A list of the most recent deficiencies for Brandon Woods of New Bedford. 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? |
|---|---|---|---|---|
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-09-12 | 2023-10-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-09-12 | 2023-10-19 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-09-12 | 2023-10-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-09-12 | 2023-10-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-30 | 2023-09-28 | 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 | 2023-08-30 | 2023-09-28 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-08-30 | 2023-09-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-30 | 2023-09-28 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-09-12 | 2023-09-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-12 | 2023-09-28 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-08-30 | 2023-09-22 | 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 | 2023-08-30 | 2023-09-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-08-30 | 2023-09-22 | 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 | 2023-08-30 | 2023-09-22 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-08-30 | 2023-09-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-30 | 2023-09-22 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-08-30 | 2023-09-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-30 | 2023-09-22 | 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 | 2023-08-30 | 2023-09-22 | N |
| Report COVID19 data to residents and families. | Health | 2023-08-30 | 2023-09-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-09-12 | 2023-09-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-12 | 2023-09-19 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-09-12 | 2023-09-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-12 | 2023-09-19 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-09-12 | 2023-09-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-05 | 2021-12-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-05 | 2021-12-17 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-04 | 2021-09-08 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-07-08 | 2021-07-20 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2021-07-08 | 2021-07-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-02 | 2021-07-05 | 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 | 2021-04-02 | 2021-07-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-02 | 2021-07-05 | N |
| Report COVID19 data to residents and families. | Health | 2021-04-02 | 2021-07-05 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-04-02 | 2021-07-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-05-05 | 2021-06-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-05 | 2021-06-28 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-05 | 2021-06-28 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2021-04-02 | 2021-06-06 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-04-02 | 2021-06-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-04-02 | 2021-06-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-02 | 2021-06-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-04-02 | 2021-06-06 | N |
| Provide activities to meet all resident's needs. | Health | 2021-04-02 | 2021-06-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-02 | 2021-06-06 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-04-02 | 2021-06-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-02 | 2021-06-06 | 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 | 2021-04-02 | 2021-06-06 | 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 | 2021-04-02 | 2021-06-06 | 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 | 2021-04-02 | 2021-06-06 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2021-04-02 | 2021-06-06 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2021-04-02 | 2021-06-06 | 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 | 2021-04-02 | 2021-06-06 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-04-12 | 2021-05-27 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-04-12 | 2021-05-27 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2021-04-12 | 2021-05-27 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-04-12 | 2021-05-27 | N |
| Develop a communication plan. | Fire Safety | 2021-04-12 | 2021-05-27 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-04-12 | 2021-05-27 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-04-12 | 2021-05-27 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-04-12 | 2021-05-27 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-04-12 | 2021-05-27 | 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 | 2021-04-12 | 2021-05-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-04-12 | 2021-05-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-04-12 | 2021-05-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-12 | 2021-05-27 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-06-18 | 2019-08-02 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-06-18 | 2019-08-02 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-06-18 | 2019-08-02 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-06-18 | 2019-08-02 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2019-06-18 | 2019-08-02 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-06-18 | 2019-08-02 | N |
| Develop a communication plan. | Fire Safety | 2019-06-18 | 2019-08-02 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-06-18 | 2019-08-02 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-06-18 | 2019-08-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-06-18 | 2019-08-02 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-06-18 | 2019-08-02 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-06-18 | 2019-08-02 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-06-18 | 2019-08-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-18 | 2019-08-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-18 | 2019-08-02 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-06-18 | 2019-08-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-06-18 | 2019-08-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-18 | 2019-08-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-06-18 | 2019-08-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-18 | 2019-08-02 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2019-06-03 | 2019-07-18 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-06-03 | 2019-07-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-06-03 | 2019-07-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-03 | 2019-07-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-06-03 | 2019-07-18 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-06-03 | 2019-07-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-06-03 | 2019-07-18 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-06-03 | 2019-07-18 | 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 | 2019-06-03 | 2019-07-18 | 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 | 2019-06-03 | 2019-07-18 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-06-03 | 2019-07-18 | N |
