Deficiency Records for Brookridge Cove Rehabilitation and Care Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Brookridge Cove Rehabilitation and Care 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? |
---|---|---|---|---|
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-02-17 | 2023-03-17 | N |
The resident has the right to receive notices in a format and a language he or she understands. | Health | 2023-02-17 | 2023-03-17 | N |
Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-02-17 | 2023-03-17 | N |
Keep residents' personal and medical records private and confidential. | Health | 2023-02-17 | 2023-03-17 | N |
Ensure each resident receives an accurate assessment. | Health | 2023-02-17 | 2023-03-17 | 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 | 2023-02-17 | 2023-03-17 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-17 | 2023-03-17 | N |
Provide appropriate foot care. | Health | 2023-02-17 | 2023-03-17 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-17 | 2023-03-17 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-17 | 2023-03-17 | 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 | 2023-02-17 | 2023-03-17 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-17 | 2023-03-17 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-17 | 2023-03-17 | Y |
Respond appropriately to all alleged violations. | Health | 2023-02-17 | 2023-03-17 | Y |
Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-02-14 | 2023-03-17 | N |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-02-17 | 2023-02-17 | N |
Ensure staff are vaccinated for COVID-19 | Health | 2023-02-17 | 2023-02-17 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-20 | 2021-08-31 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-20 | 2021-08-31 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-20 | 2021-08-31 | 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 | 2021-08-20 | 2021-08-31 | 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 | 2021-08-20 | 2021-08-31 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-08-20 | 2021-08-31 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-20 | 2021-08-31 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-08-16 | 2021-08-31 | 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 | 2021-08-16 | 2021-08-31 | N |
Ensure each resident receives an accurate assessment. | Health | 2021-08-20 | 2021-08-20 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-21 | 2020-03-10 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2020-02-21 | 2020-03-10 | 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 | 2020-02-21 | 2020-03-10 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-21 | 2020-03-10 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-21 | 2020-03-10 | N |
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2020-02-21 | 2020-03-10 | N |
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2020-02-21 | 2020-03-10 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-21 | 2020-03-10 | N |
Provide and implement an infection prevention and control program. | Health | 2020-02-21 | 2020-03-10 | 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 | 2020-02-19 | 2020-03-10 | N |
Provide properly protected cooking facilities. | Fire Safety | 2020-02-19 | 2020-03-10 | N |
Have an alternate power supply for its alarm system. | Fire Safety | 2020-02-19 | 2020-03-10 | N |