Deficiency Records for Brooklyn Gardens Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Brooklyn Gardens Nursing and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-27 | 2023-12-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-10-27 | 2023-12-20 | 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 | 2023-10-27 | 2023-12-20 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-06-29 | 2023-08-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-29 | 2023-08-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-29 | 2023-08-15 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-06-29 | 2023-08-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-29 | 2023-08-15 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-17 | 2023-06-29 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-05-17 | 2023-06-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-05-17 | 2023-06-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-17 | 2023-06-29 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-17 | 2023-06-29 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-05-17 | 2023-06-29 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-05-17 | 2023-06-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-17 | 2023-06-29 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-05-17 | 2023-06-29 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-05-16 | 2023-06-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-16 | 2023-06-17 | 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 | 2023-05-16 | 2023-06-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-16 | 2023-06-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-16 | 2023-06-17 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-11-23 | 2023-01-20 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-11-09 | 2020-12-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-11-09 | 2020-12-18 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2020-11-09 | 2020-12-15 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2020-11-09 | 2020-12-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-11-09 | 2020-12-03 | 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 | 2020-11-09 | 2020-12-02 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2018-10-11 | 2018-12-07 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2018-10-11 | 2018-12-07 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2018-10-11 | 2018-12-07 | 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 | 2018-10-11 | 2018-12-07 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-10-11 | 2018-12-07 | 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 | 2018-10-11 | 2018-12-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-11 | 2018-12-07 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-10-11 | 2018-11-09 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-10-11 | 2018-11-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-10-11 | 2018-11-09 | N |
