A list of the most recent deficiencies for The Bradford at Brookside. 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 dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-14 | 2023-07-31 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-06-14 | 2023-07-31 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-06-14 | 2023-07-31 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-06-14 | 2023-07-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-14 | 2023-07-31 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-06-14 | 2023-07-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-14 | 2023-07-31 | 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 | 2023-06-14 | 2023-07-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-14 | 2023-07-31 | 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 | 2023-06-14 | 2023-07-31 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-06-14 | 2023-07-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-14 | 2023-07-31 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-04-28 | 2022-05-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-04-28 | 2022-05-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-28 | 2022-05-30 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2022-04-28 | 2022-05-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-28 | 2022-05-30 | 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 | 2019-09-09 | 2019-10-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-09 | 2019-10-01 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-09-11 | 2019-09-16 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-09-11 | 2019-09-16 | N |
