A list of the most recent deficiencies for Brentwood Place One. 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? |
|---|---|---|---|---|
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-11-30 | 2023-12-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-30 | 2023-12-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-21 | 2023-07-22 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-06-26 | 2023-07-19 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-04-13 | 2023-04-28 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-04-13 | 2023-04-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-04-13 | 2023-04-28 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-04-13 | 2023-04-28 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-04-13 | 2023-04-28 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-04-13 | 2023-04-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-13 | 2023-04-28 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-04-13 | 2023-04-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-08 | 2023-02-09 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-08 | 2022-12-09 | Y |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2022-12-08 | 2022-12-09 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-11-02 | 2022-11-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-23 | 2022-10-24 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-09-23 | 2022-10-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-09-23 | 2022-10-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-23 | 2022-10-15 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-09-23 | 2022-10-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-23 | 2022-09-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-08-23 | 2022-09-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-17 | 2022-07-11 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-04-29 | 2022-04-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-30 | 2021-12-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-10 | 2021-10-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-10 | 2021-09-11 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-09-10 | 2021-09-11 | 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 | 2021-09-10 | 2021-09-11 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-07-07 | 2021-07-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-07-07 | 2021-07-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-07 | 2021-07-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-07 | 2021-07-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-07 | 2021-07-30 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-07-07 | 2021-07-30 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-07-07 | 2021-07-30 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-08 | 2021-07-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-07-08 | 2021-07-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-01 | 2021-04-14 | 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 | 2021-04-01 | 2021-04-14 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-04-01 | 2021-04-14 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-04-01 | 2021-04-14 | Y |
