Deficiency Records for Brookwood Gardens Rehabilitation and Nursing Cente
Updated as of November 01, 2021
This is not the most recent data for Brookwood Gardens Rehabilitation and Nursing Cente. For the most recent information, click here.
A list of the most recent deficiencies for Brookwood Gardens Rehabilitation and Nursing Cente. 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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-04-22 | 2021-05-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-04-22 | 2021-05-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-22 | 2021-05-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-22 | 2021-05-22 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-04-22 | 2021-05-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-22 | 2021-05-22 | N |
| Keep all essential equipment working safely. | Health | 2021-04-22 | 2021-05-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-04-22 | 2021-05-22 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-04-22 | 2021-05-22 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-22 | 2021-05-22 | Y |
| 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 | 2021-04-22 | 2021-05-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-07-02 | 2020-08-02 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-06-12 | 2019-07-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-06-12 | 2019-07-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-12 | 2019-07-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-12 | 2019-07-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-06-12 | 2019-07-12 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-06-12 | 2019-07-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-12 | 2019-07-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-12 | 2019-07-12 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-06-11 | 2019-07-12 | N |
| Meet other general requirements. | Fire Safety | 2019-06-11 | 2019-07-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-03-29 | 2018-05-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-03-29 | 2018-05-23 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-03-29 | 2018-05-23 | 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 | 2018-03-29 | 2018-05-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-03-29 | 2018-05-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-29 | 2018-05-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-29 | 2018-05-23 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-03-29 | 2018-05-23 | N |
| Keep all essential equipment working safely. | Health | 2018-03-29 | 2018-05-23 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-03-29 | 2018-05-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-06 | 2018-05-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-04-06 | 2018-05-23 | N |
