Deficiency Records for Holbrook Healthcare Center
Updated as of May 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 |