A list of the most recent deficiencies for Mghp-Brentwood 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? |
|---|---|---|---|---|
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-08-24 | 2023-10-06 | 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 | 2023-08-24 | 2023-10-06 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-08-22 | 2023-10-06 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-08-22 | 2023-10-06 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-08-22 | 2023-10-06 | 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 | 2023-10-06 | 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 | 2023-08-22 | 2023-10-06 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-08-22 | 2023-10-06 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-08-22 | 2023-10-06 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-08-22 | 2023-10-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-22 | 2023-10-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-22 | 2023-10-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-22 | 2023-10-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-22 | 2023-10-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-12-10 | 2020-01-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-10 | 2020-01-24 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-12-10 | 2020-01-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-12-10 | 2020-01-24 | N |
