Deficiency Records for Brickyard Healthcare - Brandywine Care Center
Updated as of August 01, 2023
This is not the most recent data for Brickyard Healthcare - Brandywine Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Brickyard Healthcare - Brandywine 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? |
---|---|---|---|---|
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-06-01 | 2023-06-30 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-01 | 2023-06-30 | Y |
Respond appropriately to all alleged violations. | Health | 2023-06-01 | 2023-06-30 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-01 | 2023-06-30 | Y |
Ensure that residents are free from significant medication errors. | Health | 2023-05-15 | 2023-06-09 | 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 | 2022-11-21 | 2023-01-12 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-21 | 2023-01-12 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-11-21 | 2023-01-06 | N |
Develop a communication plan. | Fire Safety | 2022-11-21 | 2023-01-06 | N |
Implement emergency and standby power systems. | Fire Safety | 2022-11-21 | 2023-01-06 | 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 | 2022-11-21 | 2023-01-06 | N |
Construct fire resistant interior walls. | Fire Safety | 2022-11-21 | 2023-01-06 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-11-21 | 2023-01-06 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2022-11-21 | 2023-01-06 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-21 | 2023-01-06 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-11-21 | 2023-01-06 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-21 | 2023-01-06 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-11-21 | 2023-01-06 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-21 | 2023-01-06 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-21 | 2023-01-06 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2022-10-25 | 2022-11-15 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-25 | 2022-11-15 | Y |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-10-25 | 2022-11-15 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-25 | 2022-11-15 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-25 | 2022-11-15 | N |
Provide activities to meet all resident's needs. | Health | 2022-10-25 | 2022-11-15 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-25 | 2022-11-15 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-25 | 2022-11-15 | N |
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-10-25 | 2022-11-15 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-25 | 2022-11-15 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-25 | 2022-11-15 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-14 | 2022-07-14 | Y |
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-07-14 | 2022-07-14 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-27 | 2022-06-14 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-12 | 2022-06-02 | Y |
Ensure that residents are free from significant medication errors. | Health | 2022-05-12 | 2022-06-02 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-05-12 | 2022-06-02 | Y |
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-04-11 | 2022-05-17 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-11 | 2022-05-17 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-11 | 2022-05-17 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-11 | 2022-05-17 | Y |
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 | 2022-04-11 | 2022-05-17 | Y |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-04-11 | 2022-05-17 | Y |
Ensure that residents are free from significant medication errors. | Health | 2022-04-11 | 2022-05-17 | Y |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-12-30 | 2022-01-24 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-12-30 | 2022-01-24 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-09-03 | 2021-09-28 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-09-03 | 2021-09-28 | N |
Provide and implement an infection prevention and control program. | Health | 2020-12-02 | 2020-12-29 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-04 | 2020-01-16 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2019-11-04 | 2019-12-26 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-11-04 | 2019-12-26 | N |
Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-11-04 | 2019-12-26 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-11-04 | 2019-12-26 | N |
Construct fire resistant interior walls. | Fire Safety | 2019-11-04 | 2019-12-26 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2019-11-04 | 2019-12-26 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-04 | 2019-12-26 | N |
Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2019-11-04 | 2019-12-26 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-11-04 | 2019-12-26 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-11-04 | 2019-12-26 | N |
Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2019-11-04 | 2019-12-26 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-04 | 2019-12-26 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2019-11-04 | 2019-12-26 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-08-19 | 2019-09-17 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-19 | 2019-09-17 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-19 | 2019-09-17 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-08-19 | 2019-09-17 | N |
Provide and implement an infection prevention and control program. | Health | 2019-08-19 | 2019-09-17 | N |
Meet other general requirements. | Fire Safety | 2018-09-05 | 2018-10-05 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-09-05 | 2018-10-05 | N |
Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2018-09-05 | 2018-10-05 | 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 | 2018-09-05 | 2018-10-05 | N |
Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2018-09-05 | 2018-10-05 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-09-05 | 2018-10-05 | N |
Meet other general requirements that are deficient. | Fire Safety | 2018-09-05 | 2018-10-05 | 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 | 2018-09-05 | 2018-10-05 | N |
Provide properly protected cooking facilities. | Fire Safety | 2018-09-05 | 2018-10-05 | N |
Construct fire resistant interior walls. | Fire Safety | 2018-09-05 | 2018-10-05 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-05 | 2018-10-05 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-09-05 | 2018-10-05 | N |
Have an externally vented heating system. | Fire Safety | 2018-09-05 | 2018-10-05 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2018-09-05 | 2018-10-05 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-09-05 | 2018-10-05 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-05 | 2018-10-05 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-08-09 | 2018-09-08 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-08-09 | 2018-09-08 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-08-09 | 2018-09-08 | N |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-08-09 | 2018-09-08 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-08-09 | 2018-09-08 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-09 | 2018-09-08 | N |
Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-08-09 | 2018-09-08 | N |
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-08-09 | 2018-09-08 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-08-09 | 2018-09-08 | N |
Provide activities to meet all resident's needs. | Health | 2018-08-09 | 2018-09-08 | 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 | 2018-08-09 | 2018-09-08 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-09 | 2018-09-08 | N |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-08-09 | 2018-09-08 | N |