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Deficiency Records for Brookshire Residence and Rehabilitation Center

A list of the most recent deficiencies for Brookshire Residence and Rehabilitation Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Brookshire Residence and Rehabilitation Center. 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 safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2024-12-06 2025-01-13 N
Keep residents' personal and medical records private and confidential. Health 2024-12-06 2025-01-06 N
Ensure each resident receives an accurate assessment. Health 2024-12-06 2025-01-06 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-12-06 2025-01-06 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-12-06 2025-01-06 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 2024-12-06 2025-01-06 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2024-12-06 2025-01-06 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-12-06 2025-01-06 N
Ensure that residents are free from significant medication errors. Health 2024-12-06 2025-01-06 N
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 2024-12-06 2025-01-06 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-12-06 2025-01-06 N
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Health 2024-12-06 2025-01-06 N
Provide and implement an infection prevention and control program. Health 2024-12-06 2025-01-06 N
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. Health 2024-12-06 2025-01-06 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-12-03 2024-12-30 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-12-03 2024-12-10 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-12-03 2024-12-10 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-12-03 2024-12-05 N
Provide properly protected cooking facilities. Fire Safety 2024-12-03 2024-12-04 N
Have proper medical gas storage and administration areas. Fire Safety 2024-12-03 2024-12-04 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-07-10 2024-08-05 Y
Reasonably accommodate the needs and preferences of each resident. Health 2024-05-30 2024-06-21 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-05-30 2024-06-21 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-05-30 2024-06-21 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-01-18 2024-02-08 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-01-18 2024-02-08 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-11-30 2024-01-03 Y
Provide and implement an infection prevention and control program. Health 2023-11-30 2024-01-03 Y
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2023-11-03 2023-11-30 N
Dispose of garbage and refuse properly. Health 2023-11-03 2023-11-30 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-11-03 2023-11-30 Y
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2023-11-03 2023-11-30 Y
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 2023-11-03 2023-11-30 Y
Provide and implement an infection prevention and control program. Health 2023-11-03 2023-11-30 Y
Provide properly protected cooking facilities. Fire Safety 2023-11-07 2023-11-30 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-11-07 2023-11-30 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-11-07 2023-11-30 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-09-16 2022-10-25 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-09-16 2022-10-24 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 2022-09-16 2022-10-24 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-09-16 2022-10-24 N
Provide and implement an infection prevention and control program. Health 2022-09-16 2022-10-24 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 2022-09-16 2022-10-04 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-09-16 2022-10-04 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-09-16 2022-10-04 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-09-06 2022-09-30 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-03-29 2022-04-14 Y

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