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 |
