Deficiency Records for Holbrook Healthcare Center
Updated as of February 01, 2021
This is not the most recent data for Holbrook Healthcare Center. For the most recent information, click here.
A list of the most recent deficiencies for Holbrook Healthcare 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? |
---|---|---|---|---|
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 | 2020-02-26 | 2020-04-14 | 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 | 2020-02-26 | 2020-04-14 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-26 | 2020-04-14 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-26 | 2020-04-14 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-02-26 | 2020-04-14 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-02-26 | 2020-04-14 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2020-02-26 | 2020-04-14 | N |
Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2020-02-26 | 2020-04-14 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-26 | 2020-04-14 | N |
Provide and implement an infection prevention and control program. | Health | 2020-02-26 | 2020-04-14 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-25 | 2019-10-11 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-07-25 | 2019-09-16 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-07-25 | 2019-09-16 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-07-25 | 2019-09-16 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-01-25 | 2019-03-12 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-01-25 | 2019-03-12 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-25 | 2019-03-12 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-25 | 2019-03-12 | N |
Assist a resident in gaining access to vision and hearing services. | Health | 2019-01-25 | 2019-03-12 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-25 | 2019-03-12 | N |
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2019-01-25 | 2019-03-12 | N |
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2019-01-25 | 2019-03-12 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-01-25 | 2019-03-12 | 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 | 2019-01-25 | 2019-03-12 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-01-25 | 2019-03-12 | N |
Keep complete, dated laboratory records in the resident's record. | Health | 2019-01-25 | 2019-03-12 | N |
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-01-25 | 2019-03-12 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-01-25 | 2019-03-12 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-01-25 | 2019-03-12 | N |
Provide and implement an infection prevention and control program. | Health | 2019-01-25 | 2019-03-12 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2019-01-21 | 2019-02-19 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-01-30 | 2018-03-12 | N |
Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-01-30 | 2018-03-12 | N |
Have an externally vented heating system. | Fire Safety | 2018-01-30 | 2018-03-05 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-01-31 | 2018-02-28 | 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 | 2018-01-31 | 2018-02-28 | N |
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-01-31 | 2018-02-28 | N |
Provide and implement an infection prevention and control program. | Health | 2018-01-31 | 2018-02-28 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-01-31 | 2018-02-28 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-01-30 | 2018-02-12 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-01-30 | 2018-02-09 | N |
Meet other general requirements that are deficient. | Fire Safety | 2018-01-30 | 2018-02-09 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2018-01-30 | 2018-02-02 | N |