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Deficiency Records for Briarwood The
A list of the most recent deficiencies for Briarwood The. 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 Briarwood The. 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 safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-04-17 | 2024-05-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-17 | 2024-05-03 | 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 | 2024-04-17 | 2024-05-03 | 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 | 2024-04-17 | 2024-05-03 | Y |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2024-04-17 | 2024-05-03 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-17 | 2024-05-03 | 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 | 2023-08-21 | 2023-10-06 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-08-21 | 2023-10-06 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-21 | 2023-10-06 | N |
| Keep all essential equipment working safely. | Health | 2023-08-21 | 2023-10-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-21 | 2023-10-06 | 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 | 2023-08-15 | 2023-10-06 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-08-15 | 2023-10-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-08-15 | 2023-10-06 | 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 | 2023-08-15 | 2023-10-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-15 | 2023-10-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-15 | 2023-10-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-15 | 2023-10-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-15 | 2023-10-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-08-15 | 2023-10-06 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-08-15 | 2023-10-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-15 | 2023-10-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-12 | 2023-04-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-12 | 2023-04-21 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-01-13 | 2023-01-27 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-18 | 2022-02-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-18 | 2022-02-11 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-10-14 | 2021-11-18 | N |
| Keep all essential equipment working safely. | Health | 2021-10-14 | 2021-11-18 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-10-22 | 2021-11-18 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2021-10-13 | 2021-11-18 | 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 | 2021-10-13 | 2021-11-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-13 | 2021-11-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-10-13 | 2021-11-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-10-13 | 2021-11-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-10-13 | 2021-11-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-10-13 | 2021-11-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-13 | 2021-11-18 | 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 | 2021-10-14 | 2021-11-11 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-02-14 | 2019-04-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-02-14 | 2019-04-10 | 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 | 2019-02-14 | 2019-04-10 | N |
| Respond appropriately to all alleged violations. | Health | 2019-02-14 | 2019-04-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-02-14 | 2019-04-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-14 | 2019-04-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-14 | 2019-04-10 | 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 | 2019-02-14 | 2019-04-10 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-02-14 | 2019-04-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-14 | 2019-04-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-02-14 | 2019-04-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-14 | 2019-04-10 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-02-12 | 2019-04-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-02-12 | 2019-04-10 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-02-12 | 2019-04-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-02-12 | 2019-04-10 | 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 | 2019-02-12 | 2019-04-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-02-12 | 2019-04-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-02-12 | 2019-04-10 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-02-12 | 2019-04-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-12 | 2019-04-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-12 | 2019-04-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-02-12 | 2019-04-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-02-12 | 2019-04-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-02-12 | 2019-04-10 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-02-12 | 2019-04-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-02-12 | 2019-04-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-02-12 | 2019-04-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-02-12 | 2019-04-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-02-12 | 2019-04-10 | N |
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