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Deficiency Records for Bryan Healthcare and Rehabilitation
A list of the most recent deficiencies for Bryan Healthcare and Rehabilitation. 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 Bryan Healthcare and Rehabilitation. 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? |
|---|---|---|---|---|
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-08-29 | 2024-09-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-29 | 2024-09-12 | Y |
| 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 | 2024-08-29 | 2024-09-12 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-02 | 2024-07-18 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-07-02 | 2024-07-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-07-02 | 2024-07-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-29 | 2024-05-31 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2024-03-21 | 2024-03-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-21 | 2024-03-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-21 | 2024-03-29 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-03-19 | 2024-03-29 | 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 | 2024-03-19 | 2024-03-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-19 | 2024-03-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-03-19 | 2024-03-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-03-19 | 2024-03-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-19 | 2024-03-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-03-19 | 2024-03-29 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-03-19 | 2024-03-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-03-19 | 2024-03-29 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-02-08 | 2024-03-08 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-01-11 | 2024-03-08 | Y |
| 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 | 2024-01-11 | 2024-03-07 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-11 | 2024-03-07 | 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 | 2024-01-11 | 2024-03-07 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-01-11 | 2024-03-07 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2024-01-11 | 2024-03-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-11 | 2024-03-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-22 | 2023-12-08 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-11-22 | 2023-12-08 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-11-22 | 2023-11-14 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-09-27 | 2023-10-13 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-09-01 | 2023-10-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-01 | 2023-10-13 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-09-01 | 2023-10-13 | Y |
| 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 | 2023-09-01 | 2023-10-13 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-01 | 2023-10-13 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-01 | 2023-07-14 | Y |
| 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 | 2023-07-13 | 2023-07-14 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-06-12 | 2023-07-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-12 | 2023-07-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-12 | 2023-07-14 | Y |
| 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 | 2023-06-12 | 2023-07-14 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-02-16 | 2023-03-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-16 | 2023-03-15 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-02-16 | 2023-03-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-16 | 2023-03-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-13 | 2023-03-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-13 | 2023-03-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-08 | 2022-12-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-19 | 2022-12-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-19 | 2022-12-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-08 | 2022-12-21 | Y |
| 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 | 2022-11-08 | 2022-12-21 | 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 | 2022-11-08 | 2022-12-21 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-11-08 | 2022-12-21 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-11-08 | 2022-12-21 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-11-08 | 2022-12-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-11-08 | 2022-12-21 | 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 | 2022-10-13 | 2022-12-21 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-10-13 | 2022-12-21 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-13 | 2022-12-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-23 | 2022-12-21 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-09-23 | 2022-12-21 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-16 | 2022-12-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-16 | 2022-12-21 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-07-20 | 2022-12-21 | Y |
| 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 | 2022-07-20 | 2022-12-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-20 | 2022-12-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-20 | 2022-12-21 | Y |
| 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 | 2022-07-20 | 2022-12-21 | 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 | 2022-07-20 | 2022-12-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-20 | 2022-12-21 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-07-20 | 2022-12-21 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-07-20 | 2022-12-21 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-04-11 | 2022-05-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-11 | 2022-05-24 | N |
| Respond appropriately to all alleged violations. | Health | 2022-04-11 | 2022-05-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-11 | 2022-05-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-04-11 | 2022-05-24 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-04-11 | 2022-05-24 | N |
| Provide or obtain dental services for each resident. | Health | 2022-04-11 | 2022-05-24 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-04-11 | 2022-05-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-11 | 2022-05-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-11 | 2022-05-24 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-04-11 | 2022-05-24 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-04-11 | 2022-05-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-11 | 2022-05-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-11 | 2022-05-24 | Y |
| 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 | 2022-04-11 | 2022-05-24 | 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 | 2022-04-11 | 2022-05-24 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-11 | 2022-05-24 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-04-11 | 2022-05-24 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-04-11 | 2022-05-24 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-06 | 2022-05-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-06 | 2022-05-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-04-06 | 2022-05-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-04-06 | 2022-05-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-04-06 | 2022-05-24 | 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 | 2019-11-21 | 2019-12-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-11-21 | 2019-12-20 | 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 | 2019-11-21 | 2019-12-20 | N |
| Provide activities to meet all resident's needs. | Health | 2019-11-21 | 2019-12-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-21 | 2019-12-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-11-21 | 2019-12-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-21 | 2019-12-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-11-21 | 2019-12-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-11-19 | 2019-12-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-19 | 2019-12-20 | N |
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