Deficiency Records for High Hope Care Center of Brenham
Updated as of July 01, 2018
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? |
|---|---|---|---|---|
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-11-15 | 2017-12-14 | 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 | 2017-11-15 | 2017-12-14 | 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 | 2017-08-09 | 2017-09-01 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2017-08-09 | 2017-09-01 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-08-09 | 2017-09-01 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-08-09 | 2017-09-01 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-08-10 | 2017-09-01 | N |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2017-08-10 | 2017-09-01 | N |
| Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2017-08-10 | 2017-09-01 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-08-10 | 2017-09-01 | N |
| Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States. | Health | 2017-08-10 | 2017-09-01 | 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 | 2017-01-13 | 2017-02-28 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-07-12 | 2016-09-19 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-07-12 | 2016-09-19 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-07-12 | 2016-09-19 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-07-12 | 2016-09-19 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-07-12 | 2016-09-19 | N |
| Restrictions on the use of flammable curtains. | Fire Safety | 2016-07-12 | 2016-09-19 | N |
| Have other fire safety features required by fire safety codes. | Fire Safety | 2016-07-12 | 2016-09-19 | N |
| Provide housekeeping and maintenance services. | Health | 2016-07-13 | 2016-08-08 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-07-13 | 2016-08-08 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-07-13 | 2016-08-08 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-07-13 | 2016-08-08 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2016-07-13 | 2016-08-08 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2016-07-13 | 2016-08-08 | N |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2016-07-13 | 2016-08-08 | 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 | 2016-04-26 | 2016-05-24 | 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 | 2016-04-26 | 2016-05-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-04-26 | 2016-05-24 | 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 |
| 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 | 2015-09-02 | 2015-09-21 | 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 | 2015-09-02 | 2015-09-21 | 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 |
| 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 | 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 |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-05-28 | 2015-06-14 | N |
