Brady West Rehab & Nursing

In the surveyor’s words

From the most serious findings on record at Brady West Rehab & Nursing, in the surveyor’s own words.

• Actual harm, isolatedF790Aug 22, 2024

  Based on observations, interviews, and record review, the facility failed to assist residents in obtaining routine and 24-hour emergency dental care for 2 of 2 residents (Residents #2 and #20) reviewed for dental services. 1. The facility failed to assist in providing routine dental services for Resident #2 and Resident #20. This failure could place residents at risk of oral complications, dental pain, and diminished quality of life. Findings included: Resident #20 Review of Resident #20's Admission Record revealed he was a [AGE] year-old male admitted to the facility on [DATE] with diagnoses which included congestive heart failure (condition in which the heart does not pump blood well enough to give the body a normal supply), anxiety disorder, dental carries (cavities), bipolar… […]

• No harm, potential for more than minimal, widespreadF812Aug 22, 2024

  Based on observations, interviews, and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for kitchen sanitation. 1. The facility failed to ensure stored foods were properly stored, labeled, and dated. 2. The facility failed to ensure food items remained covered prior to food service. 3. The facility failed to ensure the refrigerator's thermometers reflected similar temperatures. 4. The facility failed to ensure expired food items were discarded by the expiration date. 5. The facility failed to maintain cleanliness in the kitchen. […]

• No harm, potential for more than minimal, patternF761Sep 4, 2025

  Based on observation, interview, and record review, the facility failed to ensure drugs and biologicals used in the facility were labeled with currently accepted professional principles, and included the appropriate accessory and cautionary instructions, and the expiration date when applicable for and 1 of 2 medication carts (Hall A & B nurse medication cart) reviewed for medication storage. The facility failed to ensure the nurses cart #1 for the A& B Hall did not contain insulin, and nebulizer treatment vials that were opened and not labeled with the open date. […]

• No harm, potential for more than minimal, patternF812Sep 4, 2025

  Based on observation, interview and record review, the facility failed to store, prepare, distribute, and serve food under sanitary conditions for 1 of 1 main kitchen in that: [NAME] B took the dinner rolls with her hands to place them on the residents plates when plating the lunch meal. These failures could place residents who ate food from the kitchen at risk of foodborne illness. Findings includedDuring an observation and interview on 09/03/2025 at 11:20 AM revealed [NAME] B was seen plating the meals for lunch time. [NAME] B was touching the meal tickets, using a suction grabber device to grab the hot plates and then using the serving ladles to place the food on the plates. [NAME] B was then seen taking a dinner rolls with her bare hands and placing them on the meal plates. […]

• No harm, potential for more than minimal, patternF880Sep 4, 2025

  Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment to help prevent the development and transmission of communicable diseases and infections for 2 of 3 residents (Resident #5, and Resident #1) and 4 of 4 (NA #A, MA #F, ADON, and Director of Rehab) staff members reviewed for infection control in that;The facility failed to ensure NA A changed her gloves after they became contaminated during incontinent care while assisting Resident #5.The facility failed to ensure LVN B performed hand hygiene between glove changes while providing wound care for Resident #1.The facility failed to ensure NA #A, ADON, and Director of Rehab were tested for Tuberculosis… […]