CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Little Brook Nursing and Convalescent Home
View the most recent health deficiencies and inspection results for Little Brook Nursing and Convalescent Home. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Little Brook Nursing and Convalescent Home. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-07-10 | 2025-08-18 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-03-18 | 2025-05-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-03-18 | 2025-05-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-03-18 | 2025-05-14 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2025-03-18 | 2025-05-14 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-03-18 | 2025-05-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-10-30 | 2025-01-22 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2024-10-30 | 2025-01-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-10-30 | 2024-12-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-10-30 | 2024-11-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-10-30 | 2024-11-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-10-30 | 2024-11-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-10-30 | 2024-11-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-10-30 | 2024-11-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-10-30 | 2024-11-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-10-30 | 2024-11-25 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-10-30 | 2024-11-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-10-30 | 2024-11-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-10-30 | 2024-11-22 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-10-30 | 2024-11-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-30 | 2024-11-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-10-30 | 2024-11-22 | 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 | 2024-10-30 | 2024-11-22 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-10-30 | 2024-11-22 | 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 | 2024-10-30 | 2024-11-22 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-10-30 | 2024-11-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-30 | 2024-11-21 | 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 | 2024-10-30 | 2024-11-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-10-30 | 2024-11-21 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-10-30 | 2024-11-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-10-30 | 2024-11-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-10-30 | 2024-11-21 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-10-30 | 2024-11-21 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-10-30 | 2024-11-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-10-30 | 2024-11-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-30 | 2024-11-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-04 | 2024-04-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-12 | 2024-01-31 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-12-12 | 2024-01-31 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-12-12 | 2024-01-31 | Y |
| Provide at least two remote exits on each floor or fire section of the building. | Fire Safety | 2023-06-15 | 2023-08-21 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-06-15 | 2023-08-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-15 | 2023-08-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-15 | 2023-08-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-15 | 2023-07-27 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-06-15 | 2023-07-26 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-06-15 | 2023-07-26 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-06-15 | 2023-07-26 | Y |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-06-15 | 2023-07-26 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-06-15 | 2023-07-26 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-06-15 | 2023-07-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-15 | 2023-07-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-06-15 | 2023-07-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-15 | 2023-07-25 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-06-15 | 2023-07-25 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-06-15 | 2023-07-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-15 | 2023-07-25 | 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 | 2023-06-15 | 2023-07-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-06-15 | 2023-07-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-06-15 | 2023-07-25 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-06-15 | 2023-07-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-15 | 2023-07-25 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-06-15 | 2023-07-25 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-15 | 2023-07-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-06-15 | 2023-07-25 | 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 | 2023-06-15 | 2023-07-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-15 | 2023-07-25 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-06-15 | 2023-07-25 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-06-15 | 2023-07-03 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-05-21 | 2021-11-15 | N |
| Provide at least two remote exits on each floor or fire section of the building. | Fire Safety | 2021-05-21 | 2021-09-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-21 | 2021-07-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-21 | 2021-06-22 | N |
| Respond appropriately to all alleged violations. | Health | 2021-05-21 | 2021-06-12 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2021-05-21 | 2021-06-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-21 | 2021-06-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-21 | 2021-06-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-21 | 2021-06-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-05-21 | 2021-06-09 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-05-21 | 2021-06-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-21 | 2021-06-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-21 | 2021-06-08 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-05-21 | 2021-06-07 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-05-21 | 2021-06-07 | 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 | 2021-05-21 | 2021-06-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-21 | 2021-06-06 | 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 | 2021-05-21 | 2021-06-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-21 | 2021-06-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-05-21 | 2021-05-31 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-05-21 | 2021-05-26 | N |
| Post nurse staffing information every day. | Health | 2021-05-21 | 2021-05-24 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-05-21 | 2021-05-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-21 | 2021-05-24 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-05-21 | 2021-05-23 | N |