Deficiency Records for City of Ennis Dba Broadmoor Medical Lodge
Updated as of November 01, 2021
This is not the most recent data for City of Ennis Dba Broadmoor Medical Lodge. For the most recent information, click here.
A list of the most recent deficiencies for City of Ennis Dba Broadmoor Medical Lodge. 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? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-06-17 | 2021-07-14 | Y |
| 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 | 2021-06-17 | 2021-07-14 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-06-17 | 2021-07-14 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-17 | 2021-07-14 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-06-05 | 2019-06-30 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-06-05 | 2019-06-30 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-06-05 | 2019-06-30 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2019-06-05 | 2019-06-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-05 | 2019-06-07 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-06-07 | 2018-07-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-07 | 2018-07-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-06-07 | 2018-07-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-06-08 | 2018-06-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-08 | 2018-06-17 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-06-08 | 2018-06-17 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-06-07 | 2018-06-14 | N |
