Deficiency Records for Brentwood Place Two
Updated as of September 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-30 | 2020-02-24 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2020-01-30 | 2020-02-24 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-01-22 | 2020-02-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-01-22 | 2020-02-06 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-28 | 2020-01-29 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-11-07 | 2019-12-02 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-11-07 | 2019-12-02 | Y |
| 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 necessary and PRN use is limited. | 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 |
