Aviata at Brentwood

In the surveyor’s words

From the most serious findings on record at Aviata at Brentwood, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF926Aug 15, 2024

  Based on observation, interview, and record review, the facility failed to follow safe smoking practices for 4 of 5 residents reviewed for accidents, Resident #3, #15, #35, and #61. Findings include: 1. During an observation on 8/12/2024 at 8:49 AM, there was a pink device with mouth piece on top of drawer in Resident #3 room. Review of Resident #3's Smoking Evaluation dated 8/12/2024 showed it read, Summary of Evaluation: Resident is determined to be 0. Safe Smoker. Review of Resident #3's care plan initiated on 5/3/2024 showed it read, Focus: The resident smokes a vape . Interventions . […]

• No harm, potential for more than minimal, widespreadF812Oct 28, 2021

  Based on observation, interview, and record review, the facility failed to ensure foods were stored in accordance with professional standards for food service safety. Findings: On 10/25/2021 at 9:20 AM, an observation during a tour of the 300 Hallway nourishment room with the Certified Dietary Manager showed a frozen pink substance pooled in the freezer, an unlabeled/uncovered cup of frozen substance stored in the freezer, and an opened/undated plastic bag of vegetables stored in the refrigerator. During an interview on 10/25/2021 at 9:20 AM, the Certified Dietary Manager confirmed the freezer needed cleaning and the food items should be labeled, dated and covered. […]

• No harm, potential for more than minimal, patternF644Aug 15, 2024

  Based on record review and interview, the facility failed to ensure 2 of 3 residents reviewed for preadmission screening and resident review (PASRR), Resident #38 and Resident #22, were referred to the appropriate state designated authority for Level II PASRR evaluation and determination. Findings include: Review of Resident #38's admission record revealed the resident was admitted to the facility on [DATE] with diagnoses that included unspecified psychosis not due to a substance or known physiological condition (onset date 1/5/2022). Review of Resident #38's psychiatry progress note, date of service 6/24/2024, revealed the resident had diagnoses that included brief psychotic disorder. […]

• No harm, potential for more than minimal, patternF695Apr 6, 2023

  Based on observation, interview, and record review, the facility failed to ensure residents received respiratory care consistent with professional standards of practice for 12 of 13 residents reviewed, Residents #6, #11, #12, #28, #44, #58, #59, #68, #70, #97, #98, and #204. Findings include: 1. Review of Resident #28's medical records revealed the resident was admitted to the facility on [DATE] with diagnoses including chronic obstructive pulmonary disease, other pulmonary embolism without acute Cor Pulmonale (a condition that causes the right side of the heart to fail), essential (primary) hypertension, congenital pneumonia, sleep apnea, and longstanding persistent atrial fibrillation. […]

• No harm, potential for more than minimal, patternF761Oct 28, 2021

  Based on observation, interview, and record review, the facility failed to ensure the drugs and biologicals used in the facility were labeled and stored in accordance with currently accepted professional principles and included the expiration date when applicable in 4 of 5 medication carts reviewed. Findings: On [DATE] at 8:55 AM, an observation of the medication cart on the 200 Hallway with Staff A, Registered Nurse (RN), showed one opened bottle of [MEDICATION(S)] Insulin with no opened and expiration dates and no resident identifier, one opened [MEDICATION(S)] insulin pen with no opened date or resident identifier, one opened bottle of [MEDICATION(S)] R insulin with an expiration date of [DATE], and one opened bottle of [MEDICATION(S)] 0.1% eye drops with no opened or expiration dates. […]