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? |
|---|---|---|---|---|
| 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 |
| 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 |
| Allow residents to self-administer drugs if determined clinically appropriate. | 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 |
| Provide safe and appropriate respiratory care for a resident when needed. | 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 |
| 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 or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-09-17 | 2023-11-01 | Y |
| 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 |
| Inspect, test, and maintain automatic sprinkler systems. | 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 |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-09-16 | 2023-11-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-09-16 | 2023-11-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-27 | 2022-02-18 | 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 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2020-01-30 | 2020-03-14 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-01-30 | 2020-03-14 | 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 | 2020-01-30 | 2020-03-14 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2020-01-30 | 2020-03-14 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2020-01-30 | 2020-03-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-30 | 2020-03-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-30 | 2020-03-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-30 | 2020-03-14 | N |
