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Deficiency Records for Brewster Health Center
View the most recent health deficiencies and inspection results for Brewster Health Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Brewster Health Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide properly protected cooking facilities. | Fire Safety | 2025-06-11 | 2025-08-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-06-11 | 2025-08-18 | N |
| Provide emergency officials' contact information. | Fire Safety | 2025-06-11 | 2025-08-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-06-11 | 2025-08-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-06-11 | 2025-08-01 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-06-11 | 2025-08-01 | 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 | 2025-06-11 | 2025-07-09 | Y |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-06-11 | 2025-07-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-06-11 | 2025-07-09 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-06-11 | 2025-07-09 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-06-11 | 2025-07-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-06-11 | 2025-07-09 | 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 | 2025-06-11 | 2025-07-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-06-11 | 2025-07-09 | Y |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-10-09 | 2023-12-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-09 | 2023-12-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-09 | 2023-12-07 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2023-10-09 | 2023-12-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-10-09 | 2023-12-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-10-09 | 2023-12-07 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-10-09 | 2023-12-07 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-10-09 | 2023-12-07 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2023-10-09 | 2023-12-07 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-10-09 | 2023-12-07 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-10-09 | 2023-12-07 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2023-10-09 | 2023-12-07 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-10-09 | 2023-12-07 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-10-09 | 2023-12-07 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-10-09 | 2023-12-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-10-09 | 2023-12-07 | 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 | 2023-10-09 | 2023-12-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-10-09 | 2023-12-07 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-10-09 | 2023-10-30 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-10-09 | 2023-10-30 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-10-09 | 2023-10-30 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-10-09 | 2023-10-30 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-09 | 2023-10-30 | Y |
| Post nurse staffing information every day. | Health | 2023-10-09 | 2023-10-30 | Y |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-10-09 | 2023-10-30 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-21 | 2022-05-27 | 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 | 2022-04-21 | 2022-05-27 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-04-21 | 2022-05-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-21 | 2022-05-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-21 | 2022-05-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-04-21 | 2022-05-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-21 | 2022-05-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-21 | 2022-05-13 | N |
| Use approved construction type or materials. | Fire Safety | 2022-04-21 | 2022-05-13 | N |