Deficiency Records for Glenbrook Rehabilitation and Skilled Nursing Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Glenbrook Rehabilitation and Skilled Nursing 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? |
|---|---|---|---|---|
| Establish staff and initial training requirements. | Fire Safety | 2023-11-06 | 2023-12-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-11-06 | 2023-12-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-06 | 2023-12-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-06 | 2023-12-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-06 | 2023-12-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-11 | 2023-11-02 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-10-11 | 2023-11-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-12-12 | 2023-02-24 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-12-12 | 2023-02-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-12-12 | 2023-02-24 | 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 | 2022-12-12 | 2023-02-24 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2022-12-12 | 2023-02-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-12-12 | 2023-02-24 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-12-12 | 2023-02-24 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-12-12 | 2023-02-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-12 | 2023-02-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-12-12 | 2023-02-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-12 | 2023-02-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-12-12 | 2023-02-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-12-12 | 2023-02-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-12 | 2023-02-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-12-12 | 2023-02-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-02 | 2022-12-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-02 | 2022-12-31 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-12-02 | 2022-12-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-14 | 2022-03-18 | Y |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2021-10-28 | 2021-11-29 | 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 | 2021-10-28 | 2021-11-29 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-10-28 | 2021-11-29 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-10-28 | 2021-11-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-10-28 | 2021-11-29 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-10-28 | 2021-11-29 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-10-28 | 2021-11-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-28 | 2021-11-29 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-10-28 | 2021-11-29 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-10-28 | 2021-11-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-10-28 | 2021-11-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-10-28 | 2021-11-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-10-28 | 2021-11-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-28 | 2021-11-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-10-28 | 2021-11-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-05 | 2021-10-23 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-09-27 | 2021-10-23 | 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 | 2021-09-27 | 2021-10-23 | 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 | 2021-09-27 | 2021-10-23 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-09-27 | 2021-10-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-28 | 2021-08-22 | Y |
