Berkshire Place

In the surveyor’s words

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

• Actual harm, isolatedF580Aug 17, 2023

  Based on record review and interviews for one resident (Resident #199) out of a total sample of 12 residents, the facility failed to notify the Attending Physician of a significant change in the Resident's medical status. Specifically, for Resident #199 the facility staff failed to contact the Physician when the Resident began to first exhibit signs and symptoms of a significant decline, resulting in a delayed transfer to the hospital. The Resident was diagnosed with sepsis and admitted to the Critical Care Unit when finally transferred to the hospital. […]

• Actual harm, isolatedF684Aug 17, 2023

  Based on record review and interviews for one Resident (#199) out of a total sample of 12 residents, the facility failed to ensure standards of quality of care were provided to the Resident. Specifically, the facility failed to: 1. Recognize a significant decline in the Resident's status and notify the Attending Physician timely resulting in delay in transferring the critically ill Resident to the hospital. 2. Appropriately document and monitor areas of concern on the Resident's skin which was ultimately diagnosed as a pressure injury (localized damage to the skin and/or underlying soft tissue usually over a bony prominence or related to a medical or other device). […]

• No harm, potential for more than minimal, widespreadF812Apr 22, 2022

  Based on observation, interview, and policy review the facility failed to: 1. properly store perishables needing refrigeration in two of two facility kitchens (Unit 2 and Unit 3), 2. label and date open dry good items stored in two out of two facility kitchens (Unit 2 and Unit 3), 3. discard food that had been stored over three days in one out of two facility kitchens (Unit 3), 4. date opened food items in the refrigerator in two of two facility kitchens (Unit 2 and Unit 3), and 5. date opened food items in the freezer in one out of two facility kitchens (Unit 3). […]

• No harm, potential for more than minimal, patternF887Jun 6, 2023

  Based on record review and interview the facility failed to ensure its staff educated and offered COVID-19 vaccinations to four Residents (#1, #2, #3, and #4) out of a sample of five residents, to stop the spread of infection. Findings include: Review of the facility policy titled Resident/Patient COVID-19 Immunization, dated 10/2021, indicated the following: -Resident/patients of Berkshire Place will be offered immunization against COVID-19 as recommended by the Centers for Disease Control and Prevention (CDC) . -The COVID-19 vaccine will be offered unless immunization is medically contraindicated or the resident/patient has already been immunized. […]

• No harm, potential for more than minimal, patternF886Apr 22, 2022

  Based on record review and interview, the facility failed to ensure seven out of sixty staff members were tested in one specific week for the COVID-19 (a contagious respiratory illness) virus. Findings include: Review of the Department of Health (DPH) guidelines titled, Updates to Long Term Care Surveillance Testing, dated 9/24/2021, included, but was not limited to: -Surveillance Testing Program: Long term care facilities must conduct weekly testing of all staff. Review of the facility policy titled, Testing Policy related to COVID-19, dated 3/2022, included, but was not limited to: Weekly surveillance testing of all staff will be done in accordance with Department of Health (DPH) guidelines. […]