Deficiency Records for Holbrook Healthcare Center
Updated as of April 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? |
|---|---|---|---|---|
| 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 |
| 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 |
