A list of the most recent deficiencies for Brookfield 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? |
|---|---|---|---|---|
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-10-13 | 2023-11-09 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-10-13 | 2023-11-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-13 | 2023-11-09 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-10-13 | 2023-11-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-13 | 2023-11-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-13 | 2023-11-09 | N |
| Keep all essential equipment working safely. | Health | 2023-10-13 | 2023-11-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-17 | 2023-11-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-10-17 | 2023-11-05 | 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 | 2023-08-01 | 2023-08-17 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-02-09 | 2023-02-14 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-04 | 2022-11-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-10-04 | 2022-11-04 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-10-04 | 2022-11-04 | 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 | 2022-10-04 | 2022-11-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-10-04 | 2022-11-04 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-10-04 | 2022-11-04 | 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 | 2022-10-04 | 2022-11-04 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-10-04 | 2022-11-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-09-29 | 2022-10-27 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-09-29 | 2022-10-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-09-29 | 2022-10-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-27 | 2022-07-22 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-06-27 | 2022-07-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-30 | 2019-09-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-30 | 2019-09-25 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-08-30 | 2019-09-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-08-30 | 2019-09-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-30 | 2019-09-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-30 | 2019-09-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-09-01 | 2019-09-25 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-09-01 | 2019-09-25 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-09-01 | 2019-09-25 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-09-01 | 2019-09-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-01 | 2019-09-25 | N |
