A list of the most recent deficiencies for Sprain Brook Manor Rehab. 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 | 2023-03-06 | 2023-05-02 | Y |
| Establish methods for sharing information. | Fire Safety | 2021-05-31 | 2021-07-29 | 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 | 2021-05-31 | 2021-07-29 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-05-31 | 2021-07-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-31 | 2021-07-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-31 | 2021-07-29 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-05-31 | 2021-07-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-31 | 2021-07-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-05-31 | 2021-07-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-02-19 | 2019-04-16 | 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 | 2019-02-19 | 2019-04-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-19 | 2019-04-16 | N |
| Dispose of garbage and refuse properly. | Health | 2019-02-19 | 2019-04-16 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-02-19 | 2019-04-16 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-02-19 | 2019-04-16 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-02-19 | 2019-04-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-19 | 2019-04-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-02-19 | 2019-04-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-02-19 | 2019-04-16 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-02-19 | 2019-04-16 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-06-13 | 2017-08-11 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-06-13 | 2017-08-11 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-06-13 | 2017-08-11 | 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 | 2017-06-13 | 2017-08-11 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-06-13 | 2017-08-11 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2017-06-13 | 2017-08-11 | N |
| Have exits that are accessible at all times. | Fire Safety | 2017-06-13 | 2017-08-11 | 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 | 2017-06-13 | 2017-08-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-06-13 | 2017-08-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-06-13 | 2017-08-11 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2017-06-13 | 2017-08-11 | N |
