Deficiency Records for Brentwood Center For Health and Rehabilitation, LLC
Updated as of March 01, 2024
A list of the most recent deficiencies for Brentwood Center For Health and Rehabilitation, 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-08 | 2022-12-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-18 | 2022-06-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-18 | 2022-06-24 | 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 | 2022-05-18 | 2022-06-24 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-05-17 | 2022-05-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-17 | 2022-05-27 | 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 | 2021-05-25 | 2021-07-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-25 | 2021-07-06 | Y |
| Keep all essential equipment working safely. | Health | 2021-05-25 | 2021-07-06 | Y |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-07-23 | 2019-09-09 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-07-23 | 2019-09-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-07-23 | 2019-09-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-07-23 | 2019-09-09 | 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 | 2019-07-23 | 2019-09-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-07-23 | 2019-09-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-23 | 2019-09-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-23 | 2019-09-09 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-07-23 | 2019-09-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-25 | 2019-09-08 | 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 | 2019-07-25 | 2019-09-08 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-07-25 | 2019-09-08 | 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 | 2019-07-25 | 2019-09-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-25 | 2019-09-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-25 | 2019-09-08 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-07-25 | 2019-09-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-28 | 2018-10-18 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-08-28 | 2018-10-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-08-28 | 2018-10-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-08-28 | 2018-10-15 | 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 | 2018-08-28 | 2018-10-15 | N |
| Construct fire resistant interior walls. | Fire Safety | 2018-08-28 | 2018-10-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-28 | 2018-10-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-08-28 | 2018-10-15 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2018-08-28 | 2018-10-15 | 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 | 2018-08-30 | 2018-10-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-08-30 | 2018-10-12 | 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 | 2018-08-30 | 2018-10-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-30 | 2018-10-12 | 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 | 2018-08-30 | 2018-10-12 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2018-08-30 | 2018-10-12 | N |
| Provide or arrange emergency care by a doctor 24 hours a day. | Health | 2018-08-30 | 2018-10-12 | 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 | 2018-08-30 | 2018-10-12 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-08-30 | 2018-10-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-30 | 2018-10-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-08-30 | 2018-10-12 | N |
