Deficiency Records for Brentwood Place Two
Updated as of March 01, 2020
This is not the most recent data for Brentwood Place Two. For the most recent information, click here.
A list of the most recent deficiencies for Brentwood Place Two. 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 pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-03-01 | 2019-04-01 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-01 | 2019-04-01 | Y |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-01-08 | 2019-02-10 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-08 | 2019-02-10 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-10 | 2019-02-10 | N |
Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-01-10 | 2019-02-10 | Y |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-01-10 | 2019-02-10 | Y |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-01-10 | 2019-02-10 | Y |
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is ne | Health | 2019-01-10 | 2019-02-10 | Y |
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 | 2019-01-10 | 2019-02-10 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-10 | 2019-02-10 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-12 | 2018-06-15 | Y |
Keep all essential equipment working safely. | Health | 2018-05-12 | 2018-06-15 | 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 | 2018-05-14 | 2018-06-14 | Y |
Provide routine and 24-hour emergency dental care for each resident. | Health | 2018-05-14 | 2018-06-14 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-04-06 | 2018-05-10 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-04-06 | 2018-05-10 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-04-06 | 2018-05-10 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2017-12-07 | 2018-01-12 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-07 | 2018-01-12 | 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 | 2017-12-07 | 2018-01-12 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2017-12-07 | 2018-01-12 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2017-12-07 | 2018-01-12 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-12-07 | 2018-01-12 | Y |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-12-07 | 2017-12-28 | N |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-12-07 | 2017-12-08 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-12-07 | 2017-12-08 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-26 | 2017-11-20 | Y |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-17 | 2017-10-31 | Y |
Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-08-08 | 2017-08-10 | Y |
Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-08-08 | 2017-08-10 | Y |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-08-08 | 2017-08-10 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-08-08 | 2017-08-10 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-08 | 2017-08-10 | Y |
Have properly located and lighted "Exit" signs. | Fire Safety | 2016-11-15 | 2016-11-16 | N |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2016-11-15 | 2016-11-16 | N |