Deficiency Records for The Villas at Brookview
Updated as of May 01, 2020
This is not the most recent data for The Villas at Brookview. For the most recent information, click here.
A list of the most recent deficiencies for The Villas at Brookview. 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-25 | 2020-04-14 | N |
| Provide activities to meet all resident's needs. | Health | 2020-02-27 | 2020-04-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-27 | 2020-04-14 | N |
| Provide or obtain dental services for each resident. | Health | 2020-02-27 | 2020-04-14 | N |
| Respond appropriately to all alleged violations. | Health | 2020-02-27 | 2020-04-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-27 | 2020-04-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-11-26 | 2020-01-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-11-26 | 2020-01-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-04-11 | 2019-05-20 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-04-11 | 2019-05-20 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-12-17 | 2019-01-26 | 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 | 2018-12-17 | 2019-01-26 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-12-17 | 2019-01-26 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-12-17 | 2019-01-26 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-12-17 | 2019-01-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-12-17 | 2019-01-26 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2018-12-17 | 2019-01-26 | N |
| Provide activities to meet all resident's needs. | Health | 2018-12-17 | 2019-01-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-12-17 | 2019-01-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-12-17 | 2019-01-26 | N |
| Provide appropriate foot care. | Health | 2018-12-17 | 2019-01-26 | 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 | 2018-12-17 | 2019-01-26 | 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 | 2018-12-17 | 2019-01-26 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2018-12-17 | 2019-01-26 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2018-12-17 | 2019-01-26 | 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 | 2018-12-17 | 2019-01-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-12-17 | 2019-01-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-12-17 | 2019-01-26 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2018-12-17 | 2019-01-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-17 | 2019-01-26 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-12-17 | 2019-01-26 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-12-17 | 2019-01-26 | Y |
| 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 | 2018-12-17 | 2019-01-26 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2018-08-29 | 2018-09-25 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-08-29 | 2018-09-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-29 | 2018-09-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-10 | 2018-06-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-05-10 | 2018-06-12 | 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 | 2017-10-13 | 2017-11-13 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-07-10 | 2017-11-13 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-07-10 | 2017-11-13 | Y |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-07-10 | 2017-11-13 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-07-10 | 2017-11-13 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-07-10 | 2017-11-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-10 | 2017-11-13 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-07-10 | 2017-11-13 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-10-05 | 2017-11-13 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-10-05 | 2017-11-13 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2017-10-05 | 2017-11-13 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-10-05 | 2017-11-13 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-10-05 | 2017-11-13 | N |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2017-10-05 | 2017-11-13 | N |
| Give notice to the resident before a room or roommate change. | Health | 2017-10-05 | 2017-11-13 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-10-05 | 2017-11-13 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-10-05 | 2017-11-13 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-10-05 | 2017-11-13 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-10-05 | 2017-11-13 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-10-05 | 2017-11-13 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-10-05 | 2017-11-13 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-10-05 | 2017-11-13 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-10-05 | 2017-11-13 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-10-05 | 2017-11-13 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-10-05 | 2017-11-13 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-10-05 | 2017-11-13 | N |
| Make sure that paid feeding assistants 1) completed training; 2) work under the supervision of a RN or LPN; and 3) feed only residents who have no complicated feeding problems. | Health | 2017-10-05 | 2017-11-13 | N |
| Provide or obtain dental services for each resident. | Health | 2017-10-05 | 2017-11-13 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-10-05 | 2017-11-13 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-10-05 | 2017-11-13 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-05 | 2017-11-13 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-10-05 | 2017-11-13 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-10-05 | 2017-11-13 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2017-10-05 | 2017-11-13 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2017-10-05 | 2017-11-13 | N |
| Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. | Health | 2017-10-05 | 2017-11-13 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-10-05 | 2017-11-13 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-05 | 2017-11-13 | Y |
| Develop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home. | Health | 2017-06-15 | 2017-07-21 | Y |
