Deficiency Records for Deerbrook Skilled Nursing and Rehab Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Deerbrook Skilled Nursing and Rehab 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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-11-16 | 2023-12-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-16 | 2023-11-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-16 | 2023-11-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-16 | 2023-11-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-16 | 2023-11-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-11-16 | 2023-11-28 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-11-16 | 2023-11-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-16 | 2023-11-28 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-11-16 | 2023-11-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-13 | 2023-11-28 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-11-13 | 2023-11-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-21 | 2023-07-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-21 | 2023-07-24 | 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 | 2023-07-21 | 2023-07-24 | Y |
| 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 | 2022-09-12 | 2022-09-26 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-09-14 | 2022-09-15 | 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 | 2022-09-14 | 2022-09-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-09-01 | 2022-09-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-20 | 2022-05-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-29 | 2021-10-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-29 | 2021-10-22 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-07-16 | 2021-08-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-16 | 2021-08-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-07-16 | 2021-08-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-07-16 | 2021-08-05 | Y |
| 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 | 2021-07-16 | 2021-08-05 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-07-16 | 2021-08-05 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-07-16 | 2021-08-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-07-16 | 2021-08-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-17 | 2021-06-28 | Y |
