A list of the most recent deficiencies for Brookville Healthcare 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? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-01-09 | 2024-01-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-09 | 2024-01-17 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-12-12 | 2023-12-29 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-12-12 | 2023-12-29 | N |
| Provide or obtain dental services for each resident. | Health | 2023-12-12 | 2023-12-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-11-14 | 2023-05-13 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-11-14 | 2023-01-10 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-11-14 | 2023-01-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-14 | 2023-01-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-14 | 2023-01-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-14 | 2023-01-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-14 | 2023-01-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-10-07 | 2022-10-28 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-10-07 | 2022-10-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-10-07 | 2022-10-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-07 | 2022-10-28 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-10-07 | 2022-10-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-07 | 2022-10-28 | 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 | 2022-10-07 | 2022-10-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-07 | 2022-10-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-07 | 2022-10-28 | Y |
| Meet other general requirements. | Fire Safety | 2019-12-12 | 2020-01-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-12-12 | 2020-01-15 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-12-12 | 2020-01-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-12-12 | 2020-01-15 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-12-12 | 2020-01-15 | 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 | 2019-12-12 | 2020-01-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-12-12 | 2020-01-15 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-12-12 | 2020-01-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-12-12 | 2020-01-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-12 | 2020-01-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-12-12 | 2020-01-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-12-12 | 2020-01-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-12 | 2020-01-15 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2019-12-12 | 2020-01-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-12-12 | 2020-01-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-12-12 | 2020-01-15 | 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 | 2019-09-16 | 2019-10-04 | 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 | 2019-09-16 | 2019-10-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-16 | 2019-10-04 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-09-16 | 2019-10-04 | N |
