Deficiency Records for Millbrook Healthcare and Rehabilitation Center
Updated as of May 01, 2019
This is not the most recent data for Millbrook Healthcare and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Millbrook Healthcare 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? |
|---|---|---|---|---|
| Conduct testing and exercise requirements. | Fire Safety | 2018-07-18 | 2018-08-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-07-18 | 2018-08-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-07-20 | 2018-08-20 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2018-07-20 | 2018-08-20 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-20 | 2018-08-20 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-07-18 | 2018-08-17 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-07-18 | 2018-08-17 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-07-18 | 2018-08-17 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-07-18 | 2018-08-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-07-18 | 2018-08-17 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-07-20 | 2018-08-17 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-07-20 | 2018-08-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-07-20 | 2018-08-17 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-07-18 | 2018-07-21 | 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 | 2018-07-18 | 2018-07-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-07-18 | 2018-07-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-07-18 | 2018-07-21 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-07-20 | 2018-07-20 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-07 | 2018-03-20 | Y |
| Keep all essential equipment working safely. | Health | 2018-03-07 | 2018-03-20 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-10-10 | 2017-10-20 | Y |
| Use approved construction type or materials. | Fire Safety | 2017-06-15 | 2017-07-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-06-15 | 2017-07-15 | 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 | 2017-06-15 | 2017-07-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-06-15 | 2017-07-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-06-15 | 2017-07-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-06-15 | 2017-07-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-06-15 | 2017-07-15 | N |
| Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. | Health | 2017-06-15 | 2017-07-15 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-06-15 | 2017-07-15 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-06-15 | 2017-07-15 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-06-15 | 2017-07-15 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-04-26 | 2017-05-19 | Y |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2016-11-16 | 2016-12-16 | Y |
| Approved construction type or materials. | Fire Safety | 2016-07-07 | 2016-08-07 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-07-07 | 2016-08-07 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-07-07 | 2016-08-07 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2016-07-07 | 2016-08-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-06-16 | 2016-06-17 | Y |
