Deficiency Records for Breezy Hills Rehab and Care Center
Updated as of June 01, 2018
This is not the most recent data for Breezy Hills Rehab and Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Breezy Hills Rehab and Care 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? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-03-04 | 2018-03-28 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-03-04 | 2018-03-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-03-04 | 2018-03-28 | Y |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-07-31 | 2017-09-06 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-07-31 | 2017-09-06 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2017-03-28 | 2017-04-26 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-03-31 | 2017-04-26 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2017-03-31 | 2017-04-26 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-03-31 | 2017-04-26 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-31 | 2017-04-26 | N |
| Keep all essential equipment working safely. | Health | 2017-03-31 | 2017-04-26 | N |
| Try to resolve each resident's complaints quickly. | Health | 2016-12-29 | 2017-01-23 | Y |
| Provide timely notification to the resident before transfer or discharge. | Health | 2016-12-29 | 2017-01-23 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-12-29 | 2017-01-23 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-12-10 | 2016-02-18 | 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 | 2015-12-10 | 2016-02-18 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-12-10 | 2016-02-18 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-12-10 | 2016-02-18 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-01-26 | 2016-02-18 | Y |
| Keep all essential equipment working safely. | Health | 2015-12-10 | 2016-01-16 | N |
| Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2015-12-10 | 2016-01-10 | N |
| An adequate water supply for the sprinkler system. | Fire Safety | 2015-12-10 | 2016-01-10 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2015-12-10 | 2016-01-10 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2015-12-10 | 2016-01-10 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-12-10 | 2016-01-10 | N |
| Try to resolve each resident's complaints quickly. | Health | 2015-12-10 | 2016-01-10 | N |
| Maintain comfortable sound levels. | Health | 2015-12-10 | 2016-01-10 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-12-10 | 2016-01-10 | 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 | 2015-12-10 | 2016-01-10 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-12-10 | 2016-01-10 | 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 | 2015-07-24 | 2015-08-24 | Y |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2014-09-10 | 2014-10-10 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2014-09-10 | 2014-10-10 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2014-09-10 | 2014-10-10 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-09-10 | 2014-10-10 | 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 | 2014-09-12 | 2014-10-10 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2014-09-12 | 2014-10-10 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-09-12 | 2014-10-10 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2014-09-12 | 2014-10-10 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2014-09-12 | 2014-10-10 | N |
