Brickyard Healthcare - Woodlands Care Center

In the surveyor’s words

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

• Actual harm, isolatedF689Aug 18, 2021

  Based on observations, record review and interview, the facility failed to adequately supervise and implement specific interventions for 3 of 3 residents who were reviewed for falls. Resident B had multiple falls, Resident C had multiple falls, resulting in a [CONDITION(S)] and hematoma, and Resident D had two falls, with one resulting in a laceration that required sutures. ( Resident B, Resident C, Resident D) Finding include: 1. During a review of Resident B's clinical record on [DATE] at 9:26 a.m., it indicated Resident B was moderately cognitively impaired. Resident B's diagnoses included, but were not limited to, heart failure, hypertension, diabetes, non- Alzheimer's dementia, [CONDITION(S)], [CONDITION(S)], [CONDITION(S)] ([CONDITION(S)]), and respiratory disease. […]

• No harm, potential for more than minimal, patternF812May 16, 2025

  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 for 2 of 2 observations of the kitchen. Floors and equipment were soiled, and food was unlabeled. (Kitchen) Findings include: On 5/12/25 at 8:56 A.M., during observation of the kitchen the following was observed: 1. The top of the dish machine was soiled. 2. The floors in the kitchen area were soiled, debris build up around the edges of the walls, debris under racks and tables with equipment, and under the three compartment sink. 3. Debris build up on a pull down plug hanging above the food prep table, and on a fan hanging on the wall. 4. […]

• No harm, potential for more than minimal, patternF583Jun 28, 2024

  Based on observation and record review, the facility failed to ensure dignity for 2 of 2 observations of meal service. Staff did not knock or announce themselves before delivering meal trays to resident rooms. (Resident 9, Resident 14, Resident 66, Resident 75, Resident 78, Resident 84, Resident 96) Findings include: On 6/23/24 during observation of the noon meal the following was observed: 1. At 11:34 a.m., CNA 2 entered Resident 96's room to deliver a beverage without knocking or announcing self. 2. At 11:52 a.m., CNA 2 entered Resident 66's room to deliver a beverage without knocking or announcing self. 3. At 11:53 a.m., CNA 3 entered Resident 84's room, walked back out and got a beverage, walked back in the room to deliver the beverage without knocking or announcing self. 4. […]

• No harm, potential for more than minimal, patternF761Jun 28, 2024

  Based on observation and interview the facility failed to provide proper storage of medications in 1 of 1 treatment carts located in the ACU (Alzheimer Care Unit) for 9 of 9 residents reviewed. Unlabeled and undated medications were found in the treatment cart. (Resident 12, Resident 15, Resident 22, Resident 25, Resident 45, Resident 47, Resident 49, Resident 57, Resident 88, Findings include: On 6/26/24 at 12:35 P.M., the locked nightstand/treatment cart was observed to have the following: 1 tub of Curad petroleum jelly lacked a prescription label and an open date 1 tub of petroleum jelly for Resident 45 has prescription label but lacked an open date 1 tube of Diclofenac cream (analgesic cream) lacked a label and an open date 1 glass case with unreadable name and no glasses 1 tube of… […]

• No harm, potential for more than minimal, patternF921Jun 28, 2024

  Based on observation and interview, the facility failed to provide a safe and sanitary environment for residents, staff, and the public for 11 random observations for environment for 3 of 3 days. Food debris on resident wheelchair and dusty and debris found on a mechanical lift and sit to stand in unit hallways. ( Resident 24, Resident 27, 100 Hallway, 300 Hallway, 600 Hallway) Findings include: 1. On 6/26/24 at 2:16 P.M., a sit to stand device on the 600 Hall was observed to have dust on the seat and white residue on the handles. On 6/27/24 at 9:10 A.M., a sit to stand device on the 600 Hall was observed to have dust on seat and white residue on the handles. On 6/27/24 at 10:10 A.M., a mechanical lift on the 100 Hall was observed to have dust, fiber debris, and white spots on the base. […]