Deficiency Records for Brickyard Healthcare - Brentwood Care Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Brickyard Healthcare - Brentwood 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 the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-10-03 | 2023-10-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-14 | 2023-09-18 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-03-23 | 2023-03-14 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-10-31 | 2022-11-02 | 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 | 2022-03-30 | 2022-04-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-03-30 | 2022-04-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-03-30 | 2022-04-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-03-30 | 2022-04-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-30 | 2022-04-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-03-30 | 2022-04-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-30 | 2022-04-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-08 | 2022-03-15 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2022-03-08 | 2022-03-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-08 | 2022-03-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-05 | 2021-04-30 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2021-04-05 | 2021-04-30 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2021-04-05 | 2021-04-30 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-04-05 | 2021-04-30 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2021-04-05 | 2021-04-30 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-04-05 | 2021-04-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-05 | 2021-04-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-05 | 2021-04-30 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-04-05 | 2021-04-30 | Y |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2021-04-05 | 2021-04-30 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-04-05 | 2021-04-30 | Y |
| Meet other general requirements. | Fire Safety | 2020-08-05 | 2020-09-04 | 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 | 2020-08-05 | 2020-09-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-08-05 | 2020-09-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-08-05 | 2020-09-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-08-05 | 2020-09-04 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2020-02-20 | 2020-03-20 | 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 | 2020-02-20 | 2020-03-20 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-02-20 | 2020-03-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-20 | 2020-03-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-20 | 2020-03-20 | 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 | 2020-02-20 | 2020-03-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-02-20 | 2020-03-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-20 | 2020-03-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-20 | 2020-03-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-02-20 | 2020-03-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-01-24 | 2019-02-22 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-01-24 | 2019-02-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-01-24 | 2019-02-22 | 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 | 2019-01-24 | 2019-02-22 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2019-01-24 | 2019-02-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-01-24 | 2019-02-22 | N |
| Provide activities to meet all resident's needs. | Health | 2019-01-24 | 2019-02-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-01-24 | 2019-02-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-01-24 | 2019-02-22 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-01-24 | 2019-02-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-24 | 2019-02-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-24 | 2019-02-22 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-01-24 | 2019-02-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-01-30 | 2019-02-22 | N |
| Meet other general requirements. | Fire Safety | 2019-01-30 | 2019-02-22 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-01-30 | 2019-02-22 | 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 | 2019-01-30 | 2019-02-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-01-30 | 2019-02-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-01-30 | 2019-02-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-01-30 | 2019-02-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-30 | 2019-02-22 | N |
