Deficiency Records for High Hope Care Center of Brenham
Updated as of April 01, 2019
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? |
|---|---|---|---|---|
| Conduct testing and exercise requirements. | Fire Safety | 2018-08-29 | 2018-10-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-08-29 | 2018-10-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-08-29 | 2018-10-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-08-29 | 2018-10-05 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-08-30 | 2018-10-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-30 | 2018-10-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-08-30 | 2018-10-05 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-08-30 | 2018-10-05 | Y |
| 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 | 2018-08-30 | 2018-10-05 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-30 | 2018-10-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-08-30 | 2018-10-05 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-31 | 2018-06-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-31 | 2018-06-29 | Y |
| 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 |
