A list of the most recent deficiencies for Complete Care at Brakeley Park, LLC. 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? |
|---|---|---|---|---|
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-01-05 | 2024-01-23 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-01-05 | 2024-01-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-05 | 2024-01-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-05 | 2024-01-23 | 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 | 2024-01-05 | 2024-01-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-05 | 2024-01-23 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-01-05 | 2024-01-23 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-01-05 | 2024-01-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-01-05 | 2024-01-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-05 | 2024-01-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-10 | 2023-10-11 | Y |
| Keep all essential equipment working safely. | Health | 2023-06-01 | 2023-07-14 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-10-21 | 2021-11-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-10-21 | 2021-11-17 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-10-21 | 2021-11-10 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-10-21 | 2021-11-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-20 | 2021-08-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-18 | 2019-11-30 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2019-10-18 | 2019-11-30 | N |
