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Deficiency Records for Brookhaven Rehab and Health Care Center L L C
A list of the most recent deficiencies for Brookhaven Rehab and Health Care Center L L C. 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 Brookhaven Rehab and Health Care Center L L C. 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-03-08 | 2024-04-29 | 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 | 2024-03-08 | 2024-04-29 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-03-08 | 2024-04-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-08 | 2024-04-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-08 | 2024-04-29 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-03-08 | 2024-04-29 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-08 | 2024-04-29 | 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 | 2024-03-08 | 2024-04-29 | Y |
| Provide or obtain dental services for each resident. | Health | 2024-03-08 | 2024-04-29 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-03-08 | 2024-03-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-03-08 | 2024-03-28 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2024-03-08 | 2024-03-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-03-08 | 2024-03-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-22 | 2023-10-06 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-01-12 | 2022-04-14 | 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 | 2022-01-12 | 2022-02-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-12 | 2022-02-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-01-12 | 2022-02-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-01-12 | 2022-02-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-12 | 2022-02-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-12 | 2022-02-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-01-12 | 2022-02-28 | 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 | 2022-01-12 | 2022-02-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-12 | 2022-02-28 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2022-01-12 | 2022-02-28 | 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 | 2022-01-12 | 2022-02-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-12 | 2022-02-28 | N |
| Respond appropriately to all alleged violations. | Health | 2019-06-04 | 2019-08-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-06-04 | 2019-08-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-04 | 2019-08-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-06-04 | 2019-08-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-06-04 | 2019-07-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-06-04 | 2019-07-31 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2019-06-04 | 2019-07-31 | N |
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