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Deficiency Records for Brewster Convalescent Center
View the most recent health deficiencies and inspection results for Brewster Convalescent Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Brewster Convalescent Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-12-28 | 2025-02-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-12-28 | 2025-02-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-12-28 | 2025-02-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-12-28 | 2025-02-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-12-28 | 2025-02-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-12-28 | 2025-02-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-12-28 | 2025-02-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-12-28 | 2025-02-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-12-28 | 2025-02-12 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-08-28 | 2023-11-07 | 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 | 2023-08-28 | 2023-11-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-28 | 2023-11-02 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-08-28 | 2023-11-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-28 | 2023-11-02 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-08-28 | 2023-11-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-28 | 2023-11-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-28 | 2023-11-02 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-08-28 | 2023-11-02 | Y |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-08-28 | 2023-11-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-06 | 2023-11-02 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-28 | 2023-11-02 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-08-28 | 2023-11-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-28 | 2023-11-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-08-28 | 2023-11-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-28 | 2023-11-02 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-07-26 | 2021-09-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-26 | 2021-09-13 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2021-07-26 | 2021-09-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-07-26 | 2021-09-13 | 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 | 2021-07-26 | 2021-09-13 | 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 | 2021-07-26 | 2021-09-13 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2021-07-26 | 2021-09-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-07-26 | 2021-09-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-26 | 2021-09-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-26 | 2021-09-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-26 | 2021-09-13 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-07-26 | 2021-09-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-26 | 2021-09-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-07-26 | 2021-09-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-26 | 2021-09-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-26 | 2021-09-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-07-26 | 2021-09-13 | N |