Deficiency Records for Brethren Care Village Health Care Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Brethren Care Village Health Care 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? |
|---|---|---|---|---|
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-26 | 2022-11-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-26 | 2022-11-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-09-19 | 2022-11-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-19 | 2022-11-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-09-19 | 2022-11-06 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2022-09-19 | 2022-11-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-11 | 2022-08-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-07-09 | 2021-07-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-09 | 2021-07-29 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2019-09-26 | 2019-10-18 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-09-26 | 2019-10-18 | 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 | 2019-09-26 | 2019-10-18 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-09-26 | 2019-10-18 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-09-26 | 2019-10-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-26 | 2019-10-18 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-09-26 | 2019-10-18 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-09-26 | 2019-10-18 | N |
| Use approved construction type or materials. | Fire Safety | 2019-09-23 | 2019-10-18 | 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 | 2018-08-16 | 2018-08-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-08-16 | 2018-08-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-08-13 | 2018-08-30 | N |
