Brandon Court

In the surveyor’s words

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

• No harm, potential for more than minimal, isolatedF580May 28, 2026

  Based on record review, staff interviews, and facility policy review the facility failed to immediately notify the resident's physician and Resident Representative (RR) following a change in condition involving one (1) of three (3) residents reviewed for notification requirements. Resident #1 Findings Include: Record review of the facility policy, Accident/Incident Reports, reviewed 9/25 revealed 1. All accidents/incidents including residents, employees, or visitors, will be reported to the Charge Nurse and to the appropriate department head immediately upon knowledge of occurrence, so that it may be evaluated. […]

• No harm, potential for more than minimal, isolatedF585Nov 21, 2024

  Based on interviews, record reviews, and facility policy reviews, the facility failed to ensure grievances regarding rude staff were resolved in a timely manner for five (5) of the 19 sampled residents. (Residents #3, #8, #9, #45 and #55) Findings included: A review of the facility's policy titled Grievances-Residents, revised 05/24, revealed, All residents are to be encouraged and assisted (if necessary) in filing grievances to include those with respect to care and treatment, the behavior of staff and other residents, and other concerns regarding their facility stay, in the event that they have a need to make a concern known . […]

• No harm, potential for more than minimal, isolatedF880Nov 21, 2024

  Based on observation, interviews, record review, and facility policy review, the facility failed to prevent the possible spread of infection during Percutaneous Endoscopic Gastrostomy (PEG) tube care for one (1) of three (3) residents with PEG tubes. (Resident #57) Findings included: A review of the facility's policy titled Hand Hygiene, revised 01/24, revealed, Purpose * To cleanse hands to prevent transmission of infection or other conditions * To provide clean, health environment for residents, staff and visitors . Indications for Hand Washing . 4. Before and after applying gloves . […]

• No harm, potential for more than minimal, isolatedF561Jul 31, 2024

  Based on observations, interviews, and facility policy review, the facility failed to ensure that two (2) of nine (9) sampled residents had the opportunity to exercise their autonomy regarding preferences related to choice of bathing schedules and clothing. Residents #1 and #2 Findings included: Record review of the facility's policy titled Resident's Rights Policy, reviewed 12/23, revealed Every resident in this facility has the right to: .Retire and rise in accordance with reasonable requests . On 7/30/24 at 9:50 AM, during an observation and interview with Resident #2, the resident stated that she did not have any washcloths to use on the morning of 7/30/24. She said the CNAs told her there were no clean washcloths. […]

• No harm, potential for more than minimal, isolatedF572Jul 31, 2024

  Based on interviews, record reviews, and facility policy review, the facility failed to ensure consent was received from residents prior to changing private insurance plans to another insurance company for one (1) of nine (9) sampled residents. Resident #3 Findings included: Record review of the facility provided titled Resident Rights, reviewed 12/23, revealed, Every resident in this facility has the right to: . Manage their personal affairs . On 7/30/24 at 9:35 AM, in an interview with a family member of Resident #3, he said that Resident #3 was admitted by the facility on 11/16/23 for a short term stay to receive therapy services following a fall with fracture which occurred at her home. He stated that the resident was her own Responsible Party (RP) and made her own decisions. […]