A list of the most recent deficiencies for Bria of River Oaks. 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 | 2024-01-09 | 2024-01-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-03 | 2023-11-04 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-11-03 | 2023-11-04 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-03 | 2023-09-11 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-03 | 2023-09-11 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-10 | 2023-08-29 | 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 | 2023-08-10 | 2023-08-23 | 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 | 2023-08-10 | 2023-08-23 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-08-10 | 2023-08-23 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-08-10 | 2023-08-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-10 | 2023-08-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-10 | 2023-08-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-08-10 | 2023-08-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-08-10 | 2023-08-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-10 | 2023-08-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-03 | 2023-08-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-03 | 2023-08-22 | N |
| Respond appropriately to all alleged violations. | Health | 2023-08-03 | 2023-08-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-03 | 2023-08-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-03 | 2023-08-22 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-08-03 | 2023-08-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-14 | 2023-04-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-14 | 2023-04-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-03 | 2023-03-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-17 | 2023-02-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-13 | 2022-10-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-13 | 2022-10-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-13 | 2022-10-14 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-10-13 | 2022-10-14 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-10-13 | 2022-10-14 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-23 | 2022-10-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-23 | 2022-09-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-23 | 2022-09-09 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-08-23 | 2022-09-05 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-08-23 | 2022-09-05 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-08-23 | 2022-09-05 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-08-23 | 2022-09-05 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-08-23 | 2022-09-05 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-08-23 | 2022-09-05 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2022-08-23 | 2022-09-05 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2022-08-23 | 2022-09-05 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-08-23 | 2022-09-05 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2022-08-23 | 2022-09-05 | N |
| Develop a communication plan. | Fire Safety | 2022-08-23 | 2022-09-05 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-08-23 | 2022-09-05 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-08-23 | 2022-09-05 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2022-08-23 | 2022-09-05 | N |
| Establish methods for sharing information. | Fire Safety | 2022-08-23 | 2022-09-05 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-08-23 | 2022-09-05 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-08-23 | 2022-09-05 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-08-23 | 2022-09-05 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-08-23 | 2022-09-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-08-23 | 2022-09-05 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2022-08-23 | 2022-09-05 | 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 | 2022-08-23 | 2022-09-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-23 | 2022-09-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-23 | 2022-09-05 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-08-23 | 2022-09-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-23 | 2022-09-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-23 | 2022-09-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-08-05 | 2022-08-22 | 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 | 2022-08-05 | 2022-08-22 | 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 | 2022-08-05 | 2022-08-22 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2022-08-05 | 2022-08-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-05 | 2022-08-22 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-08-05 | 2022-08-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-05 | 2022-08-22 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2022-03-20 | 2022-03-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-27 | 2022-03-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-26 | 2022-01-28 | Y |
| Report COVID19 data to residents and families. | Health | 2022-01-26 | 2022-01-28 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-12-22 | 2022-01-04 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-12-22 | 2022-01-04 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-12-22 | 2021-12-24 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-12-22 | 2021-12-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-12 | 2021-10-13 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-07-30 | 2021-07-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-07-30 | 2021-07-30 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-04-29 | 2021-07-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-04-29 | 2021-07-18 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2021-06-10 | 2021-06-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-10 | 2021-06-15 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-04-29 | 2021-05-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-04-29 | 2021-05-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-29 | 2021-05-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-29 | 2021-05-05 | 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 | 2021-04-29 | 2021-05-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-29 | 2021-05-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-29 | 2021-05-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-29 | 2021-05-03 | N |
| Have policies on smoking. | Health | 2021-04-29 | 2021-05-03 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-04-29 | 2021-05-03 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-04-29 | 2021-05-03 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2021-04-29 | 2021-05-03 | 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 | 2021-04-29 | 2021-05-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-04-29 | 2021-05-03 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-04-29 | 2021-05-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-04-29 | 2021-05-03 | 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 | 2021-04-29 | 2021-04-30 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-04-29 | 2021-04-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-04-29 | 2021-04-30 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2021-04-29 | 2021-04-29 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-04-06 | 2021-04-07 | Y |
