Deficiency Records for City of Ennis Dba Broadmoor Medical Lodge

(Home page)

Updated as of March 01, 2024

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?
Implement a program that monitors antibiotic use. Health 2023-12-09 2024-01-05 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-10-12 2023-10-31 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-10-12 2023-10-31 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-10-12 2023-10-31 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-10-12 2023-10-31 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-10-12 2023-10-31 Y
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-10-12 2023-10-30 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-07-25 2023-08-14 Y
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2023-07-25 2023-08-14 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-07-25 2023-08-14 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-06-06 2023-06-26 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 2022-08-24 2022-08-25 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-08-24 2022-08-25 Y
Provide properly protected cooking facilities. Fire Safety 2022-08-22 2022-08-23 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-08-22 2022-08-23 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-04-07 2022-04-11 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-03-01 2022-04-06 Y
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-04-03 2022-04-04 Y
Ensure that residents are free from significant medication errors. Health 2022-04-03 2022-04-04 Y
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