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Deficiency Records for Focused Care at Brenham

A list of the most recent deficiencies for Focused Care at Brenham. 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 Focused Care at Brenham. 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?
Keep residents' personal and medical records private and confidential. Health 2024-07-01 2024-07-26 Y
List the names and contact information of those in the facility. Fire Safety 2024-03-01 2024-03-25 N
Establish staff and initial training requirements. Fire Safety 2024-03-01 2024-03-25 N
Conduct testing and exercise requirements. Fire Safety 2024-03-01 2024-03-25 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 2024-03-01 2024-03-25 N
Have properly located and lighted "Exit" signs. Fire Safety 2024-03-01 2024-03-25 N
Install an approved automatic sprinkler system. Fire Safety 2024-03-01 2024-03-25 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-03-01 2024-03-25 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-03-01 2024-03-25 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-12-15 2024-01-12 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-12-15 2024-01-12 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-12-15 2024-01-12 Y
Respond appropriately to all alleged violations. Health 2023-12-15 2024-01-12 Y
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2023-06-29 2023-07-06 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-06-29 2023-07-06 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-06-29 2023-07-06 N
Dispose of garbage and refuse properly. Health 2023-06-29 2023-07-06 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-06-09 2023-06-09 Y
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 2023-06-09 2023-06-09 Y
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2023-02-28 2023-02-28 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-02-28 2023-02-28 Y
Provide properly protected cooking facilities. Fire Safety 2022-12-22 2023-01-13 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-12-22 2023-01-13 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-12-22 2023-01-13 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2022-12-13 2022-12-13 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-11-08 2022-11-09 Y
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2022-05-12 2022-05-13 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 2022-05-12 2022-05-13 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-05-12 2022-05-13 N
Provide activities to meet all resident's needs. Health 2022-05-12 2022-05-13 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-05-12 2022-05-13 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2022-05-12 2022-05-13 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 2022-05-12 2022-05-13 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-05-12 2022-05-13 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 2020-02-20 2020-03-18 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2020-02-20 2020-03-18 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2020-02-20 2020-03-18 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2020-02-20 2020-03-18 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 2020-02-20 2020-03-18 N
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2020-02-20 2020-03-18 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2020-02-20 2020-03-18 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2020-02-20 2020-03-18 N
Have an alternate power supply for its alarm system. Fire Safety 2020-02-20 2020-03-18 N
Have simulated fire drills held at unexpected times. Fire Safety 2020-02-20 2020-03-18 N

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