A list of the most recent deficiencies for Caretel Inns of Brighton. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-29 | 2024-02-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-29 | 2024-02-16 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-16 | 2023-12-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-16 | 2023-12-08 | N |
| Respond appropriately to all alleged violations. | Health | 2023-11-16 | 2023-12-08 | 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 | 2023-11-16 | 2023-12-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-16 | 2023-12-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-16 | 2023-12-08 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-11-17 | 2023-12-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-17 | 2023-12-08 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-11-17 | 2023-12-08 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-16 | 2023-11-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-05 | 2023-10-13 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-10-05 | 2023-10-13 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-12-14 | 2023-02-21 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-12-14 | 2023-02-21 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-12-14 | 2023-01-10 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-12-14 | 2023-01-10 | 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 | 2022-12-14 | 2023-01-10 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-12-14 | 2023-01-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-14 | 2023-01-10 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-12-14 | 2023-01-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-14 | 2023-01-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-12-14 | 2023-01-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-12-14 | 2023-01-10 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-12-14 | 2023-01-10 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-12-14 | 2023-01-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-12-14 | 2023-01-10 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-12-14 | 2023-01-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-14 | 2023-01-10 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-12-14 | 2023-01-06 | 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 | 2022-12-14 | 2023-01-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-12-14 | 2023-01-06 | 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 | 2022-12-14 | 2023-01-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-14 | 2023-01-06 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-09-30 | 2021-10-27 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-09-30 | 2021-10-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-09-30 | 2021-10-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-30 | 2021-10-25 | 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 | 2021-09-30 | 2021-10-25 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-09-30 | 2021-10-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-30 | 2021-10-25 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2021-09-30 | 2021-10-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-30 | 2021-10-25 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-09-30 | 2021-10-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-09-30 | 2021-10-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-09-30 | 2021-10-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-30 | 2021-10-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-09-30 | 2021-10-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-09-30 | 2021-10-18 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2021-09-30 | 2021-10-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-09-30 | 2021-10-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-30 | 2021-10-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-09-16 | 2021-10-01 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-04-01 | 2021-04-27 | Y |
