Deficiency Records for Brentwood Place One
Updated as of February 01, 2021
This is not the most recent data for Brentwood Place One. For the most recent information, click here.
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 and implement an infection prevention and control program. | Health | 2020-07-07 | 2020-07-24 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2019-11-21 | 2019-11-26 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2019-11-21 | 2019-11-26 | 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 | 2019-09-26 | 2019-10-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-09-26 | 2019-10-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-07-18 | 2019-08-15 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-07-18 | 2019-08-09 | N |
| 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 | 2019-07-18 | 2019-08-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-18 | 2019-08-08 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-07-18 | 2019-08-08 | 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 | 2019-07-18 | 2019-08-02 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-09-17 | 2018-10-03 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-09-17 | 2018-10-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-09-17 | 2018-10-03 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-09-17 | 2018-10-03 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-07-26 | 2018-09-07 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-07-26 | 2018-09-07 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-07-26 | 2018-09-07 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2018-07-26 | 2018-09-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-07-26 | 2018-09-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-07-26 | 2018-09-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-26 | 2018-08-24 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-07-26 | 2018-08-24 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-07-26 | 2018-08-24 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-07-26 | 2018-08-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-07-26 | 2018-08-24 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-07-26 | 2018-08-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-22 | 2018-07-22 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-03-13 | 2018-04-28 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-07-27 | 2017-09-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-07-27 | 2017-08-21 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-07-28 | 2017-08-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-07-27 | 2017-08-07 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2017-07-27 | 2017-07-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-03-21 | Not Fixed | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-03-21 | Not Fixed | Y |
