BROOKSIDE HEALTHCARE CENTER CA DEFICIENCY REPORT

	Nursing Home Deficiency Report current as of November 25, 2009
Date	Deficiency	Scope	Level of Harm
01/28/2010	approved construction type or materials.	Isolated	Minimal harm or potential for actual harm
01/28/2010	corridor and hallway doors that block smoke.	Isolated	Minimal harm or potential for actual harm
01/28/2010	walls or barriers that prevent smoke from passing through and would resist fire for at least one hour.	Pattern	Minimal harm or potential for actual harm
01/28/2010	exits that are accessible at all times.	Isolated	Minimal harm or potential for actual harm
01/28/2010	an approved installation, maintenance and testing program for fire alarm systems.	Widespread	Potential for minimal harm
01/28/2010	properly maintained smoke detectors.	Isolated	Minimal harm or potential for actual harm
01/28/2010	automatic sprinkler systems that have been maintained in working order.	Isolated	Minimal harm or potential for actual harm
01/28/2010	heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Widespread	Potential for minimal harm
01/28/2010	proper medical gas storage and administration areas.	Isolated	Minimal harm or potential for actual harm
01/28/2010	weekly inspections and monthly testing of generators.	Widespread	Potential for minimal harm
01/28/2010	properly installed electrical wiring and equipment.	Pattern	Minimal harm or potential for actual harm
01/25/2010	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.	Isolated	Minimal harm or potential for actual harm
01/25/2010	Keep safe, clean and homelike surroundings.	Widespread	Potential for minimal harm
01/25/2010	Provide needed housekeeping and maintenance.	Pattern	Minimal harm or potential for actual harm
01/25/2010	Keep adequate and comfortable lighting in all areas.	Isolated	Minimal harm or potential for actual harm
01/25/2010	Give each resident care and services to get or keep the highest quality of life possible.	Pattern	Minimal harm or potential for actual harm
01/25/2010	Store, cook, and give out food in a safe and clean way.	Pattern	Minimal harm or potential for actual harm
01/25/2010	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	Pattern	Minimal harm or potential for actual harm
01/25/2010	Make sure there is a program to prevent/deal with mice, insects, or other pests.	Pattern	Minimal harm or potential for actual harm
01/25/2010	Keep accurate and appropriate medical records.	Pattern	Minimal harm or potential for actual harm
01/25/2010	Have a detailed, written plan for disasters and emergencies.	Isolated	Minimal harm or potential for actual harm
01/25/2010	Train all employees on what to do in an emergency.	Pattern	Minimal harm or potential for actual harm
01/08/2009	Make sure that the nursing home area is free of dangers that cause accidents.	Pattern	Minimal harm or potential for actual harm
01/08/2009	Store, cook, and give out food in a safe and clean way.	Widespread	Minimal harm or potential for actual harm
01/08/2009	Keep all essential equipment working safely.	Widespread	Minimal harm or potential for actual harm
01/08/2009	Keep clinical information safe, so that it will not be lost, destroyed or used by the wrong person.	Widespread	Minimal harm or potential for actual harm
01/08/2009	Provide activities to meet the needs of each resident.	Isolated	Minimal harm or potential for actual harm
01/08/2009	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.	Isolated	Minimal harm or potential for actual harm
01/08/2009	Keep assessments completed in the preceding 15 months in the resident's active record.	Pattern	Potential for minimal harm
11/13/2008	approved construction type or materials.	Isolated	Minimal harm or potential for actual harm
11/13/2008	corridors that are separated from common areas by walls constructed to limit the passage of smoke.	Isolated	Minimal harm or potential for actual harm
11/13/2008	corridor and hallway doors that block smoke.	Pattern	Minimal harm or potential for actual harm
11/13/2008	construction that can resist fire for one hour or an approved fire extinguishing system.	Isolated	Minimal harm or potential for actual harm
11/13/2008	properly located and lighted "Exit" signs.	Isolated	Minimal harm or potential for actual harm
11/13/2008	an approved installation, maintenance and testing program for fire alarm systems.	Widespread	Minimal harm or potential for actual harm
11/13/2008	automatic sprinkler systems that have been maintained in working order.	Isolated	Minimal harm or potential for actual harm
11/13/2008	portable fire extinguishers.	Pattern	Minimal harm or potential for actual harm
11/13/2008	heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Widespread	Minimal harm or potential for actual harm
11/13/2008	proper medical gas storage and administration areas.	Isolated	Minimal harm or potential for actual harm
11/13/2008	fire safety features required by current fire safety codes.	Isolated	Minimal harm or potential for actual harm
11/13/2008	properly installed electrical wiring and equipment.	Pattern	Minimal harm or potential for actual harm
11/08/2007	Let the resident refuse treatment or refuse to take part in an experiment.	Isolated	Minimal harm or potential for actual harm
11/08/2007	Keep each resident's personal and medical records private and confidential.	Widespread	Potential for minimal harm
11/08/2007	Try to resolve each resident's complaints quickly.	Isolated	Minimal harm or potential for actual harm
11/08/2007	Provide care in a way that keeps or builds each resident's dignity and self respect.	Isolated	Actual harm
11/08/2007	Provide services to meet the needs and preferences of each resident.	Isolated	Minimal harm or potential for actual harm
11/08/2007	Keep safe, clean and homelike surroundings.	Widespread	Minimal harm or potential for actual harm
11/08/2007	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	Widespread	Minimal harm or potential for actual harm
11/08/2007	Give each resident care and services to get or keep the highest quality of life possible.	Pattern	Minimal harm or potential for actual harm
11/08/2007	Develop/implement required procedures for the administration of immunizations.	Widespread	Immediate jeopardy to resident health or safety
11/08/2007	Hire a qualified dietician.	Widespread	Minimal harm or potential for actual harm
11/08/2007	Make sure that residents are well nourished.	Pattern	Minimal harm or potential for actual harm
11/08/2007	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	Pattern	Minimal harm or potential for actual harm
11/08/2007	Offer other nutritional food to each resident who will not eat the food served.	Isolated	Minimal harm or potential for actual harm
11/08/2007	Store, cook, and give out food in a safe and clean way.	Widespread	Minimal harm or potential for actual harm
11/08/2007	Get rid of garbage properly.	Widespread	Minimal harm or potential for actual harm
11/08/2007	Have a program to keep infection from spreading.	Widespread	Immediate jeopardy to resident health or safety
11/08/2007	Keep all essential equipment working safely.	Isolated	Minimal harm or potential for actual harm
11/08/2007	Put firmly secured handrails on each side of hallways.	Widespread	Potential for minimal harm
11/08/2007	Make sure there is a program to prevent/deal with mice, insects, or other pests.	Isolated	Minimal harm or potential for actual harm
11/08/2007	1) Set up a group that is legally responsible for writing and setting up policies for leading and running the nursing home; or 2) hire a properly licensed administrator.	Widespread	Minimal harm or potential for actual harm
11/08/2007	Choose a doctor to be the medical director.	Widespread	Minimal harm or potential for actual harm
11/08/2007	Set up or keep a group of people to review and ensure quality.	Widespread	Minimal harm or potential for actual harm
11/07/2007	approved construction type or materials.	Pattern	Minimal harm or potential for actual harm
11/07/2007	corridor and hallway doors that block smoke.	Pattern	Minimal harm or potential for actual harm
11/07/2007	walls or barriers that prevent smoke from passing through and would resist fire for at least one hour.	Isolated	Minimal harm or potential for actual harm
11/07/2007	smoke barrier doors that can resist smoke for at least 20 minutes.	Pattern	Minimal harm or potential for actual harm
11/07/2007	record of quarterly fire drills for each shift under varying conditions.	Widespread	Potential for minimal harm
11/07/2007	an approved installation, maintenance and testing program for fire alarm systems.	Pattern	Minimal harm or potential for actual harm
11/07/2007	properly maintained smoke detectors.	Isolated	Minimal harm or potential for actual harm
11/07/2007	automatic sprinkler systems that have been maintained in working order.	Pattern	Minimal harm or potential for actual harm
11/07/2007	posted "No-smoking" signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed.	Widespread	Potential for minimal harm
11/07/2007	properly protected cooking facilities.	Widespread	Minimal harm or potential for actual harm
11/07/2007	proper medical gas storage and administration areas.	Isolated	Minimal harm or potential for actual harm
11/07/2007	fire safety features required by current fire safety codes.	Widespread	Potential for minimal harm

Have you or someone you know become a victim of nursing home abuse or neglect? If so, contact one of our experienced nursing home lawyers today. Help End Nursing Home Abuse

Where does this data come from?

The data on this website describes nursing home characteristics, quality measures, inspection results, and nursing staff information.

The data come from 2 sources:

1. Centers for Medicare & Medicaid Services (CMS) have an Online Survey, Certification, and Reporting (OSCAR) database - Includes the nursing home characteristics and health deficiencies issued during the three most recent state inspections and recent complaint investigations.

   The survey inspection results are collected by the state survey agencies, who perform onsite visits to nursing homes . The inspections occur at least once during a 15-month period, or any time in between as a result of a complaint received by the state. The inspections ensure that the nursing home residents receive quality care and services in a safe and comfortable environment in accordance with rules established by CMS. Complaints may be reported and inspected during the year (outside of the 9-15 month survey cycle). Inspections about a complaint that result in the citation of a health deficiency are reported to CMS and included in this website. Sometimes the inspection finds a problem that the nursing home identified and corrected before the inspection occurred. The fact and the nature of these prior problems (deficiencies) may be included in this website.

   The information on the nursing homes' characteristics derived from OSCAR are prepared by each nursing home at the beginning of the regular State inspection. This information is reported by the nursing homes themselves. It is reviewed by nursing home inspectors, but not formally audited to ensure data accuracy. In addition, this information changes frequently as residents are discharged and admitted, or resident conditions change.

2. National database known as the Minimum Data Set (MDS) Repository

   The data for the quality measures come from the MDS Repository. The MDS is collected on regular intervals for every resident in a Medicare or Medicaid certified nursing home. Information is collected on the resident's health, physical functioning, mental status, and general well-being. These data are used by the nursing home to access the needs and develop a plan of care unique to each resident.

   Regulations require that a MDS assessment be performed at admission, quarterly, annually, and whenever the resident experiences a significant change in status. For residents in a Medicare Part A stay, the MDS is also used to determine the Medicare reimbursement rate. These assessments are performed on the 5th, 14th, 30th, 60th and 90th day of admission.

   All of this data is reported by the nursing homes themselves. It is reviewed by nursing home inspectors, but not formally audited to ensure that it is accurate. Every attempt is made to assure the accuracy and timeliness of this information. However, this information changes frequently as residents are discharged and admitted, or resident conditions change. We advise interpreting this information cautiously and supplementing it with information from the Ombudsman's office, the State Survey Agency, or other sources.

   Some MDS items used to calculate the quality measures consider the resident's condition during previous days prior to the assessment date. The following table provides these "observation" or "look back" time frames.

Signs of Nursing Home Abuse:

• Unexplained injuries or bruises
• Over or under medication
• Visible cuts, bruises, or welts
• Rapid weight loss or weight gain
• Dehydration, malnutrition, and bedsores
• Unsanitary living conditions
• Infections
• Broken bones
• Sudden death