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Deficiency Records for Pavilion at Brandon Wilde
A list of the most recent deficiencies for Pavilion at Brandon Wilde. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Pavilion at Brandon Wilde. 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? |
|---|---|---|---|---|
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-02-20 | 2025-04-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-02-20 | 2025-04-06 | N |
| 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 | 2025-02-20 | 2025-04-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-02-20 | 2025-04-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-02-20 | 2025-04-06 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2025-02-20 | 2025-04-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-02-20 | 2025-04-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-02-20 | 2025-04-06 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2025-02-20 | 2025-04-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-16 | 2023-12-15 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-09-16 | 2023-11-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-09-16 | 2023-11-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-16 | 2023-11-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-16 | 2023-11-01 | 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 | 2023-09-16 | 2023-11-01 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-09-17 | 2023-11-01 | Y |
| 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 | 2023-09-17 | 2023-11-01 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-09-17 | 2023-11-01 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-17 | 2023-11-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-17 | 2023-11-01 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-09-17 | 2023-11-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-17 | 2023-11-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-27 | 2022-02-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-27 | 2022-02-18 | N |
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