A list of the most recent deficiencies for Brooke Haven Healthcare. 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 pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-12 | 2023-08-26 | Y |
| 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 | 2023-07-06 | 2023-08-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-06 | 2023-08-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-06 | 2023-08-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-07-06 | 2023-08-20 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-06 | 2023-08-20 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-12 | 2023-08-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-12 | 2023-08-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-12 | 2023-08-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-12 | 2023-08-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-07-12 | 2023-08-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-06 | 2023-07-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-29 | 2023-01-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-12-06 | 2023-01-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-25 | 2021-12-15 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-04-09 | 2021-04-15 | Y |
| 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 | 2020-03-09 | 2020-04-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-03-09 | 2020-04-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-25 | 2019-03-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-25 | 2019-03-04 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-01-25 | 2019-03-04 | N |
