CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Brigham Health and Rehabilitation Center
View the most recent health deficiencies and inspection results for Brigham Health and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Brigham Health and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2025-09-17 | 2026-02-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-09-17 | 2026-02-09 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2025-09-17 | 2026-02-09 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2025-09-17 | 2026-02-09 | N |
| Provide hallway or ground-level exits in all residents' rooms. | Fire Safety | 2025-09-17 | 2026-02-09 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2025-09-17 | 2026-02-09 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-09-17 | 2025-11-04 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2025-09-17 | 2025-11-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-09-17 | 2025-11-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-09-17 | 2025-11-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-09-17 | 2025-11-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-09-17 | 2025-11-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-09-17 | 2025-11-04 | N |
| Implement emergency and standby power systems. | Fire Safety | 2025-09-17 | 2025-11-04 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-09-17 | 2025-11-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-09-17 | 2025-11-04 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-09-17 | 2025-10-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-17 | 2025-10-23 | 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 | 2025-09-17 | 2025-10-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-09-17 | 2025-10-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-09-17 | 2025-10-23 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2025-09-17 | 2025-10-23 | 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 | 2025-09-17 | 2025-10-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-09-17 | 2025-10-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-09-17 | 2025-10-23 | N |
| Use approved construction type or materials. | Fire Safety | 2024-09-12 | 2024-12-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-09-12 | 2024-12-02 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-09-12 | 2024-12-02 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2024-09-12 | 2024-12-02 | N |
| Provide hallway or ground-level exits in all residents' rooms. | Fire Safety | 2024-09-12 | 2024-12-02 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-09-12 | 2024-12-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-11-05 | 2024-11-29 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-11-05 | 2024-11-29 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2024-09-12 | 2024-11-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-12 | 2024-11-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-09-12 | 2024-11-11 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-09-12 | 2024-11-11 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-09-12 | 2024-11-11 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-09-12 | 2024-11-11 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2024-09-12 | 2024-11-11 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2024-09-12 | 2024-11-11 | N |
| Establish methods for sharing information. | Fire Safety | 2024-09-12 | 2024-11-11 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-09-12 | 2024-11-11 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-09-12 | 2024-11-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-09-12 | 2024-11-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-09-12 | 2024-11-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-09-12 | 2024-10-24 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-09-12 | 2024-10-24 | 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 | 2024-09-12 | 2024-10-24 | 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 | 2024-09-12 | 2024-10-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-09-12 | 2024-10-24 | 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 | 2024-09-12 | 2024-10-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-12 | 2024-10-24 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-09-12 | 2024-10-24 | 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 | 2024-09-12 | 2024-10-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-09-12 | 2024-10-24 | 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 | 2024-09-12 | 2024-10-24 | 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 | 2024-09-12 | 2024-10-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-09-12 | 2024-10-24 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-09-12 | 2024-10-24 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-09-12 | 2024-10-24 | N |
| Post nurse staffing information every day. | Health | 2024-09-12 | 2024-10-24 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-09-12 | 2024-10-24 | 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 | 2024-09-12 | 2024-10-24 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-09-12 | 2024-10-24 | N |
| Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. | Health | 2024-09-12 | 2024-10-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-09-12 | 2024-10-24 | 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 (including nights and weekends) and emergencies. | Health | 2024-09-12 | 2024-10-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-12 | 2024-10-24 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2024-09-12 | 2024-10-24 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-09-12 | 2024-10-24 | 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 | 2024-09-12 | 2024-10-24 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-09-12 | 2024-10-24 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-09-12 | 2024-10-24 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-09-12 | 2024-10-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-09-12 | 2024-10-24 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-09-12 | 2024-10-24 | 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 | 2024-09-12 | 2024-10-24 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-09-12 | 2024-10-24 | 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 | 2024-09-12 | 2024-10-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-09-12 | 2024-10-24 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-09-03 | 2024-09-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-09-03 | 2024-09-25 | Y |
| 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 | 2024-09-03 | 2024-09-25 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2024-09-12 | 2024-09-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-07-17 | 2024-08-16 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-03-26 | 2024-05-01 | Y |
| 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 | 2024-03-26 | 2024-05-01 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-01 | 2024-03-13 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-09-05 | 2023-10-10 | N |
| Provide hallway or ground-level exits in all residents' rooms. | Fire Safety | 2023-09-05 | 2023-10-10 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2023-09-05 | 2023-10-10 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-09-05 | 2023-10-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-09-05 | 2023-10-10 | N |
| Use approved construction type or materials. | Fire Safety | 2023-09-05 | 2023-10-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-05 | 2023-09-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-05 | 2023-09-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-05 | 2023-09-13 | 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 | 2023-09-05 | 2023-09-13 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-09-05 | 2023-09-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-05 | 2023-09-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-05 | 2023-09-13 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-09-05 | 2023-09-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-05 | 2023-09-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-05 | 2023-09-13 | 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 | 2023-09-05 | 2023-09-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-09-05 | 2023-09-13 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-05 | 2023-09-13 | N |