A list of the most recent deficiencies for Brown Memorial Home Inc. 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 treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-10 | 2021-12-15 | 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 | 2021-11-10 | 2021-12-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-11-10 | 2021-12-15 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-11-10 | 2021-12-15 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2021-11-10 | 2021-12-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-10 | 2021-12-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-10 | 2021-12-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-11-08 | 2021-12-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-11-08 | 2021-12-15 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-10-24 | 2019-12-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-24 | 2019-12-02 | 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 | 2019-10-24 | 2019-12-02 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-10-24 | 2019-12-02 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-10-24 | 2019-12-02 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-10-24 | 2019-12-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-24 | 2019-12-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-24 | 2019-12-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-21 | 2019-12-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-21 | 2019-12-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-10-21 | 2019-12-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-10-21 | 2019-12-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-10-21 | 2019-11-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-09-06 | 2018-10-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-06 | 2018-10-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-09-05 | 2018-10-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-09-05 | 2018-10-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-09-05 | 2018-10-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-09-05 | 2018-10-12 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2018-09-05 | 2018-10-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-05 | 2018-10-12 | N |
