Deficiency Records for Brush Country Nursing and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Brush Country Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-09-28 | 2023-10-09 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-06-15 | 2023-06-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-15 | 2023-06-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-18 | 2023-04-24 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-04-18 | 2023-04-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-11 | 2023-02-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-17 | 2022-08-22 | Y |
| 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 | 2022-08-17 | 2022-08-22 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-05-11 | 2022-06-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-05-11 | 2022-06-24 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-06-08 | 2022-06-20 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-04-22 | 2022-04-28 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-04-22 | 2022-04-28 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-04-22 | 2022-04-28 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-22 | 2022-04-28 | Y |
| 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 | 2022-04-22 | 2022-04-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-22 | 2022-04-28 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-22 | 2022-04-28 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-01-13 | 2022-01-25 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-13 | 2022-01-25 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-09-29 | 2021-10-15 | Y |
| 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 | 2021-09-29 | 2021-10-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-01 | 2021-10-08 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-10-01 | 2021-10-08 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-09 | 2021-06-11 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-05 | 2019-10-18 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-09-05 | 2019-10-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-05 | 2019-10-18 | N |
| Provide appropriate foot care. | Health | 2019-09-05 | 2019-10-18 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-09-05 | 2019-10-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-05 | 2019-10-18 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-09-04 | 2019-09-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-04 | 2019-09-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-04 | 2019-09-27 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-09-11 | 2018-10-07 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-09-13 | 2018-10-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-09-13 | 2018-10-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-09-13 | 2018-10-05 | N |
| Keep all essential equipment working safely. | Health | 2018-09-13 | 2018-10-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-09-11 | 2018-10-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-09-11 | 2018-10-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-11 | Not Fixed | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-09-11 | Not Fixed | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-09-11 | Not Fixed | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-09-11 | Not Fixed | N |
