CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Complete Care at Brakeley Park LLC
View the most recent health deficiencies and inspection results for Complete Care at Brakeley Park LLC. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Complete Care at Brakeley Park LLC. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2025-05-16 | 2025-07-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-05-16 | 2025-07-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-05-16 | 2025-07-08 | 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 | 2025-05-16 | 2025-06-12 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-05-16 | 2025-06-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-16 | 2025-06-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-16 | 2025-06-12 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-05-16 | 2025-06-12 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-05-16 | 2025-06-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-05-16 | 2025-06-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-05-16 | 2025-06-12 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2025-05-16 | 2025-06-12 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-05-16 | 2025-06-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-05-16 | 2025-06-12 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2025-05-16 | 2025-06-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-05-16 | 2025-06-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-05-16 | 2025-06-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-05-16 | 2025-06-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-05-16 | 2025-06-12 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2025-05-16 | 2025-06-08 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2024-09-25 | 2024-10-18 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-30 | 2024-09-06 | Y |
| 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 |
| 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 medication error rates are not 5 percent or greater. | 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 |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | 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 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 |
| Ensure services provided by the nursing facility meet professional standards of quality. | 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 |
| 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 |
| 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 |