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Deficiency Records for Brush Country Nursing and Rehabilitation

A list of the most recent deficiencies for Brush Country Nursing and Rehabilitation. 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 Brush Country Nursing and Rehabilitation. 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?
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 2024-04-15 2024-05-16 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-04-15 2024-05-16 Y
Develop a communication plan. Fire Safety 2024-04-10 2024-05-16 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 2024-04-10 2024-05-16 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-04-10 2024-05-16 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-04-10 2024-05-16 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-04-10 2024-05-16 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-04-10 2024-05-16 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-04-10 2024-05-16 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-04-10 2024-05-16 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 2024-02-26 2024-04-05 Y
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Health 2024-03-05 2024-03-18 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 2023-09-28 2023-10-09 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 2023-06-15 2023-06-23 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-06-15 2023-06-23 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-06-15 2023-06-23 N
Provide and implement an infection prevention and control program. Health 2023-06-15 2023-06-23 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 2023-06-15 2023-06-23 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-06-15 2023-06-23 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-04-18 2023-04-24 Y
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2023-04-18 2023-04-24 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-02-11 2023-02-20 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-08-17 2022-08-22 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 2022-08-17 2022-08-22 Y
Install an approved automatic sprinkler system. Fire Safety 2022-05-11 2022-06-24 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-05-11 2022-06-24 N
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Health 2022-06-08 2022-06-20 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2022-04-22 2022-04-28 Y
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2022-04-22 2022-04-28 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2022-04-22 2022-04-28 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-04-22 2022-04-28 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 2022-04-22 2022-04-28 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-04-22 2022-04-28 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-04-22 2022-04-28 Y
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2022-01-13 2022-01-25 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-01-13 2022-01-25 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-10-01 2021-10-08 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2021-10-01 2021-10-08 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-09-05 2019-10-18 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2019-09-05 2019-10-18 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-09-05 2019-10-18 N
Provide appropriate foot care. Health 2019-09-05 2019-10-18 N
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2019-09-05 2019-10-18 N
Provide and implement an infection prevention and control program. Health 2019-09-05 2019-10-18 N
Establish policies and procedures including evacuation. Fire Safety 2019-09-04 2019-09-27 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-09-04 2019-09-27 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-09-04 2019-09-27 N

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