A list of the most recent deficiencies for Brookefield Park. 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? |
|---|---|---|---|---|
| Implement emergency and standby power systems. | Fire Safety | 2023-11-30 | 2023-12-20 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-11-30 | 2023-12-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-30 | 2023-12-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-11-30 | 2023-12-20 | 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 | 2023-11-30 | 2023-12-19 | 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 | 2023-11-30 | 2023-12-19 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2023-11-30 | 2023-12-19 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-11-08 | 2022-12-06 | 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 | 2022-11-08 | 2022-12-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-08 | 2022-12-06 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-11-08 | 2022-12-06 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-11-08 | 2022-12-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-11-07 | 2022-12-02 | 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 | 2022-11-07 | 2022-12-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-11-07 | 2022-12-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-22 | 2021-08-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-22 | 2021-08-06 | 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 | 2021-06-22 | 2021-08-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-06-22 | 2021-08-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-22 | 2021-08-06 | 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 | 2021-06-21 | 2021-07-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-06-21 | 2021-07-14 | N |
