A list of the most recent deficiencies for Briarwood The. 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 safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-08-21 | 2023-10-06 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-08-21 | 2023-10-06 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-21 | 2023-10-06 | N |
Keep all essential equipment working safely. | Health | 2023-08-21 | 2023-10-06 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-21 | 2023-10-06 | 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 | 2023-08-15 | 2023-10-06 | N |
Have exits that are accessible at all times. | Fire Safety | 2023-08-15 | 2023-10-06 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2023-08-15 | 2023-10-06 | 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 | 2023-08-15 | 2023-10-06 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-15 | 2023-10-06 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-15 | 2023-10-06 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-15 | 2023-10-06 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-15 | 2023-10-06 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-08-15 | 2023-10-06 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-08-15 | 2023-10-06 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-15 | 2023-10-06 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-12 | 2023-04-21 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-12 | 2023-04-21 | Y |
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-01-13 | 2023-01-27 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-18 | 2022-02-11 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-01-18 | 2022-02-11 | Y |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-10-14 | 2021-11-18 | N |
Keep all essential equipment working safely. | Health | 2021-10-14 | 2021-11-18 | N |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-10-22 | 2021-11-18 | Y |
Have exits that are accessible at all times. | Fire Safety | 2021-10-13 | 2021-11-18 | 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 | 2021-10-13 | 2021-11-18 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-13 | 2021-11-18 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-10-13 | 2021-11-18 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-10-13 | 2021-11-18 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2021-10-13 | 2021-11-18 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-10-13 | 2021-11-18 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-13 | 2021-11-18 | 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 | 2021-10-14 | 2021-11-11 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-19 | 2021-05-24 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2021-03-30 | 2021-04-20 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-03-30 | 2021-04-20 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-02-14 | 2019-04-10 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2019-02-14 | 2019-04-10 | 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 | 2019-02-14 | 2019-04-10 | N |
Respond appropriately to all alleged violations. | Health | 2019-02-14 | 2019-04-10 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-02-14 | 2019-04-10 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-14 | 2019-04-10 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-14 | 2019-04-10 | 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 | 2019-02-14 | 2019-04-10 | 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 | 2019-02-14 | 2019-04-10 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-14 | 2019-04-10 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-02-14 | 2019-04-10 | N |
Provide and implement an infection prevention and control program. | Health | 2019-02-14 | 2019-04-10 | N |
Establish staff and initial training requirements. | Fire Safety | 2019-02-12 | 2019-04-10 | N |
Conduct testing and exercise requirements. | Fire Safety | 2019-02-12 | 2019-04-10 | N |
Implement emergency and standby power systems. | Fire Safety | 2019-02-12 | 2019-04-10 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-02-12 | 2019-04-10 | 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 | 2019-02-12 | 2019-04-10 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-02-12 | 2019-04-10 | N |
Provide properly protected cooking facilities. | Fire Safety | 2019-02-12 | 2019-04-10 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-02-12 | 2019-04-10 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-12 | 2019-04-10 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-12 | 2019-04-10 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-02-12 | 2019-04-10 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-02-12 | 2019-04-10 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-02-12 | 2019-04-10 | N |
Have restrictions on the use of portable space heaters. | Fire Safety | 2019-02-12 | 2019-04-10 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-02-12 | 2019-04-10 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-02-12 | 2019-04-10 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-02-12 | 2019-04-10 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2019-02-12 | 2019-04-10 | N |