Deficiency Records for The Villas at Brookview
Updated as of February 01, 2018
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? |
|---|---|---|---|---|
| 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 |
| 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 |
| 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 | 2017-10-05 | N |
| 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 |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-01-17 | 2017-02-21 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2017-01-12 | 2017-02-21 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2017-01-12 | 2017-02-21 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-01-12 | 2017-02-21 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2017-01-12 | 2017-02-21 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-01-12 | 2017-02-21 | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2017-01-12 | 2017-02-21 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-01-12 | 2017-02-21 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-01-12 | 2017-02-21 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-01-12 | 2017-02-21 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-01-12 | 2017-02-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-01-12 | 2017-02-21 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-08-01 | 2016-09-26 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-03-03 | 2016-04-12 | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2016-03-03 | 2016-04-12 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-03-03 | 2016-04-12 | 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 | 2016-03-03 | 2016-04-12 | 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 | 2016-03-03 | 2016-04-12 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-03-03 | 2016-04-12 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-03-03 | 2016-04-12 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-03-03 | 2016-04-12 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-03-03 | 2016-04-12 | N |
| Provide or obtain dental services for each resident. | Health | 2016-03-03 | 2016-04-12 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-03-03 | 2016-04-12 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-03-03 | 2016-04-12 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-03-03 | 2016-04-12 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-03-03 | 2016-04-12 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-03-03 | 2016-04-12 | Y |
| Try to resolve each resident's complaints quickly. | Health | 2015-09-03 | 2015-10-23 | Y |
