Deficiency Records for Brethren Care Village Health Care Center
Updated as of June 01, 2020
This is not the most recent data for Brethren Care Village Health Care Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2019-09-23 | 2019-10-18 | N |
| 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 ne | 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 |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-08-13 | 2018-08-30 | 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 |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-05-30 | 2018-05-31 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2018-05-30 | 2018-05-31 | Y |
| 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 | 2018-05-30 | 2018-05-31 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-05-30 | 2018-05-31 | Y |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2017-06-14 | 2017-07-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-06-14 | 2017-07-14 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-06-23 | 2017-07-14 | N |
