Deficiency Records for Brownsville Nursing and Rehabilitation Center
Updated as of January 01, 2021
This is not the most recent data for Brownsville Nursing and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Brownsville Nursing 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-08-06 | 2020-08-09 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-08-06 | 2020-08-09 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-11 | 2020-02-28 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-11 | 2020-02-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-02-11 | 2020-02-28 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-12-11 | 2020-01-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-12-11 | 2020-01-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-11 | 2020-01-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-05 | 2019-12-20 | 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 | 2019-12-05 | 2019-12-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-12-05 | 2019-12-20 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-12-05 | 2019-12-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-05 | 2019-12-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-12-05 | 2019-12-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-22 | 2019-08-27 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-05-22 | 2019-05-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-05-22 | 2019-05-28 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-05-22 | 2019-05-28 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-05-22 | 2019-05-28 | 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 | 2019-02-08 | 2019-02-11 | 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 | 2019-02-08 | 2019-02-11 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-02-08 | 2019-02-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-02-08 | 2019-02-11 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-10-18 | 2018-10-22 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-10-18 | 2018-10-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-18 | 2018-10-22 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2018-10-18 | 2018-10-22 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-10-18 | 2018-10-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-10-18 | 2018-10-22 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-10-18 | 2018-10-22 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-10-18 | 2018-10-22 | N |
| 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 | 2018-10-18 | 2018-10-22 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2018-10-17 | 2018-10-18 | 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 | 2018-10-17 | 2018-10-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-10-17 | 2018-10-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-08-29 | 2018-09-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-08-29 | 2018-09-03 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-29 | 2018-09-03 | Y |
| 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 | 2018-02-22 | 2018-03-05 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2018-02-22 | 2018-03-05 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-11-30 | 2017-12-29 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2017-12-05 | 2017-12-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2017-12-05 | 2017-12-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-05 | 2017-12-20 | 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 | 2017-12-05 | 2017-12-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2017-12-05 | 2017-12-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2017-12-05 | 2017-12-20 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2017-12-05 | 2017-12-20 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2017-12-05 | 2017-12-20 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2017-12-05 | 2017-12-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2017-12-05 | 2017-12-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-11-30 | 2017-12-17 | 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 | 2017-11-30 | 2017-12-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-11-30 | 2017-12-02 | N |
