Deficiency Records for Pavilion Health Center at Brightmore
Updated as of May 01, 2024
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Deficiency Records for Pavilion Health Center at Brightmore
A list of the most recent deficiencies for Pavilion Health Center at Brightmore. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Pavilion Health Center at Brightmore. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-26 | 2024-04-16 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-03-26 | 2024-04-16 | 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 | 2024-03-26 | 2024-04-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-26 | 2024-04-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-26 | 2024-04-16 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-03-26 | 2024-04-16 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-03-26 | 2024-04-16 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-03-26 | 2024-04-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-26 | 2024-03-27 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-03-26 | 2024-03-27 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-03-26 | 2024-03-26 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-16 | 2022-12-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-09-29 | 2022-10-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-29 | 2022-10-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-29 | 2022-10-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-29 | 2022-10-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-29 | 2022-10-17 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-26 | 2021-06-03 | 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 | 2019-06-26 | 2019-08-10 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2019-06-26 | 2019-08-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-26 | 2019-08-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-06-26 | 2019-08-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-05-23 | 2019-06-10 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-05-23 | 2019-06-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-23 | 2019-06-10 | N |
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