A list of the most recent deficiencies for Brookestone Village. 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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-16 | 2023-09-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-16 | 2023-09-25 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-08-10 | 2023-08-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-08-10 | 2023-08-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-10 | 2023-08-30 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-08-10 | 2023-08-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-10 | 2023-08-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-10 | 2023-08-30 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-08-10 | 2023-08-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-05-12 | 2022-06-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-12 | 2022-06-22 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-05-11 | 2022-06-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-05-11 | 2022-06-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-11 | 2022-06-02 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-05-11 | 2022-06-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-05-11 | 2022-06-01 | 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 | 2022-05-11 | 2022-06-01 | 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 | 2022-05-11 | 2022-06-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-11 | 2022-06-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-11 | 2022-06-01 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2022-05-11 | 2022-05-24 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-05-11 | 2022-05-24 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-05-11 | 2022-05-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-11 | 2022-05-22 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2022-05-11 | 2022-05-11 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2022-05-11 | 2022-05-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-09-15 | 2020-10-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-09-15 | 2020-10-20 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2020-09-15 | 2020-10-20 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2020-09-17 | 2020-10-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-09-17 | 2020-10-15 | 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 | 2020-09-17 | 2020-10-15 | N |
