Deficiency Records for Continuing Care at Brooksby Village
Updated as of June 01, 2022
This is not the most recent data for Continuing Care at Brooksby Village. For the most recent information, click here.
A list of the most recent deficiencies for Continuing Care at Brooksby Village. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2021-10-13 | 2021-11-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-07-27 | 2020-08-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-07-13 | 2020-08-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-11 | 2019-05-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-04-11 | 2019-05-26 | 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 | 2019-04-11 | 2019-05-26 | 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 | 2019-04-11 | 2019-05-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-05-15 | 2018-06-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-04-24 | 2018-05-31 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-04-24 | 2018-05-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-04-24 | 2018-05-31 | 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 | 2018-04-24 | 2018-05-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-04-24 | 2018-05-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-04-24 | 2018-05-31 | 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 | 2018-04-24 | 2018-05-31 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2018-04-24 | 2018-05-31 | 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 | 2018-04-24 | 2018-05-31 | 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 | 2018-04-24 | 2018-05-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-24 | 2018-05-31 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-05-15 | 2018-05-15 | N |
