Deficiency Records for Brighton Rehabilitation and Wellness Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Brighton Rehabilitation and Wellness 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? |
|---|---|---|---|---|
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-10-19 | 2023-11-15 | 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 | 2023-10-19 | 2023-11-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-19 | 2023-11-15 | 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 | 2023-10-19 | 2023-11-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-19 | 2023-11-15 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-08-22 | 2023-09-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-22 | 2023-09-27 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-08-22 | 2023-09-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-06 | 2023-09-25 | Y |
| Report COVID19 data to residents and families. | Health | 2023-09-06 | 2023-09-25 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-09-06 | 2023-09-25 | 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 | 2023-05-01 | 2023-05-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-01 | 2023-05-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-31 | 2023-05-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-31 | 2023-05-11 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-31 | 2023-05-11 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2023-02-14 | 2023-03-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-02-14 | 2023-03-15 | 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 | 2023-02-14 | 2023-03-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-14 | 2023-03-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-14 | 2023-03-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-14 | 2023-03-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-02-14 | 2023-03-15 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-02-14 | 2023-03-15 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-02-14 | 2023-03-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-14 | 2023-03-15 | 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 | 2023-02-07 | 2023-02-22 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-12-19 | 2023-01-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-26 | 2022-11-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-25 | 2022-05-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-25 | 2022-05-03 | 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 | 2022-03-25 | 2022-05-03 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2022-04-06 | 2022-05-03 | N |
| Use approved construction type or materials. | Fire Safety | 2022-04-06 | 2022-05-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-04-06 | 2022-05-03 | 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 | 2022-04-06 | 2022-05-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-06 | 2022-05-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-06 | 2022-05-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-06 | 2022-05-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-06 | 2022-05-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-04-06 | 2022-05-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-04-06 | 2022-05-03 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-04-06 | 2022-05-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-06 | 2022-05-03 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-09-30 | 2021-11-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-30 | 2021-11-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-09-30 | 2021-11-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-30 | 2021-11-11 | N |
| Use approved construction type or materials. | Fire Safety | 2021-09-29 | 2021-11-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-09-29 | 2021-11-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-09-29 | 2021-11-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-09-29 | 2021-11-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-29 | 2021-11-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-09-29 | 2021-11-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-29 | 2021-11-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-09-29 | 2021-11-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-09-29 | 2021-11-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-09-29 | 2021-11-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-04-01 | 2021-05-25 | Y |
