Deficiency Records for Focused Care at Brenham
Updated as of February 01, 2017
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? |
|---|---|---|---|---|
| 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 | 2016-05-04 | 2016-06-01 | 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 | 2016-05-04 | 2016-06-01 | Y |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-02-11 | 2016-03-18 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-02-11 | 2016-03-18 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-02-11 | 2016-03-18 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2016-02-11 | 2016-03-18 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-02-11 | 2016-03-18 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-02-11 | 2016-03-18 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2016-02-11 | 2016-03-18 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-02-11 | 2016-03-18 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2016-02-11 | 2016-03-18 | N |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2015-06-25 | 2015-06-25 | 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 | 2015-06-25 | 2015-06-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-06-25 | 2015-06-25 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2015-04-02 | 2015-05-15 | 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 | 2015-04-02 | 2015-05-15 | 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 | 2015-04-02 | 2015-05-15 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-02-05 | 2015-03-20 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-02-05 | 2015-03-20 | N |
| Assess in a timely manner the resident when the resident enters the nursing home. | Health | 2015-02-05 | 2015-03-20 | Y |
| Make sure that doctors visit residents regularly, as required. | Health | 2015-02-05 | 2015-03-20 | Y |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2015-02-05 | 2015-03-20 | Y |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2014-09-20 | 2014-10-31 | Y |
| Completely assess the resident at least every twelve months. | Health | 2014-09-20 | 2014-10-31 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2014-09-20 | 2014-10-31 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-09-20 | 2014-10-31 | Y |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2014-01-17 | 2014-02-28 | N |
| 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 | 2014-01-17 | 2014-02-28 | N |
| 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 | 2014-01-17 | 2014-02-28 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2014-01-17 | 2014-02-28 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2014-01-17 | 2014-02-28 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-01-17 | 2014-02-28 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2014-01-17 | 2014-02-28 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2014-01-17 | 2014-02-28 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-01-17 | 2014-02-28 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2014-01-17 | 2014-02-28 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2014-01-17 | 2014-02-28 | N |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | Health | 2014-01-17 | 2014-02-28 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2014-01-17 | 2014-02-28 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-01-17 | 2014-02-28 | N |
