Deficiency Records for Brickyard Healthcare - Brandywine Care Center

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Updated as of March 01, 2024

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?
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. Health 2023-07-13 2023-07-28 Y
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
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
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 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
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