A list of the most recent deficiencies for Bria of Elmwood Park. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-21 | 2024-02-22 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-02-21 | 2024-02-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-21 | 2024-02-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-21 | 2024-02-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-21 | 2024-02-22 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-02-21 | 2024-02-22 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-02-21 | 2024-02-22 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-02-21 | 2024-02-22 | 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 | 2024-02-21 | 2024-02-22 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2024-02-21 | 2024-02-22 | Y |
| Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2024-02-21 | 2024-02-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-12-12 | 2023-12-13 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-12 | 2023-12-13 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-09-21 | 2023-09-25 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-09-21 | 2023-09-25 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2023-09-21 | 2023-09-25 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-09-21 | 2023-09-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-21 | 2023-09-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-21 | 2023-09-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-21 | 2023-09-25 | Y |
| 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 | 2023-09-21 | 2023-09-25 | Y |
| Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-09-21 | 2023-09-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-21 | 2023-09-25 | Y |
| Implement a program that monitors antibiotic use. | Health | 2023-09-21 | 2023-09-25 | Y |
| Report COVID19 data to residents and families. | Health | 2023-09-21 | 2023-09-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-22 | 2023-04-03 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-03-22 | 2023-04-03 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-02-03 | 2023-02-24 | 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 | 2023-02-03 | 2023-02-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-03 | 2023-02-24 | 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 | 2023-02-03 | 2023-02-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-03 | 2023-02-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-03 | 2023-02-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-28 | 2022-11-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-28 | 2022-11-11 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-09-09 | 2022-09-21 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-04 | 2022-08-17 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-08-04 | 2022-08-17 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-04 | 2022-08-17 | 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 | 2022-08-04 | 2022-08-17 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-03 | 2022-05-20 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-03 | 2022-05-20 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-04-19 | 2022-05-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-19 | 2022-05-05 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-19 | 2022-05-05 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-04-19 | 2022-05-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-10 | 2022-04-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-10 | 2022-04-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-03-10 | 2022-04-04 | 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 | 2022-03-10 | 2022-04-04 | N |
| Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2022-03-10 | 2022-04-04 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-03-10 | 2022-04-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-10 | 2022-04-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-10 | 2022-04-04 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-03-10 | 2022-04-04 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-01-13 | 2022-01-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-13 | 2022-01-29 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-11-24 | 2021-12-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-09 | 2021-09-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-21 | 2021-06-09 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-11-08 | 2019-11-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-11-08 | 2019-11-18 | 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 | 2019-11-08 | 2019-11-18 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-11-08 | 2019-11-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-11-08 | 2019-11-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-08 | 2019-11-18 | N |
