A list of the most recent deficiencies for Brandel Health and Rehab. 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 properly protected cooking facilities. | Fire Safety | 2023-01-17 | 2023-02-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-17 | 2023-02-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-17 | 2023-02-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-17 | 2023-02-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-17 | 2023-02-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-17 | 2023-02-09 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-02-11 | 2021-03-14 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-02-11 | 2021-03-14 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-02-11 | 2021-03-14 | 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 | 2021-02-11 | 2021-03-14 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-02-11 | 2021-03-14 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-02-11 | 2021-03-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-02-11 | 2021-03-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-02-11 | 2021-03-11 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2021-02-11 | 2021-03-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-02-11 | 2021-03-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-02-11 | 2021-03-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-04-25 | 2019-06-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-25 | 2019-06-09 | 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 | 2019-04-25 | 2019-06-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-04-25 | 2019-06-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-25 | 2019-06-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-25 | 2019-06-09 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-04-25 | 2019-06-09 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-04-25 | 2019-06-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-25 | 2019-06-09 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-04-25 | 2019-06-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-04-25 | 2019-05-06 | 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 | 2019-04-25 | 2019-04-30 | N |
