Deficiency Records for Brookshire Healthcare Center
Updated as of September 01, 2023
This is not the most recent data for Brookshire Healthcare Center. For the most recent information, click here.
A list of the most recent deficiencies for Brookshire Healthcare 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? |
---|---|---|---|---|
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-03-17 | 2022-04-19 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-03-17 | 2022-04-19 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-17 | 2022-04-19 | 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 | 2022-03-17 | 2022-04-19 | 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 | 2022-03-17 | 2022-04-19 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2022-03-23 | 2022-04-04 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-23 | 2022-04-04 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-03-23 | 2022-04-04 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-03-23 | 2022-04-04 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-03-23 | 2022-04-04 | N |
Provide and implement an infection prevention and control program. | Health | 2021-01-06 | 2021-01-29 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2019-05-30 | 2019-06-28 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-05-21 | 2019-06-22 | N |
Provide and implement an infection prevention and control program. | Health | 2019-05-21 | 2019-06-22 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2019-05-30 | 2019-06-10 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-05-30 | 2019-05-30 | 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 | 2018-05-30 | 2018-06-30 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-05-30 | 2018-06-30 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-24 | 2018-06-23 | N |