CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Brentwood Extended Care and Rehab
View the most recent health deficiencies and inspection results for Brentwood Extended Care and Rehab. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Brentwood Extended Care and Rehab. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2025-07-31 | 2025-09-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-07-31 | 2025-09-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-07-31 | 2025-09-14 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-07-31 | 2025-09-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-07-31 | 2025-09-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-12-27 | 2025-03-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-12-27 | 2025-03-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-12-27 | 2025-03-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-12-27 | 2024-11-07 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-03-25 | 2024-06-26 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-03-25 | 2024-06-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-03-25 | 2024-06-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-03-25 | 2024-06-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-25 | 2024-06-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-21 | 2024-06-10 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-03-25 | 2024-06-09 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-03-25 | 2024-06-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-25 | 2024-06-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-25 | 2024-06-09 | 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 | 2024-03-25 | 2024-06-09 | 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 | 2024-03-25 | 2024-06-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-25 | 2024-06-09 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-03-25 | 2024-06-09 | N |
| Keep all essential equipment working safely. | Health | 2024-03-25 | 2024-06-09 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-03-25 | 2024-06-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-25 | 2024-06-09 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-03-25 | 2024-06-09 | N |
| Post nurse staffing information every day. | Health | 2024-03-25 | 2024-06-09 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-03-25 | 2024-06-09 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-03-25 | 2024-06-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-25 | 2024-06-09 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-03-25 | 2024-06-09 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-03-25 | 2024-06-09 | 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 | 2024-03-25 | 2024-06-09 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-03-25 | 2024-06-09 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-03-25 | 2024-06-09 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-11-21 | 2024-01-03 | Y |
| 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 | 2023-08-01 | 2023-09-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-01 | 2023-09-11 | Y |
| Assess the resident when there is a significant change in condition | Health | 2023-02-22 | 2023-05-05 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-02-22 | 2023-05-05 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-02-22 | 2023-05-05 | N |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2023-02-22 | 2023-05-05 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-02-22 | 2023-05-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-22 | 2023-05-05 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-02-22 | 2023-05-05 | 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 | 2023-02-22 | 2023-05-05 | 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 | 2023-02-22 | 2023-05-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-22 | 2023-05-05 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-02-22 | 2023-05-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-02-22 | 2023-05-05 | 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 | 2023-02-22 | 2023-05-05 | 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 | 2023-02-22 | 2023-05-05 | N |
| Conform to length requirements for dead end corridors. | Fire Safety | 2023-02-22 | 2023-05-05 | 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 | 2023-02-22 | 2023-05-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-22 | 2023-05-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-22 | 2023-05-05 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-07-19 | 2021-08-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-07-19 | 2021-08-30 | 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 | 2021-07-19 | 2021-08-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-07-19 | 2021-08-30 | N |