A list of the most recent deficiencies for Brewster Village. 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? |
|---|---|---|---|---|
| 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 |
| Meet other general requirements. | Fire Safety | 2023-11-28 | 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 | 2023-11-28 | 2023-12-26 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2023-11-28 | 2023-12-26 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-11-28 | 2023-12-26 | 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 | 2023-11-28 | 2023-12-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-28 | 2023-12-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-28 | 2023-12-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-28 | 2023-12-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-11-28 | 2023-12-26 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-11-28 | 2023-12-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-11-28 | 2023-12-26 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-11-28 | 2023-12-22 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-11-28 | 2023-12-20 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-11-28 | 2023-12-20 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-11-28 | 2023-12-20 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2023-11-28 | 2023-12-20 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-11-28 | 2023-12-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-11-28 | 2023-12-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-28 | 2023-11-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-28 | 2023-11-30 | 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 |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-10-18 | 2022-11-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-18 | 2022-11-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-01 | 2021-09-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-01 | 2021-09-30 | N |
| Respond appropriately to all alleged violations. | Health | 2021-09-01 | 2021-09-30 | Y |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2021-08-31 | 2021-09-22 | N |
