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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-21 | 2023-08-28 | 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 | 2023-07-21 | 2023-08-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-21 | 2023-08-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-21 | 2023-08-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-21 | 2023-08-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-07-21 | 2023-08-21 | 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 | 2023-08-08 | 2023-08-18 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-20 | 2023-08-11 | N |
| Respond appropriately to all alleged violations. | Health | 2023-07-20 | 2023-08-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-20 | 2023-08-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-20 | 2023-08-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-20 | 2023-08-11 | 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 | 2023-07-20 | 2023-08-11 | 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 | 2023-07-20 | 2023-08-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-20 | 2023-08-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-11 | 2023-07-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-11 | 2023-07-27 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-07-11 | 2023-07-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-08 | 2023-05-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-24 | 2023-04-25 | 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 | 2023-04-24 | 2023-04-25 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-24 | 2023-04-25 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-04-24 | 2023-04-25 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-02-16 | 2023-03-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-16 | 2023-02-28 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-02-16 | 2023-02-28 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-28 | 2022-11-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-09-28 | 2022-11-08 | 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 | 2022-10-25 | 2022-10-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-29 | 2022-10-14 | 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 | 2022-09-29 | 2022-10-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-29 | 2022-10-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-29 | 2022-10-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-29 | 2022-10-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-29 | 2022-10-14 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-09-29 | 2022-10-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-28 | 2022-10-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-29 | 2022-09-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-28 | 2022-09-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-28 | 2022-09-29 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-09-01 | 2022-09-02 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-06 | 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 |
