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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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