Brandon Woods of Dartmouth

In the surveyor’s words

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

• Actual harm, isolatedF689Nov 12, 2025

  Based on records reviewed and interviews, for one of three sampled residents (Resident #1), who was dependent on the assistance of staff for transfers, the Facility failed to ensure his/her environment was free from potential hazards as is possible when on 09/22/25 sometime around 10:00 P., as Resident #1 was being transferred into bed with the assistance of two staff members, his/her left lower extremity scraped up against an exposed piece of metal on the bed frame joint and he/she sustained a 10-centimeter (cm) laceration to his/her left lower extremity that required 10 sutures to close. […]

• Actual harm, isolatedF656Aug 27, 2024

  Based on records reviewed and interviews, for two of three sampled residents (Resident #1 and Resident #2), whose Plans of Care indicated that they required the physical assistance of two staff members with transfers and/or bed mobility, the Facility failed to ensure nursing staff consistently implemented and followed interventions identified in their Plans of Care while meeting his/her care needs. 1) On 08/05/24, Certified Nurse Aide (CNA) #2 provided care to Resident #2, who was in bed, without getting assistance from another staff member, CNA #2 left Resident #2 lying on his/her right side in bed, walked to the bathroom, heard a loud bang and found Resident #2 lying on the floor beside his/her bed on his/her left side. […]

• Actual harm, isolatedF689Aug 27, 2024

  Based on records reviewed and interviews, for two of three sampled residents (Resident #1 and Resident #2), who required the physical assistance of two staff members with transfers and/or bed mobility, the Facility failed to ensure they were provided with the required level of staff assistance in an effort to prevent an accident resulting in an injury. 1) On 08/05/24, Certified Nurse Aide (CNA) #2 provided care to Resident #2 who was in bed, without getting assistance from another staff member, CNA #2 left Resident #2 lying on his/her right side in bed, walked to the bathroom, heard a loud bang and found Resident #2 lying on the floor beside his/her bed on his/her left side. […]

• Actual harm, isolatedF658Apr 30, 2024

  Based on records reviewed and interviews, for one of three sampled residents (Resident #1), who required the use of a splint to secure a fracture he/she sustained to his/her right elbow, the Facility failed to ensure he/she was provided care and treatment that met professional standards for quality of care, when after a follow-up appointment, Resident #1's orthopedic Physician Assistant (PA) made recommendations on the consult form for Nursing to remove the splint and change his/her right elbow dressing daily, until healed. […]

• Actual harm, isolatedF692Aug 18, 2021

  Based on observations, record reviews, and interviews, the facility failed to ensure the nutritional status was maintained for one Resident (#49), out of a total sample of 19 residents. Specifically, the facility failed to address and implement the Dietitian's recommendations promptly, to provide supplements, to provide supervision and/or assistance during meals and assess his/her cognition secondary to mental status changes, in a timely manner, resulting in continued weight loss. Findings include: Resident #49 was admitted to the facility in October of 2020 with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]