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Deficiency Records for Briarcliff Skilled Nursing Facility

A list of the most recent deficiencies for Briarcliff Skilled Nursing Facility. 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 Briarcliff Skilled Nursing Facility. 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 special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2024-01-23 2024-02-29 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-01-23 2024-02-29 N
Ensure each resident receives an accurate assessment. Health 2023-12-13 2023-12-20 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2023-12-13 2023-12-20 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-12-13 2023-12-20 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-12-13 2023-12-20 N
Provide enough food/fluids to maintain a resident's health. Health 2023-12-13 2023-12-20 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-12-13 2023-12-20 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 2023-12-13 2023-12-20 N
Ensure medication error rates are not 5 percent or greater. Health 2023-12-13 2023-12-20 N
Provide and implement an infection prevention and control program. Health 2023-12-13 2023-12-20 N
Keep all essential equipment working safely. Health 2023-12-13 2023-12-20 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-11-13 2023-12-09 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-11-13 2023-12-09 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-10-26 2022-11-28 N
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 2022-10-26 2022-11-28 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-10-26 2022-11-26 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2022-10-26 2022-11-26 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-10-26 2022-11-26 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-10-26 2022-11-26 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2022-10-26 2022-11-26 N
Have an alternate power supply for its alarm system. Fire Safety 2022-11-22 2022-11-22 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-11-22 2022-11-22 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-08-24 2021-09-21 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-08-11 2021-08-12 N

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