A list of the most recent deficiencies for Peak Resources - Brookshire, 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2023-11-29 | 2024-01-05 | 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 | 2023-11-29 | 2024-01-05 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-11-29 | 2024-01-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-29 | 2024-01-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-11-29 | 2024-01-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-29 | 2024-01-05 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2023-11-29 | 2024-01-05 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-11-29 | 2024-01-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-11-29 | 2024-01-05 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-10-27 | 2023-11-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-27 | 2023-11-30 | 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 | 2023-10-27 | 2023-11-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-10-27 | 2023-11-30 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-05-05 | 2022-06-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-05-05 | 2022-05-27 | 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 | 2022-05-05 | 2022-05-27 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-05-05 | 2022-05-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-05-05 | 2022-05-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-07 | 2022-04-29 | 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 | 2022-04-07 | 2022-04-29 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-04-07 | 2022-04-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-07 | 2022-04-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-07 | 2022-04-29 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-07 | 2022-04-29 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-11 | 2022-03-16 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-10-20 | 2021-11-01 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-04-20 | 2021-05-07 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-27 | 2020-04-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-30 | 2020-02-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-30 | 2020-02-27 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2020-01-30 | 2020-02-27 | N |
