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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? |
---|---|---|---|---|
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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