A list of the most recent deficiencies for Briarwood Community Living 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-06-05 | 2023-07-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-06-05 | 2023-07-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-06-05 | 2023-07-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-07 | 2023-06-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-07 | 2023-06-23 | 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 | 2022-06-02 | 2022-07-08 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-06-02 | 2022-07-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-02 | 2022-07-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-02 | 2022-07-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-02 | 2022-06-20 | N |
| Respond appropriately to all alleged violations. | Health | 2019-11-22 | 2019-12-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-22 | 2019-12-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-22 | 2019-12-20 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-11-22 | 2019-12-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-11-22 | 2019-12-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-22 | 2019-12-20 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2019-11-22 | 2019-12-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-11-22 | 2019-12-20 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-11-22 | 2019-12-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-11-22 | 2019-12-09 | N |
