A list of the most recent deficiencies for Brightwater Skilled 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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-13 | 2023-10-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-13 | 2023-10-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-01-06 | 2022-01-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-06 | 2022-01-28 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-01-06 | 2022-01-28 | 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 | 2022-01-06 | 2022-01-28 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-01-06 | 2022-01-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-06 | 2022-01-28 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-01-06 | 2022-01-28 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-01-04 | 2022-01-21 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-01-04 | 2022-01-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-10-08 | 2020-11-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-10-08 | 2020-11-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-10-05 | 2020-10-07 | N |
