Deficiency Records for Brighton Place North
Updated as of April 01, 2021
This is not the most recent data for Brighton Place North. For the most recent information, click here.
A list of the most recent deficiencies for Brighton Place North. 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? |
|---|---|---|---|---|
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-11-18 | 2019-12-20 | 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 | 2019-11-18 | 2019-12-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-11-18 | 2019-12-20 | N |
| 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 | 2019-11-18 | 2019-12-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-18 | 2019-12-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-18 | 2019-12-20 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-11-18 | 2019-12-20 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-10-28 | 2019-11-08 | N |
| 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 | 2018-11-15 | 2018-12-14 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-11-15 | 2018-12-14 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2018-11-15 | 2018-12-14 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-11-15 | 2018-12-14 | 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 | 2018-11-15 | 2018-12-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-15 | 2018-12-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-11-15 | 2018-12-14 | Y |
| 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 | 2018-11-15 | 2018-12-14 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-11-15 | 2018-12-14 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2018-11-15 | 2018-12-11 | Y |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-08-10 | 2018-09-06 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-08-10 | 2018-09-06 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2018-08-10 | 2018-09-06 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2018-08-10 | 2018-09-06 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2018-08-10 | 2018-09-06 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-08-10 | 2018-09-06 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-08-10 | 2018-09-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-08-10 | 2018-09-06 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-07-25 | 2017-08-24 | N |
| Provide housekeeping and maintenance services. | Health | 2017-07-25 | 2017-08-24 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-07-25 | 2017-08-24 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-07-25 | 2017-08-24 | N |
