CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Brookside Care Strategies
View the most recent health deficiencies and inspection results for Brookside Care Strategies. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Brookside Care Strategies. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-02-20 | 2026-03-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-12-19 | 2026-01-15 | Y |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2025-08-22 | 2025-10-10 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-08-22 | 2025-10-10 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-08-22 | 2025-10-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-08-22 | 2025-10-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-08-22 | 2025-10-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-08-22 | 2025-10-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-08-22 | 2025-10-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-08-22 | 2025-10-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-08-22 | 2025-10-10 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-09-26 | 2025-10-07 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-08-22 | 2025-09-01 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-08-22 | 2025-09-01 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2025-08-22 | 2025-08-25 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2025-08-22 | 2025-08-25 | N |
| Post nurse staffing information every day. | Health | 2025-08-22 | 2025-08-25 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2025-08-22 | 2025-08-25 | 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 | 2025-08-22 | 2025-08-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-08-22 | 2025-08-25 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-08-22 | 2025-08-25 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2025-08-22 | 2025-08-25 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2025-08-22 | 2025-08-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-02-20 | 2025-03-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-02-20 | 2025-03-07 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-01-08 | 2025-01-22 | Y |
| 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 | 2024-09-26 | 2024-10-29 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-23 | 2024-10-29 | Y |
| 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 | 2024-08-23 | 2024-10-29 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2024-08-23 | 2024-10-29 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-09-26 | 2024-10-29 | 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 | 2024-09-26 | 2024-10-29 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-09-26 | 2024-10-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-09-26 | 2024-10-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-26 | 2024-10-29 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-09-26 | 2024-10-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-26 | 2024-10-29 | N |
| Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2024-09-26 | 2024-10-29 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-09-26 | 2024-10-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-09-26 | 2024-10-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-09-26 | 2024-10-29 | Y |
| Post nurse staffing information every day. | Health | 2024-09-26 | 2024-10-29 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2024-09-26 | 2024-10-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-09-26 | 2024-10-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-09-26 | 2024-10-23 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2024-09-26 | 2024-10-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-09-26 | 2024-10-23 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2024-09-26 | 2024-10-23 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-09-26 | 2024-10-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-26 | 2024-10-23 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-09-26 | 2024-10-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-09-26 | 2024-10-23 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2024-09-26 | 2024-10-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-24 | 2024-07-31 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-23 | 2024-03-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-23 | 2024-03-15 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-02-23 | 2024-03-15 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-11-17 | 2024-01-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-11-17 | 2024-01-11 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-11-17 | 2024-01-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-11-17 | 2024-01-11 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-11-17 | 2024-01-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-11-17 | 2024-01-11 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2023-11-17 | 2024-01-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-11-17 | 2024-01-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-17 | 2024-01-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-17 | 2024-01-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-17 | 2024-01-11 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-11-17 | 2023-12-28 | Y |
| Keep all essential equipment working safely. | Health | 2023-11-17 | 2023-12-28 | Y |
| 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 | 2023-11-17 | 2023-12-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-17 | 2023-12-28 | 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 | 2023-11-17 | 2023-12-28 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-11-17 | 2023-12-28 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-11-17 | 2023-12-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-09 | 2023-10-27 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-08-30 | 2023-10-27 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-08-30 | 2023-10-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-30 | 2023-10-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-09 | 2023-09-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-03-31 | Not Fixed | Y |