A list of the most recent deficiencies for Brushy Creek Post Acute. 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? |
|---|---|---|---|---|
| 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 | 2023-06-15 | 2023-07-09 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-06-15 | 2023-07-09 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-04-11 | 2023-05-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-11 | 2023-05-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-04-11 | 2023-05-11 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-09-14 | 2022-10-03 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-09-14 | 2022-10-03 | Y |
| 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 | 2022-09-14 | 2022-10-03 | Y |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-09-14 | 2022-09-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-14 | 2022-09-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-17 | 2021-12-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-05-21 | 2021-06-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-05-21 | 2021-06-16 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-21 | 2021-06-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-21 | 2021-06-16 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-17 | 2021-06-06 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-05-17 | 2021-06-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-16 | 2019-06-28 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-05-16 | 2019-06-28 | 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 | 2019-05-16 | 2019-06-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-16 | 2019-06-28 | N |
