Deficiency Records for Briarcliff Skilled Nursing Facility
Updated as of July 01, 2020
This is not the most recent data for Briarcliff Skilled Nursing Facility. For the most recent information, click here.
A list of the most recent deficiencies for Briarcliff Skilled Nursing Facility. 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 exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-10-10 | 2019-11-08 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-10-09 | 2019-11-08 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-10-09 | 2019-11-08 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-10-09 | 2019-11-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-09 | 2019-11-08 | N |
| Keep all essential equipment working safely. | Health | 2019-10-09 | 2019-11-08 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2019-10-09 | 2019-11-08 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-04-16 | 2019-05-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-04-16 | 2019-05-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-12-08 | 2018-12-12 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-12-08 | 2018-12-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-12-08 | 2018-12-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-11-14 | 2018-12-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-14 | 2018-12-11 | Y |
| 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 | 2018-11-14 | 2018-12-11 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2018-11-14 | 2018-12-11 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-11-14 | 2018-12-11 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-11-14 | 2018-12-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-11-14 | 2018-12-11 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-07-31 | 2018-09-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-07-31 | 2018-09-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-01 | 2018-08-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-08-01 | 2018-08-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-08-01 | 2018-08-31 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-08-01 | 2018-08-31 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2018-08-01 | 2018-08-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-01 | 2018-08-31 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-07-31 | 2018-08-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-07-31 | 2018-08-07 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-11-08 | 2017-12-01 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-11-08 | 2017-12-01 | Y |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2017-11-08 | 2017-12-01 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-09-27 | 2017-11-16 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2017-09-27 | 2017-11-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-09-27 | 2017-11-11 | 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 | 2017-09-27 | 2017-11-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-09-27 | 2017-11-11 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2017-09-27 | 2017-11-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-09-27 | 2017-11-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-09-27 | 2017-11-11 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2017-09-27 | 2017-11-11 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-09-28 | 2017-10-13 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-09-28 | 2017-10-13 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-09-28 | 2017-10-13 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-09-28 | 2017-10-13 | N |
| Keep all essential equipment working safely. | Health | 2017-09-28 | 2017-10-13 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-08-15 | 2017-08-23 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2017-07-18 | 2017-08-10 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2018-08-01 | Not Fixed | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2018-08-01 | Not Fixed | N |
