Deficiency Records for The Pavilion at Brmc
Updated as of October 01, 2021
This is not the most recent data for The Pavilion at Brmc. For the most recent information, click here.
A list of the most recent deficiencies for The Pavilion at Brmc. 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? |
---|---|---|---|---|
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 | 2021-05-19 | 2021-07-16 | N |
Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-05-19 | 2021-07-16 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2021-05-19 | 2021-07-16 | N |
Meet other general requirements that are deficient. | Fire Safety | 2021-05-19 | 2021-07-16 | N |
Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2021-05-19 | 2021-07-16 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-19 | 2021-07-16 | 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 | 2021-05-13 | 2021-06-07 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-13 | 2021-06-07 | N |
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-05-13 | 2021-06-04 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-04-30 | 2021-05-31 | 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 | 2019-08-07 | 2019-09-30 | Y |
Ensure each resident receives an accurate assessment. | Health | 2019-08-07 | 2019-09-30 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-07 | 2019-09-30 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-07 | 2019-09-30 | Y |
Provide and implement an infection prevention and control program. | Health | 2019-08-07 | 2019-09-30 | Y |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-20 | 2019-09-06 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-08-20 | 2019-09-06 | 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 | 2018-09-28 | 2018-11-02 | N |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-09-28 | 2018-11-02 | N |
Ensure each resident receives an accurate assessment. | Health | 2018-09-28 | 2018-11-02 | N |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-09-26 | 2018-10-30 | N |
Provide family notifications of emergency plan. | Fire Safety | 2018-09-26 | 2018-10-30 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-26 | 2018-10-30 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2018-09-26 | 2018-10-30 | N |