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Deficiency Records for Briarwood Community Living Center
A list of the most recent deficiencies for Briarwood Community Living 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 Briarwood Community Living 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-01 | 2024-07-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-01 | 2024-07-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-07-03 | 2024-07-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-03 | 2024-07-19 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-07-03 | 2024-07-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-03 | 2024-07-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-03 | 2024-07-19 | 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 | 2024-07-01 | 2024-07-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-01 | 2024-07-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-07-01 | 2024-07-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-07-01 | 2024-07-17 | 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 | 2024-07-01 | 2024-07-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-01 | 2024-07-08 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-03-06 | 2024-03-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-06 | 2024-03-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-03-06 | 2024-03-18 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-06-05 | 2023-07-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-06-05 | 2023-07-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-06-05 | 2023-07-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-07 | 2023-06-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-07 | 2023-06-23 | 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 | 2022-06-02 | 2022-07-08 | 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 | 2022-06-02 | 2022-07-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-02 | 2022-07-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-02 | 2022-07-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-02 | 2022-06-20 | N |
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