Berkley Care Center

In the surveyor’s words

From the most serious findings on record at Berkley Care Center, in the surveyor’s own words.

• Actual harm, isolatedF686Nov 30, 2023

  Based on observation, interviews, and record review, the facility failed to assess and monitor an existing pressure injury for one (#50) of seven residents reviewed for wounds out of 32 sample residents and failed to take steps to prevent the resident's development of pressure injuries. Resident #50 who required hands on assisance from staff to complete activities of daily living such as toileting, bed mobility, dressing and personal hygiene and who was at high risk for developing pressure injuries developed facility acquired pressure injury. The resident's pressure injury was first discovered on 4/27/23 and started as a redness spread over the bony part of the resident's left hip. The wound care physician classified the wound as a trauma wound. […]

• Actual harm, isolatedF689Aug 11, 2022

  Based on record review, observations, and staff interviews, the facility failed to ensure two (#54 and #4) of four residents reviewed for accident hazards out of 34 sample residents, were provided adequate supervision and a safe environment to prevent accidents and the re-occurrence of accidents. Resident #54 was admitted to the facility on [DATE] with a diagnosis and history of falls. The resident had four falls from 8/23/21 through 4/7/22. The facility failed to implement effective fall precautions with her risk of falling. On 4/7/22 the resident sustained a head injury following a fall which required hospital treatment. […]

• No harm, potential for more than minimal, widespreadF812Feb 26, 2026

  Based on observations and interviews, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety in the upstairs kitchen. Specifically, the facility failed to:-Ensure dietary staff performed appropriate hand hygiene during meal service; and,-Ensure the rims of cups were not touched by staff when serving beverages. Findings include:I. Failed to ensure dietary staff performed appropriate hand hygiene during meal serviceA. Professional referenceThe Colorado Retail Food Establishment Rules and Regulations, revised 3/16/24, were retrieved on 3/3/26. […]

• No harm, potential for more than minimal, widespreadF880Aug 11, 2022

  Based on observations and interviews, the facility failed to maintain an infection control program designed to provide a safe, sanitary and comfortable environment to help prevent the development and transmission of disease and infection, including COVID-19 in two of two floors. Specifically, the facility failed to: -Ensure visitors and staff who entered into the facility through the front lobby, reception area, wore masks; -Ensure residents were offered hand hygiene before meals in both the dining rooms and room trays; -Ensure resident bedrooms were cleaned with proper infection control techniques. […]

• No harm, potential for more than minimal, widespreadF921May 27, 2021

  Based on observations, record review and interviews, the facility failed to provide a safe, functional, sanitary and comfortable environment for residents, staff and the public. Specifically, the facility failed to ensure the following areas were free from multiple environmental concerns observed during repeated tours of the facility in: -One of one elevators; and, -22 of 53 resident rooms/bathrooms. Cross-referenced to F880 for failure to clean and sanitize resident rooms properly. Findings include: I. Facility policies and procedures The Safety Management Program policy reviewed 12/23/2020 was provided by the nursing home administrator (NHA) on 6/1/21 at 12:01 p.m. […]