A list of the most recent deficiencies for Bria of Columbia. 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 | 2023-09-08 | 2024-03-23 | N |
| Dispose of garbage and refuse properly. | Health | 2024-01-24 | 2024-01-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-24 | 2024-01-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-12 | 2024-01-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-14 | 2024-01-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-01-05 | 2024-01-06 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-08 | 2023-10-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-09-08 | 2023-09-21 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-09-08 | 2023-09-11 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-09-08 | 2023-09-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-08 | 2023-09-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-09-08 | 2023-09-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-23 | 2023-09-02 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-01 | 2023-09-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-23 | 2023-08-24 | 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 | 2023-08-23 | 2023-08-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-14 | 2023-08-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-27 | 2023-05-01 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-18 | 2023-04-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-18 | 2023-02-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-18 | 2022-12-06 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-11-18 | 2022-11-28 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-11-18 | 2022-11-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-18 | 2022-11-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-18 | 2022-11-19 | N |
| Respond appropriately to all alleged violations. | Health | 2022-11-18 | 2022-11-19 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-11-18 | 2022-11-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-18 | 2022-11-19 | Y |
| Implement a program that monitors antibiotic use. | Health | 2022-11-18 | 2022-11-19 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-11-18 | 2022-11-19 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-11-18 | 2022-11-19 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-11-18 | 2022-11-19 | N |
| Develop a communication plan. | Fire Safety | 2022-11-18 | 2022-11-19 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-11-18 | 2022-11-19 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-11-18 | 2022-11-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-11-18 | 2022-11-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-18 | 2022-11-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-27 | 2022-09-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-24 | 2022-07-05 | Y |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-12-08 | 2021-12-17 | 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 | 2021-12-08 | 2021-12-17 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-12-08 | 2021-12-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-08 | 2021-12-17 | N |
| Respond appropriately to all alleged violations. | Health | 2021-10-29 | 2021-11-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-29 | 2021-11-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-29 | 2021-11-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-29 | 2021-11-10 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-10-29 | 2021-11-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-10-29 | 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 | 2021-10-29 | 2021-11-10 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-10-29 | 2021-11-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-05 | 2021-07-06 | Y |
