Deficiency Records for Briarwood Rehabilitation and Healthcare Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Briarwood Rehabilitation and Healthcare 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-23 | 2023-06-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-12 | 2023-06-12 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-05-12 | 2023-06-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-12 | 2023-06-12 | N |
| Respond appropriately to all alleged violations. | Health | 2023-05-12 | 2023-06-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-12 | 2023-06-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-12 | 2023-06-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-12 | 2023-06-12 | 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 | 2023-05-12 | 2023-06-12 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-05-12 | 2023-06-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-05-12 | 2023-06-12 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-05-12 | 2023-06-12 | 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 | 2023-05-12 | 2023-06-12 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-12 | 2023-06-12 | 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 | 2023-05-12 | 2023-06-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-12 | 2023-06-12 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-05-12 | 2023-06-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-12 | 2023-06-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-28 | 2021-05-24 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2021-04-28 | 2021-05-24 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-04-28 | 2021-05-24 | 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 | 2021-04-28 | 2021-05-24 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-04-28 | 2021-05-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-28 | 2021-05-24 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2019-04-02 | 2019-06-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-02 | 2019-06-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-04-02 | 2019-06-21 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-04-02 | 2019-06-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-02 | 2019-06-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-02 | 2019-05-07 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-04-02 | 2019-05-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-02 | 2019-05-07 | 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 | 2019-04-02 | 2019-05-07 | 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 | 2019-04-02 | 2019-05-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-02 | 2019-05-07 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-04-02 | 2019-05-07 | N |
| Provide appropriate foot care. | Health | 2019-04-02 | 2019-05-07 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-04-02 | 2019-05-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-04-02 | 2019-05-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-02 | 2019-05-07 | 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 | 2019-04-02 | 2019-05-07 | N |
