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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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