Deficiency Records for Brookhaven Nursing and Rehabilitation Center
Updated as of July 01, 2020
This is not the most recent data for Brookhaven Nursing and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Brookhaven Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2020-01-16 | 2020-02-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-16 | 2020-02-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-16 | 2020-02-21 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2020-01-16 | 2020-02-21 | N |
| Dispose of garbage and refuse properly. | Health | 2020-01-16 | 2020-02-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-01-16 | 2020-02-01 | 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 | 2020-01-16 | 2020-02-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-16 | 2020-02-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-01-16 | 2020-02-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-01-16 | 2020-02-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-16 | 2020-02-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-06-10 | 2019-07-15 | Y |
| 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 | 2019-06-10 | 2019-07-15 | 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 | 2019-06-10 | 2019-07-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-10 | 2019-07-15 | Y |
| Keep all essential equipment working safely. | Health | 2019-03-14 | 2019-04-25 | N |
| Use approved construction type or materials. | Fire Safety | 2019-03-14 | 2019-04-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-03-14 | 2019-04-24 | 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 | 2019-03-14 | 2019-04-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-03-14 | 2019-04-24 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-03-14 | 2019-04-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-03-14 | 2019-04-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-03-14 | 2019-04-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-03-14 | 2019-04-12 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-03-14 | 2019-04-12 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-03-14 | 2019-04-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-03-14 | 2019-04-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-03-14 | 2019-04-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-03-14 | 2019-04-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-14 | 2019-03-15 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-02-22 | 2018-04-08 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-02-23 | 2018-03-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-02-23 | 2018-03-30 | 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 | 2018-02-23 | 2018-03-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-02-23 | 2018-03-30 | 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 | 2018-02-23 | 2018-03-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-23 | 2018-03-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-02-22 | 2018-03-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-02-22 | 2018-02-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-02-22 | 2018-02-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-02-22 | 2018-02-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-23 | 2018-02-24 | N |
