Deficiency Records for Braden River Rehabilitation Center LLC
Updated as of March 01, 2024
A list of the most recent deficiencies for Braden River Rehabilitation Center LLC. 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? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-15 | 2023-12-15 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-08-30 | 2022-10-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-07-28 | 2022-08-25 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-07-28 | 2022-08-25 | 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 | 2022-07-28 | 2022-08-25 | 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 | 2022-07-28 | 2022-08-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-28 | 2022-08-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-28 | 2022-08-25 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-07-28 | 2022-08-25 | N |
| Post nurse staffing information every day. | Health | 2022-07-28 | 2022-08-25 | 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 | 2022-07-28 | 2022-08-25 | 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 | 2022-07-25 | 2022-08-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-07-25 | 2022-08-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-07-25 | 2022-08-25 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-07-12 | 2021-08-12 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-01-29 | 2021-03-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-01-29 | 2021-03-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-01-29 | 2021-03-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-01-29 | 2021-03-01 | 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 | 2021-01-29 | 2021-03-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-01-29 | 2021-03-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-01-28 | 2021-03-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-01-28 | 2021-03-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-01-28 | 2021-03-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-01-28 | 2021-03-01 | 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 | 2019-08-02 | 2019-09-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-02 | 2019-09-02 | 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 | 2019-08-02 | 2019-09-02 | 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 | 2019-08-02 | 2019-09-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-31 | 2019-09-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-07-31 | 2019-09-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-07-31 | 2019-09-02 | N |
