Deficiency Records for Focused Care at Brenham
Updated as of November 01, 2019
This is not the most recent data for Focused Care at Brenham. For the most recent information, click here.
A list of the most recent deficiencies for Focused Care at 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-02-14 | 2019-03-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-02-14 | 2019-03-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-02-14 | 2019-03-15 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-02-14 | 2019-03-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-14 | 2019-03-15 | N |
| 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 | 2019-02-14 | 2019-03-15 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-02-14 | 2019-03-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-14 | 2019-03-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-14 | 2019-03-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-06-06 | 2018-08-31 | Y |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2018-06-06 | 2018-08-31 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2018-06-06 | 2018-08-31 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-03-14 | 2018-04-28 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-02-21 | 2018-03-25 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-02-21 | 2018-03-25 | N |
| 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 | 2018-02-07 | 2018-03-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-07 | 2018-03-25 | N |
| 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 | 2018-02-07 | 2018-03-25 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is ne | Health | 2018-02-07 | 2018-03-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-07 | 2018-03-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-07 | 2018-03-25 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-03-22 | 2017-05-22 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2017-03-29 | 2017-05-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-03-22 | 2017-05-20 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-03-29 | 2017-04-28 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2017-03-22 | 2017-04-28 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-22 | 2017-04-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-03-29 | 2017-04-21 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-03-22 | 2017-04-21 | N |
| Dispose of garbage and refuse properly. | Health | 2017-03-22 | 2017-04-21 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-03-22 | 2017-04-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-03-29 | 2017-03-30 | N |
| Help the resident in making transportation arrangements to and from radiology services. | Health | 2017-02-27 | 2017-03-16 | Y |
