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Deficiency Records for Mill Brook Rehabilitation and Healthcare Center
View the most recent health deficiencies and inspection results for Mill Brook Rehabilitation and Healthcare Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Mill Brook Rehabilitation and Healthcare Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-28 | 2025-09-19 | 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 | 2025-08-28 | 2025-09-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-08-28 | 2025-09-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-28 | 2025-09-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-08-28 | 2025-09-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-07-17 | 2024-08-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-17 | 2024-08-20 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-07-17 | 2024-08-19 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-07-17 | 2024-08-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-17 | 2024-08-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-17 | 2024-08-12 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-07-17 | 2024-08-12 | 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 | 2024-07-17 | 2024-08-12 | 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 | 2024-07-17 | 2024-08-12 | 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 | 2024-07-17 | 2024-08-12 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2024-07-17 | 2024-08-12 | 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 | 2024-07-17 | 2024-08-12 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-07-17 | 2024-08-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-17 | 2024-08-12 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-07-17 | 2024-08-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-07-17 | 2024-08-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-17 | 2024-08-12 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-09-11 | 2023-09-26 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-07-05 | 2023-07-28 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-02 | 2023-06-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-02 | 2023-06-16 | 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 | 2023-03-02 | 2023-06-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-03-02 | 2023-06-16 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-03-02 | 2023-06-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-02 | 2023-06-02 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-02 | 2023-06-02 | 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 | 2023-03-02 | 2023-04-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-02 | 2023-04-21 | 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 | 2023-03-02 | 2023-04-21 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-03-02 | 2023-04-21 | N |
| Perform COVID19 testing on residents and staff. | Health | 2023-03-02 | 2023-04-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-03-02 | 2023-04-21 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-02 | 2023-04-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-02 | 2023-04-21 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-03-02 | 2023-04-21 | 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 | 2023-03-02 | 2023-04-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-02 | 2023-04-21 | 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 | 2023-03-02 | 2023-04-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-02 | 2023-04-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-02 | 2023-04-21 | N |
| 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 | 2023-03-02 | 2023-04-21 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-03-02 | 2023-04-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-02 | 2023-04-21 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-03-02 | 2023-04-10 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-03-02 | 2023-04-10 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-03-02 | 2023-04-10 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-03-02 | 2023-04-10 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-03-02 | 2023-04-10 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-03-02 | 2023-04-10 | N |
| Use approved construction type or materials. | Fire Safety | 2023-03-02 | 2023-04-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-02 | 2023-04-10 | N |