BRIGHTWAY PERSONAL CARE

The facility failed to review the plan at least annually to reflect changes in information, within 30 days following a disaster, within 30 days after a drill, and within 30 days after a change in rule or policy.

Health VisitCited Apr 29, 2026Corrected —

The facility failed to ensure that all employees providing services were screened for tuberculosis within two weeks of employment and annually.

Health VisitCited Apr 29, 2026Corrected —

The facility failed to follow its policies regarding the screening of residents upon admission and after exposure to tuberculosis.

Health VisitCited Apr 29, 2026Corrected —

The facility failed to ensure that resident records included the required information and documentation.

Health VisitCited Apr 29, 2026Corrected —

The facility failed to conduct required fire drills and document fire drills on the required form.

Health VisitCited Apr 29, 2026Corrected —

The facility failed to conduct and document a risk assessment for potential emergencies or disasters.

Health VisitCited Apr 29, 2026Corrected —

The facility's emergency preparedness and response plan failed to address the eight core functions of emergency management.

Health VisitCited Apr 29, 2026Corrected —

The facility failed to have evidence showing that the manager completed the required 12 hours of annual continuing education.

Health VisitCited Apr 29, 2026Corrected —

The facility failed to have documented evidence that direct care staff had completed all required continuing education.

Health VisitCited Apr 29, 2026Corrected —

The facility failed to search the NAR and EMR annually.

Health VisitCited Apr 29, 2026Corrected —

The facility failed to store staple foods in the pantry in an acceptable manner.

Health VisitCited Apr 29, 2026Corrected —

The facility failed to ensure compliance with smoking regulations in the licensing standards for assisted living facilities.

Life Safety CodeCited Mar 6, 2020Corrected May 11, 2020

The facility failed to ensure a pathway as wide as the corridor width was deducted from the required area of living or dining rooms, and/or the pathway was kept clear of obstructions.

Life Safety CodeCited Mar 6, 2020Corrected May 11, 2020

The facility failed to ensure the building and structure complied with the 2000 edition of the Life Safety Code, NFPA 101.

Life Safety CodeCited Mar 6, 2020Corrected May 11, 2020