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Deficiency Records for Brightwater Skilled Nursing Center

A list of the most recent deficiencies for Brightwater Skilled Nursing 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 Brightwater Skilled Nursing 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?
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-09-13 2023-10-18 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-09-13 2023-10-18 Y
Respond appropriately to all alleged violations. Health 2022-01-06 2022-01-28 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-01-06 2022-01-28 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 2022-01-06 2022-01-28 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 2022-01-06 2022-01-28 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2022-01-06 2022-01-28 N
Provide and implement an infection prevention and control program. Health 2022-01-06 2022-01-28 N
Perform COVID19 testing on residents and staff. Health 2022-01-06 2022-01-28 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2022-01-04 2022-01-21 N
Meet other general requirements that are deficient. Fire Safety 2022-01-04 2022-01-20 N
Ensure each resident receives an accurate assessment. Health 2020-10-08 2020-11-04 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2020-10-08 2020-11-04 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2020-10-05 2020-10-07 N

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