BRENTWOOD CENTER FOR HEALTH & REHABILITATION, LLC

Nursing Home Inspector

370 PORTLAND ST
YARMOUTH, ME 04096
Cumberland County
Phone: 207-846-9021
Provider Number: 205079
Last Inspection: 10/05/2017

About the Nursing Home

Number of Beds: 78
Number of Residents: 68
Beds Available: 10
Percent Occupancy: 87%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

7

Facility
8

County
8

ME
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

7

2017
26

2016
10

2015

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

10/5/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide housekeeping and maintenance services. Isolated : Minimal 3 10/31/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 10/31/2017
 

10/27/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Tell the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Widespread : Potential 4 12/5/2016
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 12/5/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 12/5/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Isolated : Minimal 3 12/5/2016
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 1/25/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 12/5/2016
 
Failed To: Keep all essential equipment working safely. Isolated : Minimal 3 12/5/2016
 

11/5/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 12/15/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 12/15/2015
 
Failed To: Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Pattern : Potential 3 12/15/2015
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

No Complaint Deficiencies Reported

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg ME State Avg
Number of Residents 68 76.95 60.22
Registered Nurses 1.04 1.09 1.05
Licensed Practical / Vocational Nurses 0.67 0.52 0.48
Certified Nursing Assistants 2.19 2.62 2.97
Total Staff Hours 3.90 4.23 4.50

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% ME State Avg%
of high risk long-stay residents with pressure ulcers 4 4 4
of long-stay residents assessed and appropriately given the pneumococcal vaccine 73 92 92
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 88 95 95
of long-stay residents experiencing one or more falls with major injury 1 3 3
of long-stay residents who have depressive symptoms 1 10 8
of long-stay residents who lose too much weight 12 9 8
of long-stay residents who received an antianxiety or hypnotic medication 16 16 18
of long-stay residents who received an antipsychotic medication 26 16 17
of long-stay residents who self-report moderate to severe pain 11 10 9
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 33 22 22
of long-stay residents whose need for help with daily activities has increased 18 14 13
of long-stay residents with a catheter inserted and left in their bladder 1 2 2
of long-stay residents with a urinary tract infection 1 4 5
of low risk long-stay residents who lose control of their bowels or bladder 43 63 61
of short-stay residents assessed and appropriately given the pneumococcal vaccine 57 76 79
of short-stay residents who had an outpatient emergency department visit 22 13 13
of short-stay residents who made improvements in function 71 66 71
of short-stay residents who newly received an antipsychotic medication 4 1 1
of short-stay residents who self-report moderate to severe pain 24 21 21
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 64 78 81
of short-stay residents who were rehospitalized after a nursing home admission 25 17 18
of short-stay residents who were successfully discharged to the community 55 64 59
of short-stay residents with pressure ulcers that are new or worsened 1 0 0