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Deficiency Records for Brooke Grove Rehab. and Nsg Ctr

View the most recent health deficiencies and inspection results for Brooke Grove Rehab. and Nsg Ctr. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Brooke Grove Rehab. and Nsg Ctr. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Ensure each resident receives an accurate assessment. Health 2026-03-30 2026-04-16 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2026-03-30 2026-04-16 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2025-04-01 2025-06-18 N
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Health 2025-04-01 2025-05-16 N
Reasonably accommodate the needs and preferences of each resident. Health 2025-04-01 2025-05-16 Y
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2025-04-01 2025-05-16 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2025-04-01 2025-05-16 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2025-04-01 2025-05-16 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2025-04-01 2025-05-16 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2025-04-01 2025-05-16 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2025-04-01 2025-05-16 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2025-04-01 2025-05-16 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2025-04-01 2025-05-16 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-04-01 2025-05-16 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 2025-04-01 2025-05-16 N
Respond appropriately to all alleged violations. Health 2025-04-01 2025-05-16 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2025-04-01 2025-05-16 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2025-04-01 2025-05-16 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2020-02-28 2020-03-27 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 2020-02-28 2020-03-27 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 2020-02-28 2020-03-27 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 2020-02-28 2020-03-27 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2020-02-28 2020-03-27 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2020-02-28 2020-03-27 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2020-02-28 2020-03-27 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2020-02-28 2020-03-27 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 2020-02-28 2020-03-03 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 2019-02-15 2019-03-20 N
Provide and implement an infection prevention and control program. Health 2019-02-15 2019-03-20 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 2019-02-15 2019-03-20 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2019-02-15 2019-03-20 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-02-15 2019-03-20 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-02-15 2019-03-20 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-02-15 2019-03-20 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 2019-02-15 2019-03-20 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-02-15 2019-03-20 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2019-02-15 2019-03-20 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2019-02-15 2019-03-20 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2019-02-15 2019-03-20 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2019-02-15 2019-03-20 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2019-02-15 2019-03-20 N
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2019-02-15 2019-03-20 N
Install properly constructed and protected linen or trash chutes. Fire Safety 2019-02-15 2019-03-20 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 2019-02-15 2019-03-20 N

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