Brentwood Extended Care & Rehab

Provide care and assistance to perform activities of daily living for any resident who is unable.

Rule F0677. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 14, 2025.

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Rule F0607. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 14, 2025.

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 14, 2025.

Respond appropriately to all alleged violations.

Rule F0610. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 14, 2025.

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Rule F0851. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 14, 2025.

Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Rule F0580. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 1, 2025.

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Rule F0600. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 7, 2024.

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 1, 2025.

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Rule F0684. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 1, 2025.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. K: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Jun 10, 2024.

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Rule F0582. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 9, 2024.

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.

Rule F0584. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 9, 2024.

Assess the resident when there is a significant change in condition

Rule F0637. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 9, 2024.

Assure that each resident’s assessment is updated at least once every 3 months.

Rule F0638. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 9, 2024.

Ensure each resident receives an accurate assessment.

Rule F0641. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 9, 2024.

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Rule F0644. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 9, 2024.

PASARR screening for Mental disorders or Intellectual Disabilities

Rule F0645. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 9, 2024.

Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted

Rule F0655. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 9, 2024.

Provide care and assistance to perform activities of daily living for any resident who is unable.

Rule F0677. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 9, 2024.

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Rule F0684. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 9, 2024.

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Rule F0688. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 9, 2024.

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Rule F0690. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 9, 2024.

Provide safe and appropriate respiratory care for a resident when needed.

Rule F0695. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 9, 2024.

Provide safe, appropriate pain management for a resident who requires such services.

Rule F0697. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 9, 2024.

Post nurse staffing information every day.

Rule F0732. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 9, 2024.

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Rule F0757. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 9, 2024.

Ensure that residents are free from significant medication errors.

Rule F0760. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 9, 2024.

Provide and implement an infection prevention and control program.

Rule F0880. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 9, 2024.

Implement a program that monitors antibiotic use.

Rule F0881. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 9, 2024.

Keep all essential equipment working safely.

Rule F0908. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 9, 2024.

Make sure that a working call system is available in each resident’s bathroom and bathing area.

Rule F0919. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 9, 2024.

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Rule F0921. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 3, 2024.