Deficiency Records for Holbrook Healthcare Center
Updated as of March 01, 2019
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? |
---|---|---|---|---|
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 |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-11-10 | 2017-01-26 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-11-10 | 2017-01-26 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-11-10 | 2017-01-26 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2016-11-10 | 2017-01-26 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-11-10 | 2017-01-26 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-11-10 | 2017-01-26 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2016-11-10 | 2017-01-23 | N |
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2016-11-10 | 2017-01-23 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-11-10 | 2017-01-23 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-11-10 | 2017-01-09 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-11-10 | 2017-01-08 | N |
Upon the death of a resident, convey the resident?s personal funds and an accounting of those funds to the appropriate party. | Health | 2016-11-10 | 2017-01-08 | N |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-11-10 | 2016-12-30 | N |
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-11-01 | 2016-12-15 | N |
Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-11-01 | 2016-12-15 | N |
Properly installed electrical wiring and equipment. | Fire Safety | 2016-11-01 | 2016-12-15 | N |
Provide proof that residents' personal money that is deposited with the nursing home is secure. | Health | 2016-11-10 | 2016-12-15 | N |
Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-11-01 | 2016-11-11 | N |
Properly protected cooking facilities. | Fire Safety | 2016-11-01 | 2016-11-11 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-08-13 | 2015-10-28 | N |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-08-13 | 2015-10-28 | N |
Provide housekeeping and maintenance services. | Health | 2015-08-13 | 2015-10-28 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-08-13 | 2015-10-28 | N |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-08-13 | 2015-10-28 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2015-08-13 | 2015-10-28 | N |
Provide or obtain dental services for each resident. | Health | 2015-08-13 | 2015-10-28 | N |
At least two compartments on every floor to protect residents from smoke. | Fire Safety | 2015-08-12 | Not Fixed | N |
Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-08-12 | Not Fixed | N |
Weekly inspections and monthly testing of generators. | Fire Safety | 2015-08-12 | Not Fixed | N |