Deficiency Records for High Hope Care Center of Brenham
Updated as of October 01, 2016
This is not the most recent data for High Hope Care Center of Brenham. For the most recent information, click here.
A list of the most recent deficiencies for High Hope Care Center of Brenham. 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? |
|---|---|---|---|---|
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2015-12-11 | 2015-12-29 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2015-12-11 | 2015-12-29 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-12-11 | 2015-12-29 | Y |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2015-12-11 | 2015-12-29 | Y |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2015-12-11 | 2015-12-29 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2015-12-11 | 2015-12-29 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-12-11 | 2015-12-29 | Y |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2015-12-11 | 2015-12-29 | Y |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-05-28 | 2015-07-02 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2015-05-28 | 2015-07-02 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2015-05-28 | 2015-07-02 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-05-28 | 2015-07-02 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2015-05-28 | 2015-07-02 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2015-05-28 | 2015-07-02 | N |
| Properly located and lighted "Exit" signs. | Fire Safety | 2015-05-28 | 2015-06-29 | N |
| Properly located and lighted "Exit" signs. | Fire Safety | 2015-05-28 | 2015-06-29 | N |
| Provide written records when a resident is transferred or discharged. | Health | 2015-05-28 | 2015-06-27 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2015-05-28 | 2015-06-27 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-05-28 | 2015-06-27 | Y |
| Provide written records when a resident is transferred or discharged. | Health | 2015-05-28 | 2015-06-27 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2015-05-28 | 2015-06-27 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-05-28 | 2015-06-27 | Y |
| Exits that are accessible at all times. | Fire Safety | 2015-05-28 | 2015-06-23 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-05-28 | 2015-06-23 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2015-05-28 | 2015-06-17 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-05-28 | 2015-06-17 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2015-05-28 | 2015-06-17 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-05-28 | 2015-06-17 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-05-28 | 2015-06-14 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-05-28 | 2015-06-14 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-05-05 | 2015-06-01 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-05-05 | 2015-06-01 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-05-05 | 2015-06-01 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-05-05 | 2015-06-01 | Y |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2015-04-16 | 2015-05-29 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility | Health | 2015-04-16 | 2015-05-29 | Y |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2015-04-16 | 2015-05-29 | Y |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2015-04-16 | 2015-05-29 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility | Health | 2015-04-16 | 2015-05-29 | Y |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2015-04-16 | 2015-05-29 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2014-12-01 | 2015-01-07 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2014-12-01 | 2015-01-07 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2014-08-14 | 2014-09-15 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2014-08-14 | 2014-09-15 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-07-09 | 2014-08-09 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-07-09 | 2014-08-09 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-07-09 | 2014-08-09 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-07-09 | 2014-08-09 | Y |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2014-05-22 | 2014-07-06 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2014-05-22 | 2014-07-06 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-05-22 | 2014-07-01 | N |
| Proper construction of ducts through walls designed to prevent smoke passage. | Fire Safety | 2014-05-22 | 2014-07-01 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-05-22 | 2014-07-01 | N |
| Proper construction of ducts through walls designed to prevent smoke passage. | Fire Safety | 2014-05-22 | 2014-07-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2014-05-22 | 2014-06-20 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2014-05-22 | 2014-06-20 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2014-05-22 | 2014-06-20 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-05-22 | 2014-06-20 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2014-05-22 | 2014-06-20 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-05-22 | 2014-06-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2014-05-22 | 2014-06-20 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2014-05-22 | 2014-06-20 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2014-05-22 | 2014-06-20 | 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 | 2014-05-22 | 2014-06-20 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2014-05-22 | 2014-06-20 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2014-05-22 | 2014-06-20 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2014-05-22 | 2014-06-20 | N |
| Provide special eating equipment and utensils for each resident who needs them. | Health | 2014-05-22 | 2014-06-20 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-05-22 | 2014-06-20 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-05-22 | 2014-06-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2014-05-22 | 2014-06-20 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2014-05-22 | 2014-06-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2014-05-22 | 2014-06-20 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2014-05-22 | 2014-06-20 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2014-05-22 | 2014-06-20 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-05-22 | 2014-06-20 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2014-05-22 | 2014-06-20 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-05-22 | 2014-06-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2014-05-22 | 2014-06-20 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2014-05-22 | 2014-06-20 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2014-05-22 | 2014-06-20 | 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 | 2014-05-22 | 2014-06-20 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2014-05-22 | 2014-06-20 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2014-05-22 | 2014-06-20 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2014-05-22 | 2014-06-20 | N |
| Provide special eating equipment and utensils for each resident who needs them. | Health | 2014-05-22 | 2014-06-20 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-05-22 | 2014-06-20 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-05-22 | 2014-06-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2014-05-22 | 2014-06-20 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2014-05-22 | 2014-06-20 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2013-12-20 | 2014-01-10 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2013-12-20 | 2014-01-10 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2013-03-13 | 2013-05-01 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2013-03-13 | 2013-05-01 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2013-03-13 | 2013-05-01 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2013-03-13 | 2013-05-01 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2013-03-13 | 2013-05-01 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-03-13 | 2013-05-01 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2013-03-13 | 2013-05-01 | N |
| Dispose of garbage and refuse properly. | Health | 2013-03-13 | 2013-05-01 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2013-03-13 | 2013-05-01 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2013-03-13 | 2013-05-01 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2013-03-13 | 2013-05-01 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2013-03-13 | 2013-05-01 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2013-03-13 | 2013-05-01 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2013-03-13 | 2013-05-01 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2013-03-13 | 2013-05-01 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-03-13 | 2013-05-01 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2013-03-13 | 2013-05-01 | N |
| Dispose of garbage and refuse properly. | Health | 2013-03-13 | 2013-05-01 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2013-03-13 | 2013-05-01 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2013-03-13 | 2013-05-01 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2013-03-13 | 2013-04-27 | N |
| Portable fire extinguishers. | Fire Safety | 2013-03-13 | 2013-04-27 | N |
| Properly protected cooking facilities. | Fire Safety | 2013-03-13 | 2013-04-27 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2013-03-13 | 2013-04-27 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2013-03-13 | 2013-04-27 | N |
| Portable fire extinguishers. | Fire Safety | 2013-03-13 | 2013-04-27 | N |
| Properly protected cooking facilities. | Fire Safety | 2013-03-13 | 2013-04-27 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2013-03-13 | 2013-04-27 | N |
| Exits that are accessible at all times. | Fire Safety | 2013-03-13 | 2013-04-15 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2013-03-13 | 2013-04-15 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2013-03-13 | 2013-04-15 | N |
| Exits that are accessible at all times. | Fire Safety | 2013-03-13 | 2013-04-15 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2013-03-13 | 2013-04-15 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2013-03-13 | 2013-04-15 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2013-03-13 | 2013-03-15 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2013-03-13 | 2013-03-15 | N |
