Deficiency Records for Brown County Health and Living Community
Updated as of March 01, 2024
A list of the most recent deficiencies for Brown County Health and Living Community. 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 simulated fire drills held at unexpected times. | Fire Safety | 2023-09-19 | 2023-09-28 | 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 | 2023-09-05 | 2023-09-19 | N |
| Post nurse staffing information every day. | Health | 2023-09-05 | 2023-09-19 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-08-01 | 2023-07-25 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-12-20 | 2023-01-13 | Y |
| Meet other general requirements. | Fire Safety | 2022-08-29 | 2022-10-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-29 | 2022-10-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-29 | 2022-10-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-29 | 2022-10-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-29 | 2022-10-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-25 | 2022-08-16 | 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 | 2022-07-25 | 2022-08-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-07-25 | 2022-08-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-07 | 2022-02-23 | Y |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2021-07-29 | 2021-09-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-29 | 2021-09-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-29 | 2021-09-21 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2021-07-29 | 2021-09-13 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-07-29 | 2021-09-13 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-07-29 | 2021-09-13 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2021-07-29 | 2021-09-13 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-07-29 | 2021-09-13 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-07-29 | 2021-09-13 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-07-29 | 2021-09-13 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-07-29 | 2021-09-13 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-07-29 | 2021-09-13 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-07-29 | 2021-09-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-07-29 | 2021-09-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-07-29 | 2021-09-13 | 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 | 2021-07-29 | 2021-09-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-07-29 | 2021-09-13 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-07-29 | 2021-09-13 | 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 | 2021-07-29 | 2021-09-13 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-07-29 | 2021-09-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-07-29 | 2021-09-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-29 | 2021-09-13 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2021-07-29 | 2021-09-13 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-07-29 | 2021-09-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-07-29 | 2021-09-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-07-29 | 2021-09-13 | N |
