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Deficiency Records for Brewster Village
View the most recent health deficiencies and inspection results for Brewster Village. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Brewster Village. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-03-19 | 2026-02-18 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-08-15 | 2025-09-08 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-01-08 | 2025-02-07 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2025-01-08 | 2025-02-03 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-01-08 | 2025-02-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-01-08 | 2025-02-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-01-08 | 2025-02-03 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2025-01-08 | 2025-02-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-01-08 | 2025-02-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-01-08 | 2025-02-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-01-08 | 2025-02-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-08 | 2025-02-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-08 | 2025-02-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-01-08 | 2025-02-03 | N |
| Have an externally vented heating system. | Fire Safety | 2025-01-08 | 2025-02-03 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2025-01-08 | 2025-02-03 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2025-01-08 | 2025-02-03 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2025-01-08 | 2025-02-03 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-11-29 | 2023-12-26 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-11-29 | 2023-12-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-29 | 2023-12-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-29 | 2023-12-26 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-11-29 | 2023-12-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-29 | 2023-12-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-11-29 | 2023-12-26 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-11-29 | 2023-12-26 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2023-11-29 | 2023-12-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-11-29 | 2023-12-26 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-11-29 | 2023-12-26 | N |
| Meet other general requirements. | Fire Safety | 2023-11-29 | 2023-12-26 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-11-29 | 2023-12-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-11-29 | 2023-12-20 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-11-29 | 2023-12-20 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2023-11-29 | 2023-12-20 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-11-29 | 2023-12-20 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-11-29 | 2023-12-20 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-11-29 | 2023-12-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-29 | 2023-11-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-29 | 2023-11-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-10-19 | 2022-11-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-19 | 2022-11-30 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-10-19 | 2022-11-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-19 | 2022-11-07 | N |