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Deficiency Records for Brookshire Post Acute
View the most recent health deficiencies and inspection results for Brookshire Post Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Brookshire Post Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-01-06 | 2026-01-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-10-16 | 2025-11-13 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2025-10-16 | 2025-11-13 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2025-01-16 | 2025-02-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-01-16 | 2025-02-14 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-01-16 | 2025-02-14 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-01-16 | 2025-02-14 | N |
| Provide activities to meet all resident's needs. | Health | 2025-01-16 | 2025-02-14 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-01-16 | 2025-02-14 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2025-01-16 | 2025-02-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-16 | 2025-02-14 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2025-01-16 | 2025-02-12 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-01-16 | 2025-02-12 | N |
| Provide or obtain dental services for each resident. | Health | 2025-01-16 | 2025-02-07 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-01-16 | 2025-02-07 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-01-16 | 2025-02-07 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-01-25 | 2024-02-15 | 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 | 2024-01-25 | 2024-02-15 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-01-25 | 2024-02-15 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2024-01-25 | 2024-02-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-25 | 2024-02-15 | 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 | 2024-01-25 | 2024-02-15 | N |
| Respond appropriately to all alleged violations. | Health | 2024-01-25 | 2024-02-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-25 | 2024-02-15 | N |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2024-01-25 | 2024-02-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-25 | 2024-02-15 | 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 | 2024-01-25 | 2024-02-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-25 | 2024-02-15 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-01-25 | 2024-02-15 | 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 | 2023-10-12 | 2023-11-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-12 | 2023-11-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-10-12 | 2023-11-13 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-12 | 2023-11-13 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-12 | 2023-11-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-12 | 2023-11-08 | Y |
| 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 | 2022-09-29 | 2022-10-04 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-29 | 2022-10-04 | N |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2022-09-29 | 2022-10-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-29 | 2022-10-04 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-09-29 | 2022-10-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-09-29 | 2022-10-04 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-09-29 | 2022-10-04 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-09-29 | 2022-10-04 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-09-29 | 2022-10-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-29 | 2022-10-04 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-09-29 | 2022-10-04 | N |