Briarwood Community Living Center

In the surveyor’s words

From the most serious findings on record at Briarwood Community Living Center, in the surveyor’s own words.

• Immediate jeopardy, patternF880Jun 2, 2022

  Based on review of the Blood Glucose Monitoring Operator's Manual, policy review, observation, and interview, the facility failed to ensure practices to prevent the potential spread of infection were maintained when a multi-use blood glucose meter was not disinfected to prevent cross-contamination of bloodborne pathogens for 1 of 2 sampled residents (Resident #25) reviewed for sanitizing blood glucose meters and 2 of 3 nurses (Licensed Practical Nurse (LPN) #1 and LPN #2) failed to perform hand hygiene between glove use and failed to change gloves and perform hand hygiene after touching potentially contaminated objects in residents' rooms for 3 of 7 sampled residents (Resident #30, #183 and #184) observed during medication administration. […]

• No harm, potential for more than minimal, patternF812May 28, 2025

  Based on policy review, observation, and interview, the facility failed to ensure food was stored, handled, prepared, and served under sanitary conditions, when large quantities of gray dust were found on overhead pipes, chains supporting the vent hood, and air conditioner/return vents; when plastic containers holding dry food items had dried substances and loose particles on top of the lids; when stainless steel tables, metal storage racks, and the steam table, were found with a brown substance that has the appearance of rust on the legs; and when the steam table had a black substance build up at the base of the legs; when a running streak of dried brown substance was found on the outside of the vent hood; when a discolored paper was found stuck underneath the rim of the vent hood; when… […]

• No harm, potential for more than minimal, patternF812Jul 3, 2024

  Based on policy review, observation, and interview, the facility failed to ensure food was stored, prepared, and served under sanitary conditions related to expired foods, unlabeled, undated, and uncovered food items, and carbon build-up on the eyes of the stove. The facility had a census of 40 with 38 of those residents receiving a tray from the kitchen. The findings include: 1. Review of the facility's policy titled, FOOD STORAGE, dated [DATE], revealed .Food items should be stored, thawed, and prepared in accordance with good sanitary practice. Any expired or outdated food products should be discarded .All products should be inspected for safety and quality and be dated upon receipt, when open, and when prepared. […]

• No harm, potential for more than minimal, patternF880Jul 3, 2024

  Based on policy review, observation, and interview the facility failed to ensure practices to prevent the potential spread of infection were maintained when 3 of 3 nurses (Registered Nurse (RN A) (Licensed Practical Nurse (LPN B and LPN E) failed to clean a reusable eye medication bottle before she replaced the bottle into the medication cart, after taking the bottle in to a resident room, and when LPN B failed to ensure a reusable eye medication bottle was not cleaned, and when LPN E failed to ensure a FlexPen [a disposable, prefilled insulin pen that contains multiple doses of fast-acting insulin] was not disinfected before replacing in the medication cart. The findings include: 1. […]

• No harm, potential for more than minimal, patternF842Jun 7, 2023

  Based on policy review, medical record review, and interview, the facility failed to maintain accurate medical records related to bed bath and/or shower documentation on 3 of 3 sampled residents (Resident #4, #25 and #30) The findings include: 1. Review of the policy titled, ADL (Activities of Daily Living) MONITORING POLICY dated 4/29/2029, revealed .Purpose .To decrease chances of inaccurate ADL Coding on a daily basis .CNA's (Certified Nurse ' s Aide) will have charge nurse .verify ADL .sheets are filled out prior to end of shift .check for accuracy . Review of the policy titled, Charting and Documentation Guidelines dated 3/22/2021, revealed all questions or fields on documentation fields/forms .should be completed. […]