Deficiency Records for Brookside Care Center
Updated as of February 01, 2022
This is not the most recent data for Brookside Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Brookside 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-09-23 | 2021-10-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-23 | 2021-10-23 | Y |
| Provide appropriate foot care. | Health | 2021-09-23 | 2021-10-23 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-09-30 | 2021-10-13 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2021-08-19 | 2021-10-09 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2021-09-15 | 2021-09-28 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-08-12 | 2021-09-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-12 | 2021-09-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-12 | 2021-09-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-09 | 2021-09-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-07 | 2021-06-07 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-01-28 | 2021-03-02 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-09-14 | 2020-09-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-09-09 | 2020-09-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-04-22 | 2020-05-11 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-19 | 2020-04-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-04 | 2020-03-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-24 | 2020-03-18 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2020-02-24 | 2020-03-18 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-11 | 2020-03-03 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2020-02-11 | 2020-03-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-02-04 | 2020-02-20 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-04 | 2020-02-20 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2019-12-10 | 2020-01-02 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-09 | 2020-01-02 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-12-09 | 2020-01-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-09 | 2020-01-02 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2019-11-13 | 2019-12-02 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-11-13 | 2019-12-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-11-13 | 2019-12-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-11-13 | 2019-12-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-11-13 | 2019-12-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-13 | 2019-12-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-13 | 2019-12-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-13 | 2019-12-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-11-13 | 2019-12-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-11-13 | 2019-12-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-11-13 | 2019-12-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-13 | 2019-12-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-13 | 2019-12-02 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-10-08 | 2019-11-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-08 | 2019-11-07 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-10-08 | 2019-11-07 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-10-08 | 2019-11-07 | 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 | 2019-10-08 | 2019-11-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-08 | 2019-11-07 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-10-08 | 2019-11-07 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-10-08 | 2019-11-07 | 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 | 2019-10-08 | 2019-11-07 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-10-08 | 2019-11-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-08 | 2019-11-07 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-10-08 | 2019-11-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-10-08 | 2019-11-07 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-10-08 | 2019-11-07 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-10-08 | 2019-11-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-08 | 2019-11-07 | N |
| Dispose of garbage and refuse properly. | Health | 2019-10-08 | 2019-11-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-10-08 | 2019-11-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-08 | 2019-11-07 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-10-08 | 2019-11-07 | N |
| Keep all essential equipment working safely. | Health | 2019-10-01 | 2019-10-16 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-09-30 | 2019-10-16 | Y |
| 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 | 2019-09-30 | 2019-10-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-09-30 | 2019-10-16 | 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 | 2019-04-22 | 2019-05-20 | Y |
| Help the resident make transportation arrangements to and from radiology services. | Health | 2019-04-22 | 2019-05-20 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-12-12 | 2019-01-02 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-12-12 | 2019-01-02 | N |
| Develop a communication plan. | Fire Safety | 2018-12-12 | 2019-01-02 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-12-12 | 2019-01-02 | N |
| Use approved construction type or materials. | Fire Safety | 2018-12-12 | 2019-01-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-12-12 | 2019-01-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-12-12 | 2019-01-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-12 | 2019-01-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-12-12 | 2019-01-02 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-12-12 | 2019-01-02 | N |
| Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly. | Fire Safety | 2018-12-12 | 2019-01-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-12-12 | 2019-01-02 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2018-12-12 | 2019-01-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-12-12 | 2019-01-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-12-12 | 2019-01-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-12-12 | 2019-01-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-10-05 | 2018-11-13 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-10-05 | 2018-11-13 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-10-05 | 2018-11-13 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-10-05 | 2018-11-13 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2018-10-05 | 2018-11-13 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-05 | 2018-11-13 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-10-05 | 2018-11-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-05 | 2018-11-13 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-10-05 | 2018-11-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-05 | 2018-11-13 | 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 | 2018-10-05 | 2018-11-13 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-10-05 | 2018-11-13 | N |
| Post nurse staffing information every day. | Health | 2018-10-05 | 2018-11-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-10-05 | 2018-11-13 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-10-05 | 2018-11-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-10-05 | 2018-11-13 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-10-05 | 2018-11-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-05 | 2018-11-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-11-29 | 2018-01-08 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-11-29 | 2018-01-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-11-29 | 2018-01-08 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-11-29 | 2018-01-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-11-29 | 2018-01-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-11-29 | 2018-01-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-11-29 | 2018-01-08 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-11-17 | 2017-12-20 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-11-17 | 2017-12-20 | N |
| Dispose of garbage and refuse properly. | Health | 2017-11-17 | 2017-12-20 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-11-17 | 2017-12-20 | N |
