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Deficiency Records for Briarcliff Health and Rehabilitation Center
View the most recent health deficiencies and inspection results for Briarcliff Health and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Briarcliff Health and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-03-19 | 2026-03-24 | Y |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2025-09-17 | 2025-11-30 | Y |
| Install proper backup exit lighting. | Fire Safety | 2025-08-08 | 2025-10-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-08-08 | 2025-10-04 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2025-08-08 | 2025-10-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-08-08 | 2025-10-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-08-08 | 2025-10-04 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-08-08 | 2025-10-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-08-08 | 2025-09-26 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2025-08-08 | 2025-09-26 | N |
| Have exits that are accessible at all times. | Fire Safety | 2025-08-08 | 2025-09-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-08 | 2025-09-12 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-08-08 | 2025-09-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-08-08 | 2025-09-12 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-08-08 | 2025-09-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-08-08 | 2025-09-12 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2025-08-08 | 2025-09-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-08-08 | 2025-09-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-08-08 | 2025-09-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-08-12 | 2024-09-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-08-12 | 2024-09-27 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2024-08-12 | 2024-09-27 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-08-12 | 2024-09-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-12 | 2024-09-12 | 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 | 2024-08-12 | 2024-09-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-12 | 2024-09-04 | 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 | 2024-08-12 | 2024-09-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-12 | 2024-09-04 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-08-12 | 2024-09-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-12 | 2024-09-04 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-08-12 | 2024-09-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-12 | 2024-09-04 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-08-12 | 2024-09-04 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-29 | 2023-12-28 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-09-01 | 2023-09-29 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-14 | 2023-08-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-14 | 2023-08-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-07-14 | 2023-08-31 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-07-14 | 2023-08-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-07-14 | 2023-08-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-14 | 2023-08-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-14 | 2023-08-31 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-07-14 | 2023-08-31 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-07-14 | 2023-08-31 | 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 | 2023-07-14 | 2023-08-31 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-07-14 | 2023-08-31 | 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 | 2023-07-14 | 2023-08-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-14 | 2023-08-19 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-07-14 | 2023-08-19 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-07-14 | 2023-08-19 | 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 | 2023-07-14 | 2023-08-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-14 | 2023-08-19 | N |