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Deficiency Records for Brookhaven Nursing and Rehabilitation Center

View the most recent health deficiencies and inspection results for Brookhaven Nursing and Rehabilitation Center. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Brookhaven Nursing and Rehabilitation Center. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2025-12-03 2026-01-16 Y
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Health 2025-11-04 2025-11-17 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2025-10-03 2025-10-06 Y
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2025-07-23 2025-09-08 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2025-07-23 2025-08-30 Y
Provide and implement an infection prevention and control program. Health 2025-07-23 2025-08-30 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 2025-07-23 2025-08-30 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2025-07-23 2025-08-30 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2025-07-23 2025-08-23 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2025-07-23 2025-08-23 N
Have exits that are accessible at all times. Fire Safety 2025-07-23 2025-08-16 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2025-07-23 2025-08-16 N
Provide properly protected cooking facilities. Fire Safety 2025-07-23 2025-08-16 N
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 2025-07-23 2025-08-16 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2025-07-23 2025-07-31 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2025-07-23 2025-07-28 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2025-07-23 2025-07-28 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2025-07-23 2025-07-25 N
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2025-02-12 2025-03-12 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-12-18 2024-11-13 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-08-30 2024-09-05 Y
Reasonably accommodate the needs and preferences of each resident. Health 2024-08-30 2024-09-05 Y
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2024-08-30 2024-09-05 Y
Ensure each resident receives an accurate assessment. Health 2024-08-30 2024-09-05 Y
PASARR screening for Mental disorders or Intellectual Disabilities Health 2024-08-30 2024-09-05 Y
Provide appropriate foot care. Health 2024-08-30 2024-09-05 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-08-30 2024-09-05 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-08-30 2024-09-05 Y
Provide or obtain dental services for each resident. Health 2024-08-30 2024-09-05 Y
Provide emergency officials' contact information. Fire Safety 2024-06-06 2024-07-19 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-06-06 2024-07-19 N
Reasonably accommodate the needs and preferences of each resident. Health 2024-06-06 2024-07-19 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-06-06 2024-07-19 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-06-06 2024-07-19 Y
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 2024-06-06 2024-07-19 Y
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2024-06-06 2024-07-19 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-06-06 2024-07-19 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-06-06 2024-07-19 Y
Provide and implement an infection prevention and control program. Health 2024-06-06 2024-07-19 Y
Conduct risk assessment and an All-Hazards approach. Fire Safety 2024-06-06 2024-07-19 N
Establish procedures for tracking staff and patients during an emergency. Fire Safety 2024-06-06 2024-07-19 N
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 2024-06-06 2024-07-19 N
Have properly located and lighted "Exit" signs. Fire Safety 2024-06-06 2024-07-19 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2024-06-06 2024-07-19 N
Provide properly protected cooking facilities. Fire Safety 2024-06-06 2024-07-19 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-06-06 2024-07-19 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-06-06 2024-07-19 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-06-06 2024-07-19 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-06-06 2024-07-19 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-06-06 2024-07-19 N
Have power receptacles that are properly grounded. Fire Safety 2024-06-06 2024-07-19 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2024-06-06 2024-07-19 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-06-06 2024-07-19 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-06-06 2024-07-19 N
Address patient/client population and determine types of services needed. Fire Safety 2024-06-06 2024-07-19 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 2024-01-30 2024-03-01 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-01-30 2024-03-01 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-01-30 2024-03-01 Y
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2023-12-29 2024-01-26 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-12-29 2023-11-30 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-08-17 2023-08-28 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-04-25 2023-06-02 N
Provide and implement an infection prevention and control program. Health 2023-04-25 2023-06-02 N
Meet Health Care Facilities Code mechanical requirements. Fire Safety 2023-04-25 2023-05-16 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-04-25 2023-05-16 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2023-04-25 2023-05-16 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2023-04-25 2023-05-16 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 2023-04-25 2023-05-06 N
Provide appropriate foot care. Health 2023-04-25 2023-05-06 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 2023-04-25 2023-05-06 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2023-04-25 2023-05-06 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-04-25 2023-05-06 N
Post nurse staffing information every day. Health 2023-04-25 2023-05-06 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-04-25 2023-05-06 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 2023-04-25 2023-05-06 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2025-08-27 Not Fixed Y

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