A list of the most recent deficiencies for Life Care Center of Brookfield. 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 appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-04 | 2024-01-04 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-04-20 | 2023-08-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-20 | 2023-08-02 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-11 | 2023-06-20 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-04-27 | 2023-06-20 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-04-27 | 2023-06-20 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-04-20 | 2023-06-20 | N |
| Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. | Health | 2023-04-20 | 2023-06-20 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-20 | 2023-06-20 | N |
| Respond appropriately to all alleged violations. | Health | 2023-04-20 | 2023-06-20 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-04-20 | 2023-06-20 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2023-04-20 | 2023-06-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-20 | 2023-06-20 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-04-20 | 2023-06-20 | N |
| Provide activities to meet all resident's needs. | Health | 2023-04-20 | 2023-06-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-20 | 2023-06-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-04-20 | 2023-06-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-20 | 2023-06-20 | 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 | 2023-04-20 | 2023-06-20 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-04-20 | 2023-06-20 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-04-20 | 2023-06-20 | 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 | 2023-04-20 | 2023-06-20 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-04-20 | 2023-06-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-04-20 | 2023-06-20 | 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 | 2023-04-20 | 2023-06-20 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-04-20 | 2023-06-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-20 | 2023-06-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-20 | 2023-06-20 | Y |
| 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 | 2023-04-20 | 2023-06-20 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-04-20 | 2023-06-20 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-04-20 | 2023-06-20 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-20 | 2023-06-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-04-20 | 2023-06-20 | Y |
| Keep all essential equipment working safely. | Health | 2023-04-20 | 2023-06-20 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-04-20 | 2023-06-20 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2023-04-20 | 2023-06-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-04-20 | 2023-06-20 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-04-20 | 2023-06-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-20 | 2023-06-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-20 | 2023-06-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-20 | 2023-06-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-20 | 2023-06-20 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-09 | 2022-11-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-06 | 2022-06-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-06 | 2022-06-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-26 | 2021-09-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-05-05 | 2021-06-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-05 | 2021-06-08 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-05-05 | 2021-06-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-05 | 2021-06-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-05 | 2021-06-08 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2021-05-05 | 2021-06-08 | Y |
| Use approved construction type or materials. | Fire Safety | 2019-08-23 | 2019-10-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-08-23 | 2019-10-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-23 | 2019-10-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-23 | 2019-10-08 | 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 | 2019-08-23 | 2019-10-04 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2019-08-23 | 2019-10-04 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-23 | 2019-10-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-23 | 2019-10-04 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-08-23 | 2019-10-04 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-07-19 | 2018-08-28 | 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 | 2018-07-19 | 2018-08-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-07-19 | 2018-08-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-07-19 | 2018-08-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-07-19 | 2018-08-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-19 | 2018-08-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-07-19 | 2018-08-28 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-07-19 | 2018-08-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-19 | 2018-08-28 | 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 | 2018-07-19 | 2018-08-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-07-19 | 2018-08-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-07-19 | 2018-08-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-07-19 | 2018-08-28 | N |
