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Deficiency Records for Brookhaven Nursing and Rehab

View the most recent health deficiencies and inspection results for Brookhaven Nursing and Rehab. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Brookhaven Nursing and Rehab. Stay informed about quality of care issues.

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 2026-04-24 2026-05-22 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2025-09-04 2025-10-19 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2025-09-04 2025-10-19 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2025-09-04 2025-10-19 Y
Provide and implement an infection prevention and control program. Health 2024-12-13 2025-03-10 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-12-13 2025-01-27 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-12-13 2025-01-27 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-12-13 2025-01-27 N
Ensure that residents are free from significant medication errors. Health 2024-12-13 2025-01-27 N
Ensure medication error rates are not 5 percent or greater. Health 2024-12-13 2025-01-27 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-12-13 2025-01-27 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-12-13 2025-01-27 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-12-13 2025-01-27 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-12-13 2025-01-27 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 2024-12-13 2025-01-27 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2024-12-13 2025-01-27 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-12-13 2025-01-27 N
Respond appropriately to all alleged violations. Health 2023-10-13 2023-11-21 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-10-13 2023-11-21 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-10-13 2023-11-21 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-08-24 2023-10-08 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-06-08 2023-07-27 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-06-08 2023-07-27 N
Ensure that residents are free from significant medication errors. Health 2023-06-08 2023-07-23 N
Provide and implement an infection prevention and control program. Health 2023-06-08 2023-07-23 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 2023-06-08 2023-07-23 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-06-08 2023-07-23 Y
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2023-06-08 2023-07-23 N
Use approved construction type or materials. Fire Safety 2023-06-08 2023-07-23 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2023-06-08 2023-07-23 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-06-08 2023-07-23 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-06-08 2023-07-23 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-06-08 2023-07-23 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-06-08 2023-07-23 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-06-08 2023-07-23 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-06-08 2023-07-23 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-06-08 2023-05-02 N
Have enough outside ventilation via a window or mechanical ventilation, or both. Health 2020-01-31 2020-03-15 N
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 2020-01-31 2020-03-15 N
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2020-01-31 2020-03-15 N
Ensure that residents are free from significant medication errors. Health 2020-01-31 2020-03-15 N
Ensure medication error rates are not 5 percent or greater. Health 2020-01-31 2020-03-15 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2020-01-31 2020-03-15 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2020-01-31 2020-03-15 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2020-01-31 2020-03-15 N
Respond appropriately to all alleged violations. Health 2020-01-31 2020-03-15 N
Keep residents' personal and medical records private and confidential. Health 2020-01-31 2020-03-15 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2020-01-31 2020-03-15 N

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