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Deficiency Records for Brookhaven Nursing and Rehabilitation Center
A list of the most recent deficiencies for Brookhaven Nursing and Rehabilitation 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 Brookhaven Nursing and Rehabilitation 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 | 2024-06-06 | 2024-07-19 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-06-06 | 2024-07-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-06 | 2024-07-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-06 | 2024-07-19 | 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 | 2024-06-06 | 2024-07-19 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-06-06 | 2024-07-19 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-06 | 2024-07-19 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-06 | 2024-07-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-06-06 | 2024-07-19 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-06-07 | 2024-07-19 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-06-07 | 2024-07-19 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-06-07 | 2024-07-19 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-06-07 | 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 | 2024-06-07 | 2024-07-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-06-07 | 2024-07-19 | 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 | 2024-06-07 | 2024-07-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-06-07 | 2024-07-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-07 | 2024-07-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-07 | 2024-07-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-06-07 | 2024-07-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-07 | 2024-07-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-06-07 | 2024-07-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-06-07 | 2024-07-19 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-06-07 | 2024-07-19 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2024-06-07 | 2024-07-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-07 | 2024-07-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-30 | 2024-03-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-30 | 2024-03-01 | 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 | 2024-01-30 | 2024-03-01 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-12-29 | 2024-01-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-29 | 2023-11-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-17 | 2023-08-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-25 | 2023-06-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-25 | 2023-06-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-09 | 2023-05-18 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-05-02 | 2023-05-16 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-05-02 | 2023-05-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-05-02 | 2023-05-16 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2023-05-02 | 2023-05-16 | 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 | 2023-04-25 | 2023-05-06 | N |
| Provide appropriate foot care. | Health | 2023-04-25 | 2023-05-06 | 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 | 2023-04-25 | 2023-05-06 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-04-25 | 2023-05-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-25 | 2023-05-06 | N |
| Post nurse staffing information every day. | Health | 2023-04-25 | 2023-05-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-25 | 2023-05-06 | 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 | 2023-04-25 | 2023-05-06 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2022-12-30 | 2022-12-31 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-30 | 2022-12-31 | Y |
| 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 | 2022-03-02 | 2022-03-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-03-02 | 2022-03-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-03-02 | 2022-03-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-02 | 2022-03-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-03-02 | 2022-03-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-03-02 | 2022-03-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-02 | 2022-03-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-02 | 2022-03-30 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-03-02 | 2022-03-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-02 | 2022-03-30 | 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 | 2022-03-02 | 2022-03-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-03-02 | 2022-03-25 | N |
| Provide or obtain dental services for each resident. | Health | 2022-03-02 | 2022-03-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-02 | 2022-03-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-02 | 2022-03-25 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2022-03-02 | 2022-03-25 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-02-01 | 2022-02-11 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-08-30 | Not Fixed | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-08-30 | Not Fixed | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-30 | Not Fixed | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-08-30 | Not Fixed | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-30 | Not Fixed | Y |
| Provide appropriate foot care. | Health | 2024-08-30 | Not Fixed | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-30 | Not Fixed | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-30 | Not Fixed | Y |
| Provide or obtain dental services for each resident. | Health | 2024-08-30 | Not Fixed | Y |
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