Most Recent Deficiencies for Briarwood at Timber Ridge

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Updated as of July 01, 2022

A list of the most recent deficiencies for Briarwood at Timber Ridge. 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 the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2022-03-25 2022-04-18 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-03-25 2022-04-18 N
Ensure medication error rates are not 5 percent or greater. Health 2022-03-25 2022-04-18 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 2022-03-25 2022-04-18 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-03-25 2022-04-18 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-03-25 2022-04-18 N
Provide and implement an infection prevention and control program. Health 2022-03-25 2022-04-18 N
Respond appropriately to all alleged violations. Health 2020-11-02 2020-12-08 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2020-11-02 2020-12-08 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2020-11-02 2020-12-08 Y
Provide and implement an infection prevention and control program. Health 2020-03-26 2020-04-17 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2019-12-11 2020-01-27 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2019-12-11 2020-01-27 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2019-12-11 2020-01-27 N
Ensure each resident receives an accurate assessment. Health 2019-12-11 2020-01-27 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 2019-12-11 2020-01-27 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2019-12-11 2020-01-27 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 2019-12-11 2020-01-27 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2019-12-11 2020-01-27 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2019-12-11 2020-01-27 N
Implement a program that monitors antibiotic use. Health 2019-12-11 2020-01-27 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2019-12-11 2020-01-27 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2019-12-11 2020-01-27 Y
Respond appropriately to all alleged violations. Health 2019-12-11 2020-01-27 Y
Ensure each resident receives an accurate assessment. Health 2018-09-18 2018-10-18 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-09-18 2018-10-18 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2018-09-18 2018-10-18 N
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. Health 2018-09-18 2018-10-18 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2018-09-18 2018-10-18 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2018-09-18 2018-10-18 N
Provide and implement an infection prevention and control program. Health 2018-09-18 2018-10-18 N
Meet requirements for sections of health care facilities separated by fire resistive construction. Fire Safety 2018-09-11 2018-10-01 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2018-09-11 2018-10-01 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2018-09-11 2018-10-01 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-09-11 2018-10-01 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2018-09-11 2018-10-01 N
Install corridor and hallway doors that block smoke. Fire Safety 2018-09-11 2018-10-01 N
Have simulated fire drills held at unexpected times. Fire Safety 2018-09-11 2018-10-01 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2018-09-11 2018-10-01 N