Deficiency Records for Juniper Village at Brookline-Rehabilitation and Sk
Updated as of March 01, 2024
A list of the most recent deficiencies for Juniper Village at Brookline-Rehabilitation and Sk. 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-05-18 | 2023-06-21 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-05-18 | 2023-06-21 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-05-18 | 2023-06-21 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-05-18 | 2023-06-21 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-05-18 | 2023-06-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-06-10 | 2022-07-28 | N |
| Provide activities to meet all resident's needs. | Health | 2022-06-10 | 2022-07-28 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2022-06-10 | 2022-07-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-10 | 2022-07-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-10 | 2022-07-28 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-06-10 | 2022-07-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-10 | 2022-07-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-10 | 2022-07-28 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-06-10 | 2022-07-28 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-06-10 | 2022-07-28 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-06-10 | 2022-07-28 | Y |
| Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. | Health | 2022-06-10 | 2022-07-28 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-06-22 | 2022-07-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-06-22 | 2022-07-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-22 | 2022-07-28 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-06-22 | 2022-07-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-06-22 | 2022-07-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-06-22 | 2022-07-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-06-22 | 2022-07-28 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2022-06-22 | 2022-07-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-22 | 2022-07-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-22 | 2022-07-28 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-06-29 | 2021-09-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-06-29 | 2021-08-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-06-29 | 2021-08-28 | 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 | 2021-06-29 | 2021-08-28 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2021-06-29 | 2021-08-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-29 | 2021-08-28 | 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 | 2021-06-29 | 2021-08-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-06-29 | 2021-08-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-06-29 | 2021-08-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-06-29 | 2021-08-28 | 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 | 2021-06-29 | 2021-08-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-29 | 2021-08-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-06-29 | 2021-08-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-29 | 2021-08-28 | N |
| Use approved construction type or materials. | Fire Safety | 2021-06-16 | 2021-07-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-06-16 | 2021-07-16 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-06-16 | 2021-07-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-16 | 2021-07-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-06-16 | 2021-07-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-16 | 2021-07-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-06-16 | 2021-07-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-06-16 | 2021-07-16 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2021-06-16 | 2021-07-16 | N |
