Deficiency Records for Brickyard Healthcare - Brookview Care Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Brickyard Healthcare - Brookview Care Center. 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? |
|---|---|---|---|---|
| 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 | 2023-12-22 | 2024-01-10 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-12-22 | 2024-01-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-22 | 2024-01-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-22 | 2024-01-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-12-22 | 2024-01-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-22 | 2024-01-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-12-22 | 2024-01-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-22 | 2024-01-10 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-11-17 | 2023-12-20 | 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 | 2023-11-17 | 2023-12-20 | 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 | 2023-11-17 | 2023-12-20 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-11-17 | 2023-12-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-17 | 2023-12-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-09 | 2023-01-04 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-10 | 2022-10-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-10 | 2022-10-29 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-08-10 | 2022-10-07 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-08-10 | 2022-10-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-10 | 2022-10-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-08-10 | 2022-10-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-10 | 2022-10-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-10 | 2022-10-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-10 | 2022-10-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-08-10 | 2022-10-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-10 | 2022-10-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-10 | 2022-10-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-07-13 | 2022-08-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-07-13 | 2022-08-01 | 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 | 2022-07-13 | 2022-08-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-13 | 2022-08-01 | N |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2022-07-13 | 2022-08-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-07-13 | 2022-08-01 | 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 | 2022-07-13 | 2022-08-01 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2022-07-13 | 2022-08-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-13 | 2022-08-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-13 | 2022-08-01 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-07-13 | 2022-08-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-13 | 2022-08-01 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-07-13 | 2022-08-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-07-13 | 2022-08-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-13 | 2022-08-01 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2022-07-13 | 2022-08-01 | N |
| Provide or obtain dental services for each resident. | Health | 2022-07-13 | 2022-08-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-13 | 2022-08-01 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-07-13 | 2022-08-01 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-09-10 | 2021-10-05 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-09-10 | 2021-10-05 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-10 | 2021-10-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-10 | 2021-10-05 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2021-09-10 | 2021-10-05 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-04 | 2021-06-03 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-05-04 | 2021-06-03 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-05-04 | 2021-06-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-04 | 2021-06-03 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-05-04 | 2021-06-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-04 | 2021-06-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-04 | 2021-06-03 | 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 | 2021-05-04 | 2021-06-03 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-05-04 | 2021-06-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-04 | 2021-06-03 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-05-04 | 2021-06-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-05-04 | 2021-06-03 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2021-05-11 | 2021-06-03 | N |
| Meet other general requirements. | Fire Safety | 2021-05-11 | 2021-06-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-05-11 | 2021-06-03 | 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 | 2021-05-11 | 2021-06-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-05-11 | 2021-06-03 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-05-11 | 2021-06-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-05-11 | 2021-06-03 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-05-11 | 2021-06-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-05-11 | 2021-06-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-05-11 | 2021-06-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-11 | 2021-06-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-05-11 | 2021-06-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-11 | 2021-06-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-11 | 2021-06-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-11 | 2021-06-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-11 | 2021-06-03 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2021-05-11 | 2021-06-03 | N |
