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Deficiency Records for Millbrook Healthcare and Rehabilitation Center
View the most recent health deficiencies and inspection results for Millbrook Healthcare and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Millbrook Healthcare and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-12-03 | 2025-12-04 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-12-02 | 2025-12-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-12-02 | 2025-12-03 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-12-01 | 2025-12-02 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-09-09 | 2025-09-26 | 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 | 2025-05-07 | 2025-05-23 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2025-05-07 | 2025-05-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-05-07 | 2025-05-23 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-02-11 | 2025-02-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-02-11 | 2025-02-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-02-11 | 2025-02-17 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-02-11 | 2025-02-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-02-11 | 2025-02-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-02-11 | 2025-02-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-02-11 | 2025-02-17 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-10-11 | 2024-10-14 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2024-01-10 | 2024-02-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-10 | 2024-02-05 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-01-10 | 2024-01-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-01-10 | 2024-01-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-29 | 2023-12-29 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-10-19 | 2022-10-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-19 | 2022-10-23 | 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 | 2022-10-19 | 2022-10-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-19 | 2022-10-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-19 | 2022-10-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-19 | 2022-10-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-19 | 2022-10-21 | N |