A list of the most recent deficiencies for Brio of Johnston, LLC. 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 a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-14 | 2023-04-28 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-02 | 2023-03-17 | N |
| Perform COVID19 testing on residents and staff. | Health | 2023-02-02 | 2023-03-17 | 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 | 2023-02-02 | 2023-03-17 | Y |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-02-06 | 2023-02-24 | 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 | 2021-09-02 | 2021-10-28 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-09-02 | 2021-10-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-09-02 | 2021-10-28 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2021-09-02 | 2021-10-19 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-09-02 | 2021-10-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-09-02 | 2021-09-30 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-09-02 | 2021-09-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-09-02 | 2021-09-29 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-09-02 | 2021-09-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-09-02 | 2021-09-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-09-02 | 2021-09-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-02 | 2021-09-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-08-26 | 2021-09-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-26 | 2021-09-09 | 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 | 2020-01-08 | 2020-02-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-01-08 | 2020-01-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-08 | 2020-01-18 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-12-31 | 2020-01-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-12-31 | 2020-01-17 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-12-31 | 2020-01-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-31 | 2020-01-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-31 | 2020-01-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-31 | 2020-01-17 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2020-01-08 | 2020-01-17 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-01-08 | 2020-01-16 | N |
