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Deficiency Records for Brentwood Health Care Center
View the most recent health deficiencies and inspection results for Brentwood Health Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Brentwood Health Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2026-01-23 | 2026-02-13 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-01-23 | 2026-02-13 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-12-04 | 2026-01-01 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-12-04 | 2026-01-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-12-04 | 2025-12-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-12-04 | 2025-12-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-04 | 2025-12-18 | 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 | 2025-12-04 | 2025-12-18 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2025-12-04 | 2025-12-18 | N |
| Help the resident with transportation to and from laboratory services outside of the facility. | Health | 2025-03-20 | 2025-04-04 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-10-18 | 2024-11-11 | N |
| 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 | 2024-10-18 | 2024-11-11 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-10-18 | 2024-11-11 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-10-18 | 2024-11-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-18 | 2024-11-11 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2024-10-18 | 2024-11-11 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-10-18 | 2024-11-11 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-10-18 | 2024-11-11 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-10-18 | 2024-11-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-18 | 2024-11-11 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-10-18 | 2024-11-11 | 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 | 2024-10-18 | 2024-11-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-10-18 | 2024-11-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-10-18 | 2024-11-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-10-18 | 2024-11-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-18 | 2024-11-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-17 | 2024-05-13 | Y |
| 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 | 2023-11-27 | 2023-12-22 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-13 | 2023-12-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-13 | 2023-12-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-11-13 | 2023-12-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-11-13 | 2023-12-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-11-13 | 2023-12-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-11-13 | 2023-12-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-13 | 2023-12-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-11-13 | 2023-12-15 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-11-13 | 2023-12-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-13 | 2023-12-13 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-11-13 | 2023-12-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-13 | 2023-12-13 | 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 | 2023-11-13 | 2023-12-13 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-11-13 | 2023-12-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-13 | 2023-12-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-13 | 2023-12-13 | 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 | 2023-11-13 | 2023-12-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-11-13 | 2023-12-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-13 | 2023-12-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-11-13 | 2023-12-13 | N |
| 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 | 2023-11-13 | 2023-12-13 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-11-13 | 2023-12-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-13 | 2023-12-13 | 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 | 2023-11-13 | 2023-12-13 | 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 | 2023-11-13 | 2023-12-13 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-10-25 | 2023-11-17 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-09-03 | 2023-09-22 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-09-03 | 2023-09-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-03 | 2023-09-22 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-08-21 | 2023-09-10 | 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 | 2023-07-24 | 2023-08-14 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-07-05 | 2023-07-24 | Y |
| 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 | 2023-07-05 | 2023-07-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-04-21 | Not Fixed | Y |