Deficiency Records for Brookhaven Rehab and Health Care Center L L C
Updated as of March 01, 2024
A list of the most recent deficiencies for Brookhaven Rehab and Health Care Center L L C. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-22 | 2023-10-06 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-01-12 | 2022-04-14 | 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 | 2022-01-12 | 2022-02-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-12 | 2022-02-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-01-12 | 2022-02-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-01-12 | 2022-02-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-12 | 2022-02-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-12 | 2022-02-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-01-12 | 2022-02-28 | 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 | 2022-01-12 | 2022-02-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-12 | 2022-02-28 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2022-01-12 | 2022-02-28 | 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 | 2022-01-12 | 2022-02-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-12 | 2022-02-28 | N |
| Respond appropriately to all alleged violations. | Health | 2019-06-04 | 2019-08-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-06-04 | 2019-08-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-04 | 2019-08-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-06-04 | 2019-08-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-06-04 | 2019-07-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-06-04 | 2019-07-31 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2019-06-04 | 2019-07-31 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-01-03 | 2018-02-28 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2018-01-03 | 2018-02-28 | N |
| Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2018-01-03 | 2018-02-28 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-01-03 | 2018-02-28 | 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 | 2018-01-03 | 2018-02-28 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-01-03 | 2018-02-28 | 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 | 2018-01-03 | 2018-02-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-01-03 | 2018-02-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-01-03 | 2018-02-28 | N |
