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Deficiency Records for Brady West Rehab and Nursing

A list of the most recent deficiencies for Brady West Rehab and Nursing. 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 Brady West Rehab and Nursing. 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?
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2024-04-12 2024-05-06 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-04-12 2024-05-06 Y
Keep all essential equipment working safely. Health 2024-04-12 2024-05-06 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-03-21 2024-04-11 Y
Provide and implement an infection prevention and control program. Health 2024-03-14 2024-04-04 Y
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2024-02-29 2024-03-18 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-12-07 2024-01-15 Y
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2023-12-07 2024-01-05 Y
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Health 2023-12-07 2024-01-05 Y
Have simulated fire drills held at unexpected times. Fire Safety 2023-08-24 2023-09-20 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-08-24 2023-09-14 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-08-24 2023-09-14 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2023-07-13 2023-08-15 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 2023-07-13 2023-08-15 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-07-13 2023-08-15 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 2023-07-13 2023-08-15 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-07-27 2022-08-09 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-07-27 2022-08-09 N
Ensure resident rooms meet each resident's needs. Health 2022-06-16 2022-07-26 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-06-16 2022-07-26 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-05-16 2022-06-16 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 2021-04-01 2021-04-30 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-04-01 2021-04-30 N
Provide and implement an infection prevention and control program. Health 2021-04-01 2021-04-30 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-04-01 Not Fixed N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2021-04-01 Not Fixed N

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