A list of the most recent deficiencies for Brookside Nursing 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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-08-02 | 2023-09-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-02 | 2023-09-07 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-08-02 | 2023-09-07 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-07-22 | 2021-08-13 | 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 | 2021-07-22 | 2021-08-13 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-07-22 | 2021-08-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-22 | 2021-08-13 | Y |
| 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 | 2021-07-22 | 2021-08-13 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-22 | 2021-08-13 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-07-21 | 2021-08-13 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-07-21 | 2021-08-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-21 | 2021-08-13 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2020-01-30 | 2020-02-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-01-30 | 2020-02-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-30 | 2020-02-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-30 | 2020-02-20 | 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 | 2020-01-30 | 2020-02-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-01-30 | 2020-02-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-30 | 2020-02-20 | N |
| Have exits that are accessible at all times. | Fire Safety | 2020-01-29 | 2020-02-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-01-29 | 2020-02-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-01-29 | 2020-02-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-29 | 2020-02-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-29 | 2020-02-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-29 | 2020-02-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-01-29 | 2020-02-20 | N |
