Deficiency Records for The Villas at Brookview
Updated as of January 01, 2023
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? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-06-28 | 2022-08-05 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-06-21 | 2022-07-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-21 | 2022-07-20 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-06-28 | 2022-07-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-06-28 | 2022-06-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-28 | 2022-06-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-06-28 | 2022-06-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-11-17 | 2021-01-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-12-17 | 2021-01-08 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2020-09-16 | 2020-10-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-06-15 | 2020-07-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-04-21 | 2020-06-08 | 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 |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-25 | 2020-04-14 | N |
| Reasonably accommodate the needs and preferences of each resident. | 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 | 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 |
| 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 | 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 |
