Berkley West Healthcare Center

In the surveyor’s words

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

• Immediate jeopardy, patternF757Dec 22, 2024

  Based on interview, and record review, for one of six sampled residents (Resident 1) the facility failed to 1. Monitor the vital signs (VS) which included blood pressure (BP), apical pulse (AP- a pulse point on the chest that gives the most accurate reading of a heart rate), and heart rate (HR-Pulse), according to physician's order for the following medications: a. Amiodarone HCL (Medication to treat/control very rapid and irregular pulse]) 200 milligrams (mg - unit of measurement) oral tablet a day for atrial fibrillation (A-Fib, serious medical condition of the heart: fast and irregular heartbeat) hold for apical pulse <60, Amiodarone dose was held or given with no documented apical pulse on ,d+[DATE], ,d+[DATE], ,d+[DATE], ,d+[DATE], ,d+[DATE], ,d+[DATE], ,d+[DATE], ,d+[DATE],… […]

• Actual harm, isolatedF695May 10, 2023

  Based on interview and record review, the facility failed to ensure Resident 1's respiratory care was consistent with professional standards of practice to meet the resident's goal for one of six sampled residents (Resident 1) by failing to: 1.Ensure the facility had readily available supply of a nonrebreather mask (medical device used to provide constant flow supplemental oxygen in an acute medical emergency). 2.Implement the facility's policy and procedures, Emergency Supplies Planning , to maintain appropriate medical supplies to accommodate the needs of residents for emergency situations. […]

• No harm, potential for more than minimal, widespreadF563May 15, 2024

  Based on observation, interview and record review, the facility failed to ensure indoor and outdoor visitations for all residents are in placed with no limitations of frequency and length of visits according to federal regulations. This deficient practice violated 33 out of 33 residents ' rights regarding visitation. Findings: A review of Resident 4 ' s Admission Record indicated Resident 4 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses including acute respiratory failure (condition in which your blood does not get enough oxygen or has too much carbon dioxide) and pneumonia (lung infection that inflames air sacs with fluid or pus). […]

• No harm, potential for more than minimal, widespreadF882Oct 23, 2022

  Based on observation, interview and record review, the facility failed to ensure a full-time designated Infection Preventionist (IP) that worked for 40 hours per week and completed a specialized training on infection prevention and control to plan, organize, develop, coordinate, and direct the facility's infection control program. This deficient practice could result in infection control training courses and infection control measures not being carried out, potentially leading to the spread and transmission of diseases such as COVID-19 among the residents and staff. […]

• No harm, potential for more than minimal, patternF660Mar 3, 2025

  Based on interview and record review, the facility failed to ensure safe and orderly discharge from the facility to home for four of five sampled residents (Resident 1, 2, 4 and 5) by failing to: 1. Properly discharge Resident 1 to home by setting up the home health agency with complete instructions for ongoing care according to physician's order. 2. Complete a discharge plan summary upon Resident 1, 2, 4, 5's discharge to home. 3. Complete an Interdisciplinary Team (IDT - a group of dedicated healthcare professionals who work to bring knowledge together to help residents receive the care they need) meeting with services provided by the Social Services department regarding Resident 1, 2, 4 and 5's discharge planning according to facility's policy and procedure (P&P). […]