A list of the most recent deficiencies for The Brightonian, Inc. 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? |
|---|---|---|---|---|
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2023-10-19 | 2023-12-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-19 | 2023-12-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-19 | 2023-12-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-19 | 2023-12-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-19 | 2023-12-21 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-10-19 | 2023-12-21 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-10-19 | 2023-12-21 | Y |
| 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 | 2023-10-19 | 2023-12-21 | Y |
| Post nurse staffing information every day. | Health | 2023-10-19 | 2023-12-21 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-10-19 | 2023-12-21 | Y |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2023-10-19 | 2023-12-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-19 | 2023-12-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-19 | 2023-12-15 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2022-04-22 | 2022-06-21 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-04-22 | 2022-06-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-22 | 2022-06-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-04-22 | 2022-06-21 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-04-22 | 2022-06-21 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-04-22 | 2022-06-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-22 | 2022-06-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-22 | 2022-06-21 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-24 | 2022-05-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-03-05 | 2020-04-17 | 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 | 2020-03-05 | 2020-04-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-03-05 | 2020-04-17 | N |
| Provide activities to meet all resident's needs. | Health | 2020-03-05 | 2020-04-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-03-05 | 2020-04-17 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2020-03-05 | 2020-04-17 | N |
| Post nurse staffing information every day. | Health | 2020-03-05 | 2020-04-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-03-05 | 2020-04-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-05 | 2020-04-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-05 | 2020-04-17 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-03-05 | 2020-04-10 | N |
