Deficiency Records for Brookhaven Nursing and Rehabilitation Center
Updated as of January 01, 2022
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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-05-14 | 2021-06-08 | 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 | 2021-05-14 | 2021-06-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-05-14 | 2021-06-08 | 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 | 2021-05-14 | 2021-06-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-05-14 | 2021-06-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-05-14 | 2021-06-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-05-14 | 2021-06-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-14 | 2021-06-08 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-05-14 | 2021-06-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-14 | 2021-06-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-14 | 2021-06-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-05-14 | 2021-06-08 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-05-14 | 2021-06-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-14 | 2021-06-08 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2021-05-14 | 2021-06-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-13 | 2021-05-18 | Y |
| 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 | 2020-08-27 | 2020-09-27 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-08-27 | 2020-09-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-08-27 | 2020-09-27 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-08-11 | 2020-08-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-05-13 | 2020-06-12 | Y |
| 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 |
