Deficiency Records for Brickyard Healthcare - Churchman Care Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Brickyard Healthcare - Churchman 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? |
|---|---|---|---|---|
| Implement emergency and standby power systems. | Fire Safety | 2023-12-19 | 2024-01-20 | N |
| Meet other general requirements. | Fire Safety | 2023-12-19 | 2024-01-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-12-19 | 2024-01-20 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2023-12-19 | 2024-01-20 | 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 | 2023-12-19 | 2024-01-20 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-12-19 | 2024-01-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-12-19 | 2024-01-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-19 | 2024-01-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-19 | 2024-01-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-12-19 | 2024-01-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-19 | 2024-01-20 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-12-19 | 2024-01-20 | 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 | 2023-12-01 | 2023-12-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-31 | 2023-12-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-31 | 2023-08-26 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-24 | 2023-08-09 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-08-24 | 2023-07-27 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-01 | 2023-06-27 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-12-06 | 2023-01-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-10 | 2022-12-13 | 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 | 2022-11-10 | 2022-12-13 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-11-10 | 2022-12-13 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2022-02-09 | 2022-02-23 | 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 | 2021-08-12 | 2021-11-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-08-12 | 2021-10-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-08-12 | 2021-10-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-12 | 2021-10-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-12 | 2021-10-04 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-08-04 | 2021-09-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-04 | 2021-08-28 | 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 | 2021-08-04 | 2021-08-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-04 | 2021-08-23 | 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 | 2021-08-04 | 2021-08-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-04 | 2021-08-23 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-08-04 | 2021-08-23 | 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 | 2021-08-04 | 2021-08-23 | N |
| Dispose of garbage and refuse properly. | Health | 2021-08-04 | 2021-08-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-07 | 2021-06-21 | Y |
