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 |