A list of the most recent deficiencies for Briar Hill Health Campus. 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 appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-13 | 2022-10-13 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-12-21 | 2022-01-25 | 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 | 2021-12-21 | 2022-01-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-21 | 2022-01-25 | N |
| Provide appropriate foot care. | Health | 2021-12-21 | 2022-01-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-21 | 2022-01-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-21 | 2022-01-25 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-12-20 | 2022-01-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-20 | 2022-01-25 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-10-27 | 2021-11-17 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-07-11 | 2019-07-29 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-07-11 | 2019-07-29 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-06-07 | 2018-06-25 | N |
| 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 | 2018-06-07 | 2018-06-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-06-07 | 2018-06-25 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-06-07 | 2018-06-25 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-06-07 | 2018-06-25 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2018-06-05 | 2018-06-25 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-06-05 | 2018-06-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-05 | 2018-06-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-06-05 | 2018-06-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-06-05 | 2018-06-25 | N |
