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Deficiency Records for Brentwood Terrace Healthcare and Rehabilitation
View the most recent health deficiencies and inspection results for Brentwood Terrace Healthcare and Rehabilitation. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Brentwood Terrace Healthcare and Rehabilitation. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2026-03-04 | 2026-03-05 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-11-21 | 2025-11-22 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-11-21 | 2025-11-22 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-06-04 | 2025-06-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-06-04 | 2025-06-18 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2025-06-04 | 2025-06-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-06-04 | 2025-06-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-06-04 | 2025-06-05 | 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 | 2025-06-04 | 2025-06-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-06-04 | 2025-06-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-06-04 | 2025-06-05 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-06-04 | 2025-06-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-06-04 | 2025-04-24 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2025-01-08 | 2025-02-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-01-08 | 2025-01-24 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-08 | 2025-01-24 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2025-01-08 | 2025-01-24 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2025-01-08 | 2025-01-24 | Y |
| 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 | 2025-01-08 | 2025-01-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-01-08 | 2025-01-24 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-01-08 | 2025-01-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-01-08 | 2025-01-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-02 | 2024-04-19 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-03-02 | 2024-03-27 | 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 | 2024-03-02 | 2024-03-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-03-02 | 2024-03-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-02 | 2024-03-03 | 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 | 2024-03-02 | 2024-03-03 | 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 | 2024-03-02 | 2024-03-03 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-03-02 | 2024-03-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-02 | 2024-03-03 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-03-02 | 2024-03-03 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-03-02 | 2024-03-03 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-02 | 2024-03-03 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-03-02 | 2024-03-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-02 | 2024-03-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-03-02 | 2024-03-03 | 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 | 2024-03-02 | 2024-03-03 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-03-02 | 2024-03-03 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-03-02 | 2024-03-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-03-02 | 2024-03-03 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-03-02 | 2024-03-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-02 | 2024-03-03 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-03-02 | 2024-03-03 | N |
| 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 | 2024-03-02 | 2024-03-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-02 | 2024-03-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-02 | 2024-03-03 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-03-02 | 2024-03-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-02 | 2024-03-03 | N |
| Provide activities to meet all resident's needs. | Health | 2024-03-02 | 2024-03-03 | 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 | 2024-03-02 | 2024-03-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-02 | 2024-03-03 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-02-07 | 2024-02-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-07 | 2024-02-08 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-02-07 | 2024-02-08 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-11-20 | 2023-11-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-04 | 2023-08-05 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-08-04 | 2023-08-05 | Y |