CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Brighton Place West
View the most recent health deficiencies and inspection results for Brighton Place West. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Brighton Place West. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-08-28 | 2025-08-29 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2024-10-17 | 2024-12-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-10-17 | 2024-12-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-10-17 | 2024-12-20 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2024-10-17 | 2024-12-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-10-17 | 2024-12-10 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-10-17 | 2024-12-10 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-10-17 | 2024-11-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-10-17 | 2024-11-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-10-17 | 2024-11-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-10-17 | 2024-11-18 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-10-17 | 2024-11-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-10-17 | 2024-11-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-10-17 | 2024-11-18 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-10-17 | 2024-11-08 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-10-17 | 2024-11-08 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-10-17 | 2024-11-08 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-17 | 2024-11-08 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-17 | 2024-11-07 | 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 | 2023-05-15 | 2023-06-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-15 | 2023-06-27 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-05-15 | 2023-06-27 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-05-15 | 2023-06-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-05-15 | 2023-06-27 | N |
| Provide activities to meet all resident's needs. | Health | 2023-05-15 | 2023-06-27 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-05-15 | 2023-06-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-15 | 2023-06-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-15 | 2023-06-27 | 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 | 2023-05-15 | 2023-06-27 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-05-15 | 2023-06-27 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-05-15 | 2023-06-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-05-15 | 2023-06-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-15 | 2023-06-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-15 | 2023-06-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-15 | 2023-06-12 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-05-15 | 2023-06-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-15 | 2023-06-12 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-05-15 | 2023-06-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-15 | 2023-06-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-15 | 2023-06-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-15 | 2023-06-12 | 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 | 2023-05-15 | 2023-06-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-05-15 | 2023-06-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-15 | 2023-06-12 | N |
| Use approved construction type or materials. | Fire Safety | 2023-05-15 | 2023-06-12 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-05-15 | 2023-06-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-05-15 | 2023-06-12 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-05-15 | 2023-06-12 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2023-05-15 | 2023-06-12 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-05-15 | 2023-06-12 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-05-15 | 2023-06-12 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-05-15 | 2023-06-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-05-15 | 2023-06-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-05-15 | 2023-06-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-15 | 2023-05-24 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-05-15 | 2023-05-24 | 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 | 2021-12-01 | 2022-01-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-12-01 | 2022-01-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-01 | 2022-01-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-12-01 | 2022-01-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-01 | 2022-01-21 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2021-12-01 | 2022-01-21 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-12-01 | 2022-01-20 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-12-01 | 2022-01-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-01 | 2021-12-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-01 | 2021-12-21 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-12-01 | 2021-12-21 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-12-01 | 2021-12-21 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-12-01 | 2021-12-21 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-12-01 | 2021-12-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-01 | 2021-12-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-12-01 | 2021-12-20 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-12-01 | 2021-12-20 | 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 | 2021-12-01 | 2021-12-16 | 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 | 2021-12-01 | 2021-12-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-01 | 2021-12-16 | N |