A list of the most recent deficiencies for Brian Center of Fincastle. 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? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-20 | 2023-01-09 | Y |
| Keep all essential equipment working safely. | Health | 2022-12-20 | 2023-01-09 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-20 | 2022-12-07 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-23 | 2022-10-31 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-08-23 | 2022-10-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-23 | 2022-10-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-23 | 2022-10-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-23 | 2022-10-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-23 | 2022-10-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-08-23 | 2022-10-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-18 | 2022-09-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-18 | 2022-09-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-18 | 2022-09-21 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-08-18 | 2022-09-21 | 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 | 2022-08-18 | 2022-09-21 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-04-01 | 2021-05-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-01 | 2021-05-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-04-01 | 2021-05-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-04-01 | 2021-05-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-04-01 | 2021-05-25 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-03-04 | 2021-04-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-04 | 2021-04-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-04 | 2021-04-18 | 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 | 2021-03-04 | 2021-04-18 | 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 | 2021-03-04 | 2021-04-18 | 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 | 2021-03-04 | 2021-04-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-03-04 | 2021-04-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-04 | 2021-04-18 | N |
| Use approved construction type or materials. | Fire Safety | 2019-03-05 | 2019-04-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-05 | 2019-04-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-03-05 | 2019-04-10 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-03-05 | 2019-04-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-03-05 | 2019-04-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-02-14 | 2019-03-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-14 | 2019-03-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-02-14 | 2019-03-26 | 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 | 2019-02-14 | 2019-03-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-14 | 2019-03-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-02-14 | 2019-03-26 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-02-14 | 2019-03-26 | N |
