Brentwood Health Center by Harborview

In the surveyor’s words

From the most serious findings on record at Brentwood Health Center by Harborview, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jun 15, 2025

  Based on observations, staff interviews, record review, and review of the facility's policies titled Labeling and Dating Guidelines and Standard of the Week Labeling and Dating, the facility failed to ensure food items were labeled with open and/or discard dates and discarded on or before the discard dates. This had the potential to place 64 residents who received an oral diet from the kitchen at risk of food-borne illness. Findings include: Record review of the facility's undated policy titled Standard of the Week Labeling and Dating included, Upon receipt, all items should be inspected and marked with the date it was received into your facility and the date it should be discarded (if the item has a use by or discard date already on it, then you may use this date. […]

• No harm, potential for more than minimal, widespreadF814Jun 15, 2025

  Based on observations, staff interviews, record review, and review of the facility policy titled Garbage and Rubbish Disposal, the facility failed to maintain two of three facility dumpsters in a sanitary condition by ensuring the dumpsters had fitted lids and doors to prevent exposure to insects and rodents. The deficient practice created the potential to promote the harboring of pests, insects, and other organisms, and create the potential for disease transmission by pests and rodents. Findings include: Review of the facility policy titled Garbage and Rubbish Disposal, dated 2008, revealed the Policy Statement of Garbage and rubbish shall be disposed of in accordance with current state laws regulating such matters. The Policy Interpretation and Implementation section included . 8. […]

• No harm, potential for more than minimal, widespreadF880Jun 15, 2025

  Based on observations, staff interviews, and review of the facility policy titled Infection Prevention and Control Program, the facility failed to ensure soiled and clean linen carts were not stored together on three of five halls (300 Hall, 400 Hall, and 500 Hall). The deficient practice had the potential to increase the probability of the spread of infection from the soiled linen to the clean linen used while care services were being provided to residents. Findings include: Review of the facility policy titled Infection Prevention and Control Program, dated 8/24/2022, revealed under Policy statement: An infection prevention and control program (IPCP) is established and maintained to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission… […]

• No harm, potential for more than minimal, isolatedF550Jun 15, 2025

  Based on observations, staff interviews, and record review, the facility failed to ensure that one of 29 sampled residents (R) (R6) was treated in a manner that maintained or enhanced his/her dignity. Specifically, staff provided care to R6 without providing full visual privacy. This deficient practice had the potential to place R6 at risk of a diminished quality of life in an environment that promotes the maintenance or enhancement of each resident's quality of life. Findings include: Review of R6's electronic health record (EHR) revealed diagnoses including, but not limited to, moderate intellectual disability, epilepsy, chronic kidney disease, and anxiety disorder. […]

• No harm, potential for more than minimal, isolatedF645Jun 15, 2025

  Based on staff interview and record review, the facility failed to ensure one of five residents (R) (R28) with a qualifying diagnosis was referred to the Georgia Preadmission Screening and Resident Review (PASRR) Utilization Management for review. This deficient practice had the potential to increase the probability of R28 not having her mental and psychological care needs met. Findings include: Review of R28's admission Record revealed admission on [DATE] with the diagnoses including, but not limited to, bipolar II disorder, obsessive-compulsive behavior, major depressive disorder, anxiety disorder, and psychosis. […]