-11 2018-12-07 N
Provide and implement an infection prevention and control program. Health 2018-10-11 2018-12-07 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2018-10-11 2018-11-09 N
Install proper backup exit lighting. Fire Safety 2018-10-11 2018-11-09 N
Have proper medical gas storage and administration areas. Fire Safety 2018-10-11 2018-11-09 N

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