Deficiency Records for Briarcliff Manor Center For Rehab and Nursing Care
Updated as of March 01, 2024
A list of the most recent deficiencies for Briarcliff Manor Center For Rehab and Nursing Care. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-30 | 2023-07-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-30 | 2023-07-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-27 | 2023-02-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-27 | 2023-02-24 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-11-10 | 2020-12-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-11-10 | 2020-12-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-11-10 | 2020-12-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-11-10 | 2020-12-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-11-10 | 2020-12-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-11-10 | 2020-12-30 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-11-10 | 2020-12-30 | N |
| Have exits that are accessible at all times. | Fire Safety | 2020-11-10 | 2020-12-30 | 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 | 2020-11-10 | 2020-12-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-11-10 | 2020-12-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-11-10 | 2020-12-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-11-10 | 2020-12-30 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2020-11-10 | 2020-12-30 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2020-11-10 | 2020-12-30 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-03-08 | 2019-05-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-08 | 2019-05-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-08 | 2019-05-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-08 | 2019-04-26 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-03-08 | 2019-04-19 | 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 | 2019-03-08 | 2019-04-19 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-03-08 | 2019-04-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-03-08 | 2019-04-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-08 | 2019-04-19 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2019-03-08 | 2019-04-19 | N |
| Have exits that are accessible at all times. | Fire Safety | 2017-08-02 | 2017-09-25 | N |
| Install proper backup exit lighting. | Fire Safety | 2017-08-02 | 2017-09-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-08-02 | 2017-09-25 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2017-08-02 | 2017-09-25 | N |
| Provide proof that residents' personal money that is deposited with the nursing home is secure. | Health | 2017-08-02 | 2017-09-21 | N |
| Provide housekeeping and maintenance services. | Health | 2017-08-02 | 2017-09-21 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-02 | 2017-09-21 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-08-02 | 2017-09-21 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-08-02 | 2017-09-21 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-08-02 | 2017-09-21 | N |
