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Deficiency Records for Southbrooke Manor Nursing and Rehabilitation Cente
A list of the most recent deficiencies for Southbrooke Manor Nursing and Rehabilitation Cente. 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 Southbrooke Manor Nursing and Rehabilitation Cente. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-05 | 2024-05-06 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-27 | 2023-09-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-22 | 2023-09-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-22 | 2023-09-25 | 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 | 2023-09-22 | 2023-09-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-31 | 2023-09-04 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-07-29 | 2022-08-20 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-07-29 | 2022-08-20 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-07-29 | 2022-08-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-29 | 2022-08-20 | 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 | 2022-07-29 | 2022-08-20 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-29 | 2022-08-20 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-29 | 2022-08-20 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-06-17 | 2022-06-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-17 | 2021-11-18 | Y |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2021-05-26 | 2021-06-18 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-05-26 | 2021-06-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-26 | 2021-06-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-26 | 2021-06-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-25 | 2021-06-18 | N |
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