A list of the most recent deficiencies for Universal Health Care / Brunswick. 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 care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-25 | 2024-02-15 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-01-25 | 2024-02-15 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-01-25 | 2024-02-15 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-12-11 | 2024-02-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-11 | 2024-01-25 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-12-11 | 2024-01-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-02 | 2023-05-11 | Y |
| Dispose of garbage and refuse properly. | Health | 2022-12-16 | 2023-03-01 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-12-16 | 2023-03-01 | Y |
| 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 | 2023-02-04 | 2023-03-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-04 | 2023-03-01 | Y |
| Report COVID19 data to residents and families. | Health | 2023-02-04 | 2023-03-01 | Y |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-02-08 | 2023-03-01 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-02-08 | 2023-03-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-16 | 2023-02-04 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-12-16 | 2023-02-04 | Y |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2022-12-16 | 2023-02-04 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-26 | 2021-11-26 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-10-26 | 2021-11-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-10-26 | 2021-11-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-10-26 | 2021-11-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-26 | 2021-11-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-10-26 | 2021-11-26 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-10-26 | 2021-11-26 | N |
| Post nurse staffing information every day. | Health | 2021-10-26 | 2021-11-26 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2021-10-26 | 2021-11-26 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-10-26 | 2021-11-26 | 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 | 2021-10-26 | 2021-11-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-10-26 | 2021-11-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-26 | 2021-11-26 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-10-26 | 2021-11-26 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-10-26 | 2021-11-26 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-10 | 2021-05-17 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-03-08 | 2021-03-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-03-08 | 2021-03-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-08 | 2021-03-26 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-03-08 | 2021-03-26 | Y |
| 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 | 2021-03-08 | 2021-03-26 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-03-08 | 2021-03-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-03-08 | 2021-03-26 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-06 | 2019-08-14 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-06-27 | 2019-07-17 | 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 | 2019-06-27 | 2019-07-17 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-06-27 | 2019-07-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-06-27 | 2019-07-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-27 | 2019-07-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-27 | 2019-07-17 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-06-27 | 2019-07-17 | N |
