Facility profile · CCN 315316
Complete Care At Brakeley Park Llc
27 federal citations on record , including 1 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $55,647.
Record summary
Federal record · Q1 202627
Total citations
24
Last 3 years
2
Actual harm+
2
Federal penalties
$55,647
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
27 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| May 16, 2025 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Standard |
| May 16, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| May 16, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| May 16, 2025 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Standard |
| May 16, 2025 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| May 16, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| May 16, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| May 16, 2025 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| May 16, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| May 16, 2025 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard |
| Sep 25, 2024 | F810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Complaint |
| Aug 30, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint |
| Jan 5, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard |
| Jan 5, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| Jan 5, 2024 | F711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | E | Standard |
| Jan 5, 2024 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard |
| Jan 5, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Jan 5, 2024 | F678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Standard |
| Jan 5, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Jan 5, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Jan 5, 2024 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard |
| Jan 5, 2024 | F557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Standard |
| Oct 10, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Jun 1, 2023 | F908 | Keep all essential equipment working safely. | D | Complaint |
| Oct 21, 2021 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard |
| Oct 21, 2021 | F692 | Provide enough food/fluids to maintain a resident's health. | E | Standard |
| Oct 21, 2021 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $55,647 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jan 5, 2024 | Fine | $47,746 | — |
| Oct 10, 2023 | Fine | $7,901 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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