A list of the most recent deficiencies for Brookestone of Papillion. 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 | 2023-10-31 | 2023-12-08 | 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 | 2023-10-31 | 2023-12-08 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-10-31 | 2023-12-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-10-31 | 2023-12-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-31 | 2023-12-08 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-10-31 | 2023-12-08 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-11-02 | 2023-12-04 | N |
| 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 | 2023-11-02 | 2023-12-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-02 | 2023-12-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-02 | 2023-12-04 | N |
| Use approved construction type or materials. | Fire Safety | 2022-11-03 | 2022-12-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-11-03 | 2022-12-05 | 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 | 2022-11-03 | 2022-12-05 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-11-03 | 2022-12-05 | 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 | 2022-11-03 | 2022-12-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-03 | 2022-12-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-03 | 2022-12-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-03 | 2022-12-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-11-03 | 2022-12-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-03 | 2022-12-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-03 | 2022-12-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-11-03 | 2022-12-05 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-11-03 | 2022-12-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-03 | 2022-12-05 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2022-11-03 | 2022-12-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-11-08 | 2022-12-02 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-23 | 2021-09-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-23 | 2021-09-17 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2021-08-23 | 2021-09-17 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2021-08-23 | 2021-09-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-08-23 | 2021-09-17 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-08-23 | 2021-09-17 | 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 | 2021-08-23 | 2021-09-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-08-23 | 2021-09-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-23 | 2021-09-17 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2021-08-23 | 2021-09-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-23 | 2021-09-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-08-23 | 2021-09-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-23 | 2021-09-17 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2021-08-23 | 2021-09-17 | N |
