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Deficiency Records for Brandon Oaks Nursing and Rehabilitation Center
A list of the most recent deficiencies for Brandon Oaks 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 Brandon Oaks 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? |
|---|---|---|---|---|
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-02-12 | 2024-02-26 | N |
| Meet other general requirements. | Fire Safety | 2024-02-12 | 2024-02-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-09-08 | 2023-11-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-08 | 2023-11-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-08 | 2023-11-08 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-09-08 | 2021-11-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-09-08 | 2021-11-23 | 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 | 2021-09-08 | 2021-10-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-09-08 | 2021-10-27 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-09-08 | 2021-10-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-09-08 | 2021-10-27 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2021-09-08 | 2021-10-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-08 | 2021-10-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-08 | 2021-10-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-09-08 | 2021-10-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-09-08 | 2021-10-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-24 | 2021-09-24 | 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 | 2021-08-24 | 2021-09-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-24 | 2021-09-24 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2020-03-04 | 2020-10-06 | 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 | 2020-03-04 | 2020-10-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-03-04 | 2020-10-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-03-04 | 2020-10-06 | 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 | 2020-03-04 | 2020-10-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-03-04 | 2020-10-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-03-04 | 2020-10-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-03-04 | 2020-10-06 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2020-02-27 | 2020-04-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-02-27 | 2020-04-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-27 | 2020-04-10 | 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 | 2020-02-27 | 2020-04-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-27 | 2020-04-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-27 | 2020-04-10 | N |
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