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Deficiency Records for Aria of Brookfield
A list of the most recent deficiencies for Aria of Brookfield. 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 Aria of Brookfield. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-09-09 | 2024-09-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-09 | 2024-09-26 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-07-16 | 2024-08-01 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-07-16 | 2024-08-01 | Y |
| 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 | 2024-07-16 | 2024-08-01 | 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 | 2024-07-16 | 2024-08-01 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-07-16 | 2024-08-01 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-07-16 | 2024-08-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-16 | 2024-08-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-16 | 2024-08-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-16 | 2024-08-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-07-16 | 2024-08-01 | Y |
| 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 | 2024-05-22 | 2024-08-01 | 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 | 2024-05-22 | 2024-08-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-22 | 2024-08-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-22 | 2024-08-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-22 | 2024-08-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-05-22 | 2024-08-01 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-05-22 | 2024-06-25 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2024-05-22 | 2024-06-25 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-05-22 | 2024-06-25 | 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 | 2024-05-22 | 2024-06-25 | 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 | 2024-05-22 | 2024-06-25 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-05-22 | 2024-06-25 | N |
| 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 | 2024-05-22 | 2024-06-25 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-05-22 | 2024-06-25 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-05-22 | 2024-06-25 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-05-22 | 2024-06-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-22 | 2024-06-25 | 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 | 2024-05-22 | 2024-06-25 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-05-22 | 2024-06-25 | Y |
| 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 | 2024-05-22 | 2024-06-25 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-22 | 2024-06-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-22 | 2024-06-25 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-05-22 | 2024-06-25 | 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 | 2024-05-22 | 2024-06-25 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-05-22 | 2024-06-25 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-05-22 | 2024-06-25 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-05-22 | 2024-06-25 | 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 | 2024-05-22 | 2024-06-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-22 | 2024-06-25 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-05-22 | 2024-06-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-05-22 | 2024-06-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-05-22 | 2024-06-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-05-22 | 2024-06-25 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-05-22 | 2024-06-25 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-05-22 | 2024-06-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-22 | 2024-06-24 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-05-22 | 2024-06-21 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-05-22 | 2024-06-21 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-05-22 | 2024-06-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-22 | 2024-06-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-05 | 2024-03-28 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-02-09 | 2024-03-09 | Y |
| 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 | 2024-01-05 | 2024-02-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-05 | 2024-02-05 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-01-05 | 2024-02-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-16 | 2023-11-08 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-10-16 | 2023-11-08 | Y |
| 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 | 2023-10-16 | 2023-11-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-16 | 2023-11-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-16 | 2023-11-08 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-10-16 | 2023-11-08 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-10-16 | 2023-11-08 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-10-16 | 2023-11-08 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-10-16 | 2023-11-08 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-16 | 2023-11-08 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-16 | 2023-11-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-16 | 2023-11-08 | 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 | 2023-05-12 | 2023-06-30 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-05-12 | 2023-06-30 | 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 | 2023-05-12 | 2023-06-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-12 | 2023-06-30 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-05-12 | 2023-06-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-12 | 2023-06-15 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-05-12 | 2023-06-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-12 | 2023-06-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-12 | 2023-06-10 | 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 | 2023-05-11 | 2023-06-07 | 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 | 2023-05-11 | 2023-06-07 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-05-11 | 2023-06-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-11 | 2023-06-07 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-11 | 2023-06-07 | 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 | 2023-05-11 | 2023-06-07 | Y |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-05-12 | 2023-05-12 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-04-03 | 2023-04-18 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-04-03 | 2023-04-18 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-03 | 2023-04-18 | Y |
| 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 | 2023-04-03 | 2023-04-18 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-04-03 | 2023-04-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-03 | 2023-04-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-04-03 | 2023-04-18 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-04-03 | 2023-04-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-03 | 2023-04-18 | 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 | 2023-04-03 | 2023-04-18 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-04-03 | 2023-04-18 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-04-03 | 2023-04-18 | 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 | 2023-04-03 | 2023-04-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-06 | 2023-04-03 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-12-06 | 2023-04-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-03 | 2023-02-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-06 | 2023-01-18 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-12-06 | 2023-01-18 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-06 | 2023-01-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-12-06 | 2023-01-18 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-12-06 | 2023-01-18 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-10-28 | 2022-11-18 | 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 | 2022-10-28 | 2022-11-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-10-28 | 2022-11-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-28 | 2022-11-18 | Y |
| Post nurse staffing information every day. | Health | 2022-10-28 | 2022-11-18 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-10-28 | 2022-11-18 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-28 | 2022-11-18 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2022-06-23 | 2022-07-22 | Y |
| 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 | 2022-06-23 | 2022-07-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-23 | 2022-07-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-06-23 | 2022-07-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-23 | 2022-07-20 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-23 | 2022-07-20 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-06-23 | 2022-07-20 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-01-26 | 2022-02-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-26 | 2022-02-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-27 | 2022-02-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-27 | 2022-02-21 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-01-27 | 2022-02-21 | 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 | 2022-01-27 | 2022-02-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-01-27 | 2022-02-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-01-27 | 2022-02-21 | 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 | 2022-01-27 | 2022-02-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-01-27 | 2022-02-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-27 | 2022-02-21 | 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 | 2022-01-27 | 2022-02-21 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-01-27 | 2022-02-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-27 | 2022-02-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-27 | 2022-02-21 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-01-26 | 2022-02-01 | N |
| Develop a communication plan. | Fire Safety | 2022-01-26 | 2022-02-01 | 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 | 2022-01-26 | 2022-02-01 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-01-26 | 2022-02-01 | 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 | 2022-01-26 | 2022-02-01 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-01-26 | 2022-02-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-01-26 | 2022-02-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-01-26 | 2022-02-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-01-26 | 2022-02-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-01-26 | 2022-02-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-01-26 | 2022-02-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-01-26 | 2022-02-01 | 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 | 2021-11-01 | 2021-11-18 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-11-01 | 2021-11-18 | 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 | 2021-11-01 | 2021-11-18 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-11-01 | 2021-11-02 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2021-11-01 | 2021-11-02 | Y |
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