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Deficiency Records for Sprain Brook Manor Rehab
A list of the most recent deficiencies for Sprain Brook Manor 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 Sprain Brook Manor 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-14 | 2024-06-28 | 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 | 2024-05-14 | 2024-06-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-14 | 2024-06-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-14 | 2024-06-28 | N |
| Provide or obtain dental services for each resident. | Health | 2024-05-14 | 2024-06-28 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-05-15 | 2024-06-28 | 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 | 2024-05-15 | 2024-06-28 | N |
| Construct fire resistant interior walls. | Fire Safety | 2024-05-15 | 2024-06-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-15 | 2024-06-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-15 | 2024-06-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-05-15 | 2024-06-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-15 | 2024-06-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-05-15 | 2024-06-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-06 | 2023-05-02 | Y |
| Establish methods for sharing information. | Fire Safety | 2021-05-31 | 2021-07-29 | 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 | 2021-05-31 | 2021-07-29 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-05-31 | 2021-07-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-31 | 2021-07-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-31 | 2021-07-29 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-05-31 | 2021-07-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-31 | 2021-07-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-05-31 | 2021-07-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-02-19 | 2019-04-16 | 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 | 2019-02-19 | 2019-04-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-19 | 2019-04-16 | N |
| Dispose of garbage and refuse properly. | Health | 2019-02-19 | 2019-04-16 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-02-19 | 2019-04-16 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-02-19 | 2019-04-16 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-02-19 | 2019-04-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-19 | 2019-04-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-02-19 | 2019-04-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-02-19 | 2019-04-16 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-02-19 | 2019-04-16 | N |
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