Brickyard Healthcare - Woodbridge Care Center

In the surveyor’s words

From the most serious findings on record at Brickyard Healthcare - Woodbridge Care Center, in the surveyor’s own words.

• Actual harm, isolatedF690Oct 12, 2023

  Based on observation, interview, and record review, the facility failed to treat a urinary tract infection (UTI) for 2 of 3 residents reviewed for infections. Resident F resident's lab results weren't reviewed, follow up appointments with specialists weren't scheduled, and treatment related to the UTI found were not done in a timely manner which resulted in a hospitalization from [DATE] to 9/30/23. Resident C had a Urinary Tract Infection (UTI) that was not diagnosed , the resident was then hospitalized that resulted in a necessary surgery being postponed. (Resident F and Resident C) Findings include: 1. During an observation on 10/11/23 at 11:24 A.M., Resident F was observed sleeping in bed. On 10/10/23 at 12:39 P.M., Resident F's clinical record was reviewed. […]

• No harm, potential for more than minimal, widespreadF801Sep 2, 2022

  Based on interview and record review, the facility failed to employ sufficient staff with the appropriate competencies to carry out the functions of food and nutrition services. The dietary manager lacked appropriate certification for 1 of 1 kitchen. Finding includes: On 8/31/22 at 10:00 A.M., employee records were reviewed. The current dietary manager lacked a state approved dietary certification. During an interview on 9/2/22 at 9:08 A.M., the Director of Nursing (DON) indicated the current dietary manager obtained that position on 2/2/18, and was currently working on becoming certified. […]

• No harm, potential for more than minimal, widespreadF812Sep 2, 2022

  Based on observation, interview, and record review, the facility failed to ensure food was served in a sanitary manner in accordance with professional standards for food service safety in 1 of 2 observations of the kitchen. The dishwasher was not tested with chemical strips, and the rinse solution container was empty. (Kitchen) Finding includes: During an initial kitchen observation on 8/29/22 at 7:27 A.M., a strip was placed in the dishwasher after a load was ran, and did not change color. At that time, the Kitchen Manager indicated she was unaware until recently that chemical strips were needed to test the dishwasher, and have had that dishwasher for about a year. At that time, the sanitizer container under the dishwasher was observed to be empty. […]

• No harm, potential for more than minimal, widespreadF882Sep 2, 2022

  Based on interview and record review, the facility failed to designate a qualified individual(s) as the Infection Preventionist with qualifying training or certification. The facility did not have a current certified Infection Preventionist for 1 of 1 employee file reviewed. Finding includes: During an interview on 8/29/22 at 10:21 A.M., the Director of Nursing (DON) indicated she was the Infection Preventionist, but was not yet certified. At that time, the DON indicated no other staff was acting as Infection Preventionist . The DON's hire date was 5/3/22. On 9/2/22 at 12:48 P.M., a current, undated Infection Preventionist policy was provided and indicated The facility will ensure the Infection Preventionist is qualified by education, training, experience or certification

• No harm, potential for more than minimal, patternF677Jul 15, 2024

  Based on observation, record review, and interview, the facility failed to provide timely showers for 4 of 4 dependent residents reviewed for ADL (Activities of Daily Living (Resident 4, Resident 2, Resident 13, and Resident 7) Findings include: 1. On 7/10/24 at 8:31 A.M., Resident 4's clinical record was reviewed. Diagnoses included, but were not limited to, cerebral palsy and flaccid neuropathic bladder, not elsewhere specified. The current Quarterly MDS (Minimum Data Set) assessment dated [DATE]. The MDS indicated Resident 4 was cognitively intact and was dependent on transfer, mobility, eating, and hygiene. […]