A list of the most recent deficiencies for Brookestone Gardens. 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? |
|---|---|---|---|---|
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-10-11 | 2023-10-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-10-11 | 2023-10-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-15 | 2022-10-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-09-15 | 2022-10-20 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-09-15 | 2022-10-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-09-15 | 2022-10-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-15 | 2022-10-20 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-09-15 | 2022-10-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-15 | 2022-10-20 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-09-14 | 2022-10-20 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-09-14 | 2022-10-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-20 | 2021-05-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-04-20 | 2021-05-17 | 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 | 2021-04-20 | 2021-05-17 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-04-20 | 2021-05-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-20 | 2021-05-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-20 | 2021-05-17 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-04-19 | 2021-05-17 | 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 | 2021-04-19 | 2021-05-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-04-19 | 2021-05-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-04-19 | 2021-05-17 | N |
