A list of the most recent deficiencies for Briarcliff Health 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? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-04-11 | 2023-05-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-11 | 2023-05-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-04-11 | 2023-05-15 | N |
| Post nurse staffing information every day. | Health | 2023-03-08 | 2023-04-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-08 | 2023-04-15 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-01-26 | 2022-03-14 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-01-26 | 2022-03-14 | 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 | 2022-01-26 | 2022-03-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-01-26 | 2022-03-12 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2022-01-26 | 2022-03-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-06-16 | 2021-06-17 | Y |
| 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 | 2021-01-22 | 2021-03-15 | 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 | 2021-01-22 | 2021-03-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-01-22 | 2021-03-08 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-01-22 | 2021-03-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-01-22 | 2021-03-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-01-22 | 2021-03-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-01-22 | 2021-03-08 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-01-22 | 2021-03-08 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2021-01-22 | 2021-03-08 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2021-01-22 | 2021-03-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-01-22 | 2021-03-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-01-22 | 2021-03-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-01-22 | 2021-03-05 | N |
| Keep all essential equipment working safely. | Health | 2021-01-22 | 2021-03-05 | N |
