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Deficiency Records for Brooklyn United Methodist Church Home
A list of the most recent deficiencies for Brooklyn United Methodist Church Home. 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 United Methodist Church Home. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-06 | 2024-03-03 | Y |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2023-09-29 | 2023-11-23 | N |
| Use approved construction type or materials. | Fire Safety | 2023-09-29 | 2023-11-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-29 | 2023-11-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-09-29 | 2023-11-23 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2023-09-29 | 2023-11-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-29 | 2023-11-23 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-09-18 | 2023-11-10 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2023-09-18 | 2023-11-10 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-09-18 | 2023-11-10 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-09-18 | 2023-11-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-18 | 2023-11-10 | 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 | 2023-09-18 | 2023-11-10 | N |
| Post nurse staffing information every day. | Health | 2023-09-18 | 2023-11-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-18 | 2023-11-10 | 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 | 2023-09-18 | 2023-11-10 | N |
| Provide or obtain dental services for each resident. | Health | 2023-09-18 | 2023-11-10 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-09-18 | 2023-11-10 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-09-18 | 2023-11-10 | 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 | 2023-09-18 | 2023-11-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-18 | 2023-11-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-09-18 | 2023-11-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-18 | 2023-11-10 | 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 | 2023-09-18 | 2023-11-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-18 | 2023-11-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-18 | 2023-11-10 | 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 | 2023-09-18 | 2023-11-10 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-09-18 | 2023-11-10 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-01-25 | 2022-03-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-25 | 2022-03-25 | 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 | 2022-01-25 | 2022-03-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-25 | 2022-03-15 | 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 | 2022-01-25 | 2022-03-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-25 | 2022-03-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-25 | 2022-03-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-25 | 2022-03-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-13 | 2019-07-31 | 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 | 2019-06-13 | 2019-07-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-06-13 | 2019-07-31 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-06-13 | 2019-07-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-06-13 | 2019-07-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-13 | 2019-07-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-06-13 | 2019-07-31 | N |
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