A list of the most recent deficiencies for Brookview Healthcare Center. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-11 | 2024-01-24 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-05-24 | 2023-05-25 | 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 | 2023-05-24 | 2023-05-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-24 | 2023-05-25 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-05-01 | 2023-05-02 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2022-10-05 | 2022-10-19 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-08-01 | 2022-08-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-01 | 2022-08-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-01 | 2022-08-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-01 | 2022-08-20 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-08-01 | 2022-08-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-08-01 | 2022-08-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-01 | 2022-08-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-01 | 2022-08-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-01 | 2022-08-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-01 | 2022-08-20 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-08-01 | 2022-08-20 | 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 | 2022-07-25 | 2022-08-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-25 | 2022-08-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-25 | 2022-08-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-07-25 | 2022-08-20 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-07-25 | 2022-08-20 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-11-22 | 2021-12-10 | Y |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2021-11-22 | 2021-12-10 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-11-22 | 2021-12-10 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-11-22 | 2021-12-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-08-03 | 2021-08-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-01 | 2021-04-23 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-04-01 | 2021-04-23 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-04-01 | 2021-04-23 | 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 | 2021-04-01 | 2021-04-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-01 | 2021-04-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-01 | 2021-04-23 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-08-01 | 2019-08-30 | N |
| Provide activities to meet all resident's needs. | Health | 2019-08-01 | 2019-08-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-07-30 | 2019-08-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-07-30 | 2019-08-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-05-23 | 2018-06-20 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-05-23 | 2018-06-20 | N |
| Respond appropriately to all alleged violations. | Health | 2018-05-23 | 2018-06-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-05-23 | 2018-06-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-23 | 2018-06-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-23 | 2018-06-20 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2018-05-23 | 2018-06-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-05-24 | 2018-06-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-05-24 | 2018-06-20 | N |
