Deficiency Records for Springs Rehabilitation at Brandywine
Updated as of October 01, 2016
This is not the most recent data for Springs Rehabilitation at Brandywine. For the most recent information, click here.
A list of the most recent deficiencies for Springs Rehabilitation at Brandywine. 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? |
|---|---|---|---|---|
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-08-02 | 2016-09-26 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-08-02 | 2016-09-26 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-08-02 | 2016-09-26 | N |
| Exit stairways and towers that are smoke proof. | Fire Safety | 2016-08-02 | 2016-09-26 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-08-02 | 2016-09-26 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-08-02 | 2016-09-26 | N |
| Portable fire extinguishers. | Fire Safety | 2016-08-02 | 2016-09-26 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-08-02 | 2016-09-26 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-08-02 | 2016-09-26 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-08-02 | 2016-09-26 | N |
| Exit stairways and towers that are smoke proof. | Fire Safety | 2016-08-02 | 2016-09-26 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-08-02 | 2016-09-26 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-08-02 | 2016-09-26 | N |
| Portable fire extinguishers. | Fire Safety | 2016-08-02 | 2016-09-26 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-08-01 | 2016-09-14 | N |
| Provide housekeeping and maintenance services. | Health | 2016-08-01 | 2016-09-14 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2016-08-01 | 2016-09-14 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-08-01 | 2016-09-14 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-08-01 | 2016-09-14 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2016-08-01 | 2016-09-14 | N |
| Provide or obtain dental services for each resident. | Health | 2016-08-01 | 2016-09-14 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2016-08-01 | 2016-09-14 | N |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2016-08-01 | 2016-09-14 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-08-01 | 2016-09-14 | N |
| Provide housekeeping and maintenance services. | Health | 2016-08-01 | 2016-09-14 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2016-08-01 | 2016-09-14 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-08-01 | 2016-09-14 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-08-01 | 2016-09-14 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2016-08-01 | 2016-09-14 | N |
| Provide or obtain dental services for each resident. | Health | 2016-08-01 | 2016-09-14 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2016-08-01 | 2016-09-14 | N |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2016-08-01 | 2016-09-14 | N |
| Provide written records when a resident is transferred or discharged. | Health | 2015-07-15 | 2015-10-13 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-07-15 | 2015-10-13 | N |
| Provide housekeeping and maintenance services. | Health | 2015-07-15 | 2015-10-13 | N |
| Provide adequate and comfortable lighting levels in all areas. | Health | 2015-07-15 | 2015-10-13 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2015-07-15 | 2015-10-13 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-07-15 | 2015-10-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-07-15 | 2015-10-13 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-07-15 | 2015-10-13 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-07-15 | 2015-10-13 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-07-15 | 2015-10-13 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2015-07-15 | 2015-10-13 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2015-07-15 | 2015-10-13 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-07-15 | 2015-10-13 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-07-15 | 2015-10-13 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2015-07-15 | 2015-10-13 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-07-15 | 2015-10-13 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2015-07-15 | 2015-10-13 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-07-15 | 2015-10-13 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2015-07-15 | 2015-10-13 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-07-15 | 2015-10-13 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-07-15 | 2015-10-13 | N |
| Provide written records when a resident is transferred or discharged. | Health | 2015-07-15 | 2015-10-13 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-07-15 | 2015-10-13 | N |
| Provide housekeeping and maintenance services. | Health | 2015-07-15 | 2015-10-13 | N |
| Provide adequate and comfortable lighting levels in all areas. | Health | 2015-07-15 | 2015-10-13 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2015-07-15 | 2015-10-13 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-07-15 | 2015-10-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-07-15 | 2015-10-13 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-07-15 | 2015-10-13 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-07-15 | 2015-10-13 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-07-15 | 2015-10-13 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2015-07-15 | 2015-10-13 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2015-07-15 | 2015-10-13 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-07-15 | 2015-10-13 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-07-15 | 2015-10-13 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2015-07-15 | 2015-10-13 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-07-15 | 2015-10-13 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2015-07-15 | 2015-10-13 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-07-15 | 2015-10-13 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2015-07-15 | 2015-10-13 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-07-15 | 2015-10-13 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-07-15 | 2015-10-13 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-07-08 | 2015-09-09 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-07-08 | 2015-09-09 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-07-08 | 2015-09-09 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-07-08 | 2015-09-09 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-06-05 | 2014-07-26 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2014-06-05 | 2014-07-26 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2014-06-05 | 2014-07-26 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-06-05 | 2014-07-26 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-06-05 | 2014-07-26 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2014-06-05 | 2014-07-26 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-06-05 | 2014-07-26 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2014-06-05 | 2014-07-26 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-06-05 | 2014-07-26 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-06-05 | 2014-07-26 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-06-05 | 2014-07-26 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-06-05 | 2014-07-26 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2014-06-05 | 2014-07-26 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2014-06-05 | 2014-07-26 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-06-05 | 2014-07-26 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-06-05 | 2014-07-26 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2014-06-05 | 2014-07-26 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-06-05 | 2014-07-26 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2014-06-05 | 2014-07-26 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-06-05 | 2014-07-26 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-06-05 | 2014-07-26 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-06-05 | 2014-07-26 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2014-06-06 | 2014-07-08 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2014-06-06 | 2014-07-08 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2014-03-31 | 2014-05-09 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2014-03-31 | 2014-05-09 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-03-31 | 2014-05-09 | Y |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2014-03-31 | 2014-05-09 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2014-03-31 | 2014-05-09 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-03-31 | 2014-05-09 | Y |
