Deficiency Records for Brownwood Nursing and Rehabilitation

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Updated as of April 01, 2024

A list of the most recent deficiencies for Brownwood 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?
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-01-24 2024-02-15 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-01-25 2024-01-26 Y
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2024-01-25 2024-01-26 Y
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2024-01-25 2024-01-26 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-01-25 2024-01-26 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2024-01-24 2024-01-25 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-01-24 2024-01-25 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-02-23 2023-03-31 Y
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-01-24 2023-01-30 N
Provide and implement an infection prevention and control program. Health 2022-12-07 2022-12-08 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-11-08 2022-11-09 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 2022-11-08 2022-11-09 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-11-08 2022-11-09 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-05-10 2022-05-11 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-05-10 2022-05-11 Y
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2022-05-10 2022-05-11 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-05-10 2022-05-11 Y
Implement a program that monitors antibiotic use. Health 2022-05-10 2022-05-11 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2021-09-09 2021-10-05 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2021-09-09 2021-10-05 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-09-09 2021-10-05 N
Provide and implement an infection prevention and control program. Health 2021-09-09 2021-10-05 N
Meet other general requirements that are deficient. Fire Safety 2021-09-08 2021-10-04 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2021-09-08 2021-10-04 N
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Fire Safety 2021-09-08 2021-10-04 N
Implement emergency and standby power systems. Fire Safety 2021-09-08 2021-09-13 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-09-08 2021-09-13 N
Provide properly protected cooking facilities. Fire Safety 2021-09-08 2021-09-09 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2021-09-08 2021-09-09 N