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Deficiency Records for Brighton Rehabilitation and Wellness Center
A list of the most recent deficiencies for Brighton Rehabilitation and Wellness Center. 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 Brighton Rehabilitation and Wellness Center. 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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-09-25 | 2024-10-08 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-09-04 | 2024-09-20 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2024-09-04 | 2024-09-20 | 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 | 2024-09-04 | 2024-09-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-04 | 2024-09-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-02 | 2024-08-02 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-07-02 | 2024-08-02 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-07-02 | 2024-08-02 | 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 | 2024-07-02 | 2024-08-02 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-02 | 2024-08-02 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2024-07-02 | 2024-08-02 | Y |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2024-07-02 | 2024-08-02 | 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 | 2024-06-12 | 2024-06-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-13 | 2024-05-27 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-04-10 | 2024-05-08 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-03-13 | 2024-05-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-03-13 | 2024-05-08 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-03-13 | 2024-05-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-13 | 2024-05-08 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-03-13 | 2024-05-08 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-03-13 | 2024-05-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-13 | 2024-05-08 | N |
| Respond appropriately to all alleged violations. | Health | 2024-03-13 | 2024-05-08 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-03-13 | 2024-05-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-13 | 2024-05-08 | 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 | 2024-03-13 | 2024-05-08 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2024-03-13 | 2024-05-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-13 | 2024-05-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-13 | 2024-05-08 | 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 | 2024-03-13 | 2024-05-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-03-13 | 2024-05-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-13 | 2024-05-08 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-03-13 | 2024-05-08 | 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 | 2024-03-13 | 2024-05-08 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-03-13 | 2024-05-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-13 | 2024-05-08 | N |
| Dispose of garbage and refuse properly. | Health | 2024-03-13 | 2024-05-08 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-03-13 | 2024-05-08 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2024-03-13 | 2024-05-08 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2024-03-13 | 2024-05-08 | 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 | 2024-03-13 | 2024-05-08 | 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 | 2024-03-13 | 2024-05-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-03-13 | 2024-05-08 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2024-03-06 | 2024-04-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-03-06 | 2024-04-16 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2024-03-06 | 2024-04-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-03-06 | 2024-04-16 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-03-06 | 2024-04-16 | 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 | 2024-03-06 | 2024-04-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-06 | 2024-04-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-06 | 2024-04-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-03-06 | 2024-04-16 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-03-06 | 2024-04-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-06 | 2024-04-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-03-06 | 2024-04-16 | 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 | 2023-11-28 | 2023-12-27 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-11-28 | 2023-12-27 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-11-28 | 2023-12-27 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-28 | 2023-12-27 | Y |
| Keep all essential equipment working safely. | Health | 2023-11-28 | 2023-12-27 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-11-28 | 2023-12-27 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-10-19 | 2023-11-15 | 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 | 2023-10-19 | 2023-11-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-19 | 2023-11-15 | 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 | 2023-10-19 | 2023-11-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-19 | 2023-11-15 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-08-22 | 2023-09-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-22 | 2023-09-27 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-08-22 | 2023-09-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-06 | 2023-09-25 | Y |
| Report COVID19 data to residents and families. | Health | 2023-09-06 | 2023-09-25 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-09-06 | 2023-09-25 | 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 | 2023-05-01 | 2023-05-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-01 | 2023-05-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-31 | 2023-05-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-31 | 2023-05-11 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-31 | 2023-05-11 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2023-02-14 | 2023-03-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-02-14 | 2023-03-15 | 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 | 2023-02-14 | 2023-03-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-14 | 2023-03-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-14 | 2023-03-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-14 | 2023-03-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-02-14 | 2023-03-15 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-02-14 | 2023-03-15 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-02-14 | 2023-03-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-14 | 2023-03-15 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-02-07 | 2023-02-22 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-12-19 | 2023-01-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-26 | 2022-11-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-25 | 2022-05-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-25 | 2022-05-03 | 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 | 2022-03-25 | 2022-05-03 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2022-04-06 | 2022-05-03 | N |
| Use approved construction type or materials. | Fire Safety | 2022-04-06 | 2022-05-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-04-06 | 2022-05-03 | 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 | 2022-04-06 | 2022-05-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-06 | 2022-05-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-06 | 2022-05-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-06 | 2022-05-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-06 | 2022-05-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-04-06 | 2022-05-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-04-06 | 2022-05-03 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-04-06 | 2022-05-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-06 | 2022-05-03 | N |
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