Deficiency Records for Brynwood Health and Rehabilitation Center
Updated as of August 01, 2023
This is not the most recent data for Brynwood Health and Rehabilitation Center. For the most recent information, click here.
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 | 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 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-10-20 | 2020-11-06 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-10-20 | 2020-11-06 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-08-09 | 2019-10-02 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-08-09 | 2019-10-02 | 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 | 2019-08-09 | 2019-10-02 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-08-09 | 2019-10-02 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-08-09 | 2019-10-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-09 | 2019-10-02 | 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 | 2019-08-09 | 2019-10-02 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2019-08-09 | 2019-10-02 | 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 | 2019-08-09 | 2019-10-02 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-08-09 | 2019-10-02 | 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 | 2019-08-09 | 2019-10-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-09 | 2019-10-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-09 | 2019-10-02 | N |
| Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2019-08-09 | 2019-10-02 | N |
