A list of the most recent deficiencies for Brookside Retirement 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-04 | 2023-01-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-04 | 2023-01-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-04 | 2023-01-16 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-01-04 | 2023-01-16 | N |
| Use approved construction type or materials. | Fire Safety | 2022-11-09 | 2022-11-18 | 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 | 2022-11-09 | 2022-11-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-09 | 2022-11-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-09 | 2022-11-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-09 | 2022-11-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-09 | 2022-11-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-11-09 | 2022-11-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-09 | 2022-11-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-09 | 2022-11-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-07-07 | 2021-08-06 | 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 | 2021-07-07 | 2021-08-06 | 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 | 2021-07-07 | 2021-08-06 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-07-07 | 2021-08-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-07 | 2021-08-06 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-07-07 | 2021-08-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-07 | 2021-08-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-07-07 | 2021-08-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-07-07 | 2021-07-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-07 | 2021-07-07 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-08-22 | 2019-09-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-08-22 | 2019-09-20 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-08-22 | 2019-09-20 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-07-16 | 2019-08-15 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-07-16 | 2019-08-15 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-07-16 | 2019-08-15 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-07-16 | 2019-08-15 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-07-16 | 2019-08-15 | 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 | 2019-07-16 | 2019-08-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-07-16 | 2019-08-15 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2019-07-16 | 2019-08-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-16 | 2019-08-15 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-07-16 | 2019-08-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-16 | 2019-08-15 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-07-16 | 2019-08-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-16 | 2019-08-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-07-16 | 2019-08-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-16 | 2019-08-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-07-16 | 2019-08-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-16 | 2019-08-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-07-16 | 2019-08-15 | N |
