A list of the most recent deficiencies for Brighton Post Acute. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-03 | 2023-12-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-19 | 2023-07-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-01-18 | 2023-02-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-12-06 | 2020-02-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-12-06 | 2020-02-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-06 | 2020-02-07 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-12-06 | 2020-02-07 | 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 | 2019-12-06 | 2020-02-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-06 | 2020-02-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-12-06 | 2020-02-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-06 | 2020-02-07 | N |
| Keep all essential equipment working safely. | Health | 2019-12-06 | 2020-02-07 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-12-06 | 2020-02-07 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-12-26 | 2020-01-14 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-12-26 | 2020-01-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-12-26 | 2020-01-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-12-26 | 2020-01-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-26 | 2020-01-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-12-26 | 2020-01-14 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2019-12-26 | 2020-01-14 | N |
| 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 | 2019-02-08 | 2019-03-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-02-08 | 2019-03-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-08 | 2019-03-18 | 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 | 2019-02-08 | 2019-03-18 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-02-08 | 2019-03-18 | 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 | 2019-02-08 | 2019-03-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-08 | 2019-03-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-08 | 2019-03-18 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-02-08 | 2019-03-18 | 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 | 2019-02-21 | 2019-03-11 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-02-21 | 2019-03-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-21 | 2019-03-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2017-12-15 | 2018-02-06 | 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 | 2017-12-15 | 2018-02-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2017-12-15 | 2018-02-06 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2017-12-15 | 2018-02-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-01-04 | 2018-01-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-01-04 | 2018-01-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-01-04 | 2018-01-16 | N |
