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Deficiency Records for Brentwood Health Care Center
View the most recent health deficiencies and inspection results for Brentwood Health Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Brentwood Health Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2025-07-24 | 2025-08-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-07-24 | 2025-08-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-07-24 | 2025-08-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-07-24 | 2025-08-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-07-24 | 2025-08-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-07-24 | 2025-08-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-07-24 | 2025-08-21 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-11-12 | 2024-11-26 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-07-09 | 2024-08-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-09 | 2024-08-05 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-07-09 | 2024-08-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-09 | 2024-08-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-07-09 | 2024-08-05 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-09 | 2024-08-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-22 | 2023-02-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-12-22 | 2023-02-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-12-22 | 2023-02-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-22 | 2023-02-01 | 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 | 2022-12-22 | 2023-02-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-22 | 2023-02-01 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-12-22 | 2023-02-01 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-12-22 | 2023-02-01 | 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 | 2022-12-22 | 2023-02-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-12-22 | 2023-02-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-12-22 | 2023-02-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-03 | 2019-11-01 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-10-03 | 2019-11-01 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-10-03 | 2019-11-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-10-03 | 2019-11-01 | N |
| Dispose of garbage and refuse properly. | Health | 2019-10-03 | 2019-11-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-03 | 2019-11-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-10-03 | 2019-11-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-10-03 | 2019-11-01 | 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 | 2019-10-03 | 2019-11-01 | N |
| Post nurse staffing information every day. | Health | 2019-10-03 | 2019-11-01 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-10-03 | 2019-11-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-10-03 | 2019-11-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-03 | 2019-11-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-03 | 2019-11-01 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-10-03 | 2019-11-01 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-10-03 | 2019-11-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-10-03 | 2019-11-01 | 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 | 2019-10-03 | 2019-11-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-03 | 2019-11-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-10-03 | 2019-11-01 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-10-03 | 2019-11-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-03 | 2019-11-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-10-03 | 2019-11-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-10-03 | 2019-11-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-03 | 2019-11-01 | N |