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Deficiency Records for Brentwood Nursing Home
A list of the most recent deficiencies for Brentwood Nursing 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 Brentwood Nursing 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-07-11 | 2024-08-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-07-11 | 2024-08-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-07-11 | 2024-08-10 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-07-11 | 2024-08-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-07-11 | 2024-08-10 | 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 | 2024-07-11 | 2024-08-10 | N |
| 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 | 2024-07-11 | 2024-08-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-11 | 2024-08-10 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-07-11 | 2024-08-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-11 | 2024-08-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-07-11 | 2024-08-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-07-11 | 2024-08-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-11 | 2024-08-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-07-11 | 2024-08-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-07-11 | 2024-08-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-06-06 | 2024-07-03 | 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 | 2023-10-16 | 2023-11-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-05 | 2023-11-04 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-22 | 2023-06-21 | 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 | 2023-05-22 | 2023-06-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-22 | 2023-06-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-22 | 2023-06-21 | 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 | 2023-05-22 | 2023-06-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-22 | 2023-06-21 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-05-22 | 2023-06-21 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2023-05-22 | 2023-06-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-05-17 | 2023-06-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-17 | 2023-06-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-17 | 2023-06-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-17 | 2023-06-15 | 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 | 2022-11-02 | 2022-12-02 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-10-12 | 2022-11-11 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-09-02 | 2022-10-02 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-06-14 | 2022-07-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-14 | 2022-07-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-06-14 | 2022-07-18 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-06-14 | 2022-07-18 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-06-14 | 2022-07-18 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-06-14 | 2022-07-18 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-06-14 | 2022-07-18 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-27 | 2022-05-27 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-27 | 2022-05-27 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-27 | 2022-05-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-27 | 2022-05-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-27 | 2022-05-27 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-27 | 2022-05-27 | Y |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2022-04-27 | 2022-05-27 | 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 | 2022-04-27 | 2022-05-27 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-27 | 2022-05-27 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-04-27 | 2022-05-27 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-04-27 | 2022-05-27 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2022-04-27 | 2022-05-27 | Y |
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