Bainbridge Landing of Journey LLC

In the surveyor’s words

From the most serious findings on record at Bainbridge Landing of Journey LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Apr 10, 2025

  Based on observations, staff interviews, and review of policy and procedures, the facility failed to ensure that racks were rust free and clean, air vent was clean, walls were clean, the brush was a cleanable surface, and dishes were properly sanitized in one of one kitchen and food was properly labeled and dated in one of one kitchenette in accordance with professional standards. The deficient practice has the potential to affect all 64 residents that received food by mouth. Findings include: Review of the facility's policy titled, Food Brought by Family/Visitors F813, last reviewed on 10/24, revealed Item one indicated family members would inform nursing staff of their wishes to bring in food for a resident. Item six indicated the foods would be labeled and dated. […]

• No harm, potential for more than minimal, patternF584Apr 10, 2025

  Based on observation and staff interview, the facility failed to ensure that it maintained a safe, comfortable, homelike interior on two of four areas/zones (100-hall and 300-hall) and one of one resident (Resident (R) 60) reviewed for environment. The deficient practice has the potential to affect the homelike environment for eight residents in four bedrooms. Findings include: Observation of bedroom [ROOM NUMBER], the bathroom shared with bedroom [ROOM NUMBER] on 04/07/25 at 3:00 PM revealed the sink to the bathroom was loosely fitted to the wall and leaning forward severely to the point water was not draining from the sink. In addition, a hole was noted behind the wall measuring four inches by four inches. […]

• No harm, potential for more than minimal, patternF924Apr 10, 2025

  Based on observations and staff interviews, the facility failed to equip handrails on each side of the corridor in four examples in two of four corridors reviewed for handrails. The deficient practice has the potential to affect 25 total residents' safety. Findings include: Observation on 04/08/25 at 4:10 PM revealed the corridor in the front of the building wall at the dining room measured 21 feet lacking a handrail between the two entrance doors to the large dining room. Observation on 04/08/25 at 4:10 PM revealed the corridor in the front section of the building wall at the public restroom area measuring eight feet, lacking a handrail. […]

• No harm, potential for more than minimal, isolatedF755Apr 1, 2026

  Based on observations, staff interviews, record review and review of the facility's policies titled, Controlled Substance Administration and Accountability and Medication Administration, the facility failed to ensure the Controlled Substances Proof of Use form was signed after narcotic administration for one of 41 sampled residents (R) R8 during review of one of two medication carts. This deficient practice had the potential to cause incorrect narcotic counts, missed or overdose of narcotic medication for R8.Findings include: Review of the facility's policy titled, Controlled Substance Medication Accountability reviewed 02/14/2024 documented Policy: It is the policy of this facility to promote safe, high quality patient care, compliant with state and federal regulations regarding… […]

• No harm, potential for more than minimal, isolatedF761Apr 1, 2026

  Based on observations, staff interviews and review of the facility's policy titled, Medication Storage, the facility failed to place open dates on two vials of blood glucose strips in one of two carts (100 hall cart) reviewed. This deficient practice had the potential to cause inaccurate blood sugar readings for the residents.Findings include:Review of the facility's policy titled, Medication Storage revised 02/14/2024 documented Policy: It is the policy of this facility to ensure all medications housed on our premises will be stored in the pharmacy and/or medication rooms according to the manufacturer's recommendations.Observation and interview on 03/31/2026 at 11:52 AM during review of the 100 Hall medication cart revealed two blood glucose vials were in the top right drawer of the… […]