Deficiency Records for Brynwood Health and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Brynwood Health and Rehabilitation 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 safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-17 | 2024-02-16 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-01-17 | 2024-02-16 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-01-17 | 2024-02-16 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-08-22 | 2023-10-17 | N |
| 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 | 2023-08-22 | 2023-10-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-22 | 2023-10-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-22 | 2023-10-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-22 | 2023-10-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-22 | 2023-10-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-08-22 | 2023-10-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-22 | 2023-10-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-08-24 | 2023-09-22 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-08-24 | 2023-09-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-05 | 2023-04-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-17 | 2022-11-28 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-09-23 | 2022-10-21 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-09-23 | 2022-10-21 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-03-31 | 2022-04-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-03-31 | 2022-04-24 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-03-31 | 2022-04-24 | N |
| 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 | 2021-09-21 | 2021-10-07 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2021-03-10 | 2021-04-01 | 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 | 2021-03-10 | 2021-04-01 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-03-10 | 2021-04-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-03-10 | 2021-04-01 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-03-08 | 2021-04-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-08 | 2021-04-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-03-08 | 2021-04-01 | N |
