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Deficiency Records for Benbrook Nursing and Rehabilitation Center

A list of the most recent deficiencies for Benbrook Nursing and Rehabilitation Center. 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 Benbrook Nursing and Rehabilitation Center. 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?
Give the resident's representative the ability to exercise the resident's rights. Health 2024-08-08 2024-09-09 N
Reasonably accommodate the needs and preferences of each resident. Health 2024-08-08 2024-09-09 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2024-08-08 2024-09-09 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-08-08 2024-09-09 N
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 2024-08-08 2024-09-09 N
Dispose of garbage and refuse properly. Health 2024-08-08 2024-09-09 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-08-08 2024-09-09 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 2024-08-08 2024-09-09 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-08-08 2024-09-09 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-08-08 2024-09-09 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-08-08 2024-09-09 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 2024-01-23 2024-01-24 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-01-23 2024-01-24 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-12-07 2023-12-08 Y
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2023-11-16 2023-11-17 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-11-16 2023-11-17 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-08-23 2023-08-24 Y
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2023-06-22 2023-07-21 N
List the names and contact information of those in the facility. Fire Safety 2023-06-21 2023-07-21 N
Establish staff and initial training requirements. Fire Safety 2023-06-21 2023-07-21 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 2023-06-21 2023-07-21 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 2023-06-21 2023-07-21 N
Install an approved automatic sprinkler system. Fire Safety 2023-06-21 2023-07-21 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-06-21 2023-07-21 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-06-21 2023-07-21 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-06-21 2023-07-21 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-06-21 2023-07-21 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-06-21 2023-07-21 N
Have proper medical gas storage and administration areas. Fire Safety 2023-06-21 2023-07-21 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-06-21 2023-06-22 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2023-04-06 2023-04-07 Y
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. Health 2023-01-20 2023-02-10 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 2023-01-20 2023-02-10 Y
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2022-12-30 2023-01-15 Y
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2022-12-30 2023-01-15 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-12-30 2023-01-15 Y
Respond appropriately to all alleged violations. Health 2022-12-11 2022-12-12 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-12-11 2022-12-12 Y
Reasonably accommodate the needs and preferences of each resident. Health 2022-10-27 2022-11-25 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-10-27 2022-11-25 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-10-06 2022-11-01 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-10-06 2022-11-01 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-10-06 2022-11-01 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 2022-10-06 2022-11-01 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-09-28 2022-10-14 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-09-15 2022-10-07 Y
Provide properly protected cooking facilities. Fire Safety 2022-05-19 2022-05-23 N
Have an alternate power supply for its alarm system. Fire Safety 2022-05-19 2022-05-23 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-05-19 2022-05-23 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-05-19 2022-05-23 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-05-19 2022-05-23 N
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 2022-05-18 2022-05-19 N
Post nurse staffing information every day. Health 2022-05-18 2022-05-19 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 2022-05-18 2022-05-19 N
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Health 2022-05-18 2022-05-19 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-05-18 2022-05-19 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-04-13 2022-05-06 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-03-22 2022-04-11 Y
Provide routine and 24-hour emergency dental care for each resident. Health 2022-03-18 2022-04-03 Y
Provide and implement an infection prevention and control program. Health 2022-01-24 2022-02-24 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-10-26 2021-11-18 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-10-14 2021-11-01 Y

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