Deficiency Records for Royal Braintree Nursing and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Royal Braintree Nursing and Rehabilitation Center. 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 | 2023-11-20 | 2023-12-29 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-11-20 | 2023-12-29 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-11-20 | 2023-12-29 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-09-14 | 2021-10-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-14 | 2021-10-20 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-14 | 2021-10-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-09-14 | 2021-10-20 | Y |
| 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 | 2021-06-03 | 2021-09-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-03 | 2021-09-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-06-03 | 2021-09-03 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2021-06-03 | 2021-09-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-03 | 2021-09-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-06-09 | 2021-07-02 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2021-06-09 | 2021-07-02 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-06-03 | 2021-06-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-09 | 2021-06-15 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-06-03 | 2021-06-14 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-06-03 | 2021-06-07 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-06-03 | 2021-06-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-06-03 | 2021-06-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-03 | 2021-06-04 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2021-06-03 | 2021-06-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-03 | 2021-06-04 | 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 | 2021-06-03 | 2021-06-04 | 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 | 2021-06-03 | 2021-06-04 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-06-03 | 2021-06-04 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-08-22 | 2019-10-23 | 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 | 2019-10-18 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-08-22 | 2019-10-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-22 | 2019-10-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-22 | 2019-10-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-22 | 2019-10-10 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-09-26 | 2019-10-04 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-09-26 | 2019-10-04 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-09-26 | 2019-10-04 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-08-22 | 2019-09-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-09-26 | 2019-09-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-26 | 2019-09-26 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-08-22 | 2019-09-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-22 | 2019-08-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-22 | 2019-08-23 | 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 | 2019-08-22 | 2019-08-23 | 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 | 2019-08-22 | 2019-08-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-22 | 2019-08-23 | 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 | 2019-08-22 | 2019-08-23 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-08-22 | 2019-08-23 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2019-08-22 | 2019-08-23 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-08-22 | 2019-08-22 | N |
| Dispose of garbage and refuse properly. | Health | 2019-08-22 | 2019-08-22 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2018-08-21 | 2018-11-02 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-08-21 | 2018-11-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-21 | 2018-11-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-08-21 | 2018-10-17 | N |
| Honor the resident's right to choose his or her attending physician. | Health | 2018-08-14 | 2018-09-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-08-14 | 2018-09-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-08-14 | 2018-09-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-14 | 2018-09-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-08-14 | 2018-09-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-08-14 | 2018-09-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-08-21 | 2018-09-10 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2018-08-14 | 2018-08-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-14 | 2018-08-24 | N |
