Deficiency Records for Brickyard Healthcare -Sycamore Village Care Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Brickyard Healthcare -Sycamore Village 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-23 | 2023-11-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-23 | 2023-11-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-23 | 2023-11-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-03 | 2023-11-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-03 | 2023-11-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-03 | 2023-11-03 | N |
| Provide activities to meet all resident's needs. | Health | 2023-10-03 | 2023-11-03 | 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 | 2023-10-03 | 2023-11-03 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-10-03 | 2023-11-03 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-10-03 | 2023-11-03 | N |
| Provide or obtain dental services for each resident. | Health | 2023-10-03 | 2023-11-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-03 | 2023-11-03 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-10-03 | 2023-11-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-03 | 2023-11-03 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-10-03 | 2023-11-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-03 | 2023-11-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-25 | 2023-10-15 | 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 | 2022-10-13 | 2022-11-14 | 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 | 2022-10-13 | 2022-11-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-13 | 2022-11-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-13 | 2022-11-14 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-22 | 2022-09-23 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-08-22 | 2022-09-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-22 | 2022-09-23 | 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 | 2022-08-22 | 2022-09-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-22 | 2022-09-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-22 | 2022-09-23 | 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 | 2022-08-22 | 2022-09-23 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-08-22 | 2022-09-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-22 | 2022-09-23 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-08-22 | 2022-09-23 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-08-22 | 2022-09-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-22 | 2022-09-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-22 | 2022-09-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-08 | 2022-07-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-29 | 2022-04-22 | 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 | 2022-03-29 | 2022-04-22 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-29 | 2022-04-22 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-24 | 2022-04-22 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-11-18 | 2021-12-02 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-10-26 | 2021-11-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-26 | 2021-11-14 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-16 | 2021-09-10 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-08-16 | 2021-09-10 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-08-16 | 2021-09-10 | Y |
| Meet other general requirements. | Fire Safety | 2020-02-25 | 2020-03-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-02-25 | 2020-03-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-02-25 | 2020-03-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-02-25 | 2020-03-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-25 | 2020-03-26 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2020-02-03 | 2020-03-04 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2020-02-03 | 2020-03-04 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2020-02-03 | 2020-03-04 | 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 | 2020-02-03 | 2020-03-04 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2020-02-03 | 2020-03-04 | N |
