Deficiency Records for Bria of Godfrey
Updated as of October 01, 2022
This is not the most recent data for Bria of Godfrey. For the most recent information, click here.
A list of the most recent deficiencies for Bria of Godfrey. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-06 | 2022-04-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-10 | 2022-03-16 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-03-10 | 2022-03-16 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-12-02 | 2021-12-03 | 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 | 2021-11-09 | 2021-11-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-09 | 2021-11-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-22 | 2021-10-23 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-09-16 | 2021-09-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-16 | 2021-09-20 | 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 | 2021-09-16 | 2021-09-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-09-16 | 2020-10-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-06-18 | 2020-07-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-21 | 2020-02-26 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2020-02-21 | 2020-02-26 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-01-02 | 2020-01-11 | 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 | 2020-01-02 | 2020-01-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-02 | 2020-01-11 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2019-10-31 | 2020-01-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-12-12 | 2019-12-30 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-10-31 | 2019-12-21 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-10-31 | 2019-12-21 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-10-31 | 2019-12-21 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-10-31 | 2019-12-21 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-10-31 | 2019-12-21 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-10-31 | 2019-12-21 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-10-31 | 2019-12-21 | 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 | 2019-10-31 | 2019-12-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-31 | 2019-12-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-31 | 2019-12-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-31 | 2019-12-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-31 | 2019-12-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-10-31 | 2019-12-21 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2019-11-05 | 2019-11-15 | 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 | 2019-11-05 | 2019-11-15 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-11-05 | 2019-11-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-05 | 2019-11-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-05 | 2019-11-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-11-05 | 2019-11-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-09-13 | 2018-09-28 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-09-13 | 2018-09-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-09-13 | 2018-09-28 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-09-13 | 2018-09-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-09-13 | 2018-09-28 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-09-13 | 2018-09-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-09-13 | 2018-09-28 | 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 | 2018-09-13 | 2018-09-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-09-13 | 2018-09-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-13 | 2018-09-28 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2018-09-13 | 2018-09-28 | 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 | 2018-09-13 | 2018-09-17 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2018-09-13 | 2018-09-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-13 | 2018-09-17 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-09-13 | 2018-09-17 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2018-09-13 | 2018-09-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-09-13 | 2018-09-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-09-13 | 2018-09-17 | N |
