Brighton Care Center

In the surveyor’s words

From the most serious findings on record at Brighton Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Jun 29, 2023

  Based on record review and interviews, the facility failed to ensure three (#2, #8 and #9) of five residents reviewed for quality of care out of nine sample residents, received treatment and care in accordance with professional standards of practice. Specifically: The facility failed to ensure that registered nurse (RN) #2 promptly identified, intervened, monitored, and consulted with Resident #2's physician when the resident experienced a change of condition. The facility admitted Resident #2 on [DATE] for rehabilitation after abdominal surgery. On [DATE] at 4:13 a.m., the night nurse, registered nurse (RN) #2, documented the resident had labored breathing and a decreased oxygen saturation level. […]

• Actual harm, isolatedF689Jul 20, 2026

  Based on record review and interviews, the facility failed to ensure one (#1) of three residents reviewed for accidents out of three sample residents remained as free from accidents and hazards as possible.Resident #1, who had diagnoses of cerebral palsy (a movement disorder caused by brain damage during infancy), dorsalgia (back pain), adult failure to thrive, scoliosis (spine posture abnormality), dysphagia and osteoporosis, was admitted to the facility on [DATE]. Resident #1 was dependent on staff for transfers utilizing a Hoyer lift (mechanical lift).On 6/19/26 at 1:00 p.m. registered nurse (RN) #1 and certified nurse aide (CNA) #1 were transferring Resident #1 from her wheelchair to bed using the Hoyer power lift 700 using a large, full body sling. […]

• Actual harm, isolatedF726Jun 29, 2023

  Based on interviews and record review, the facility failed to ensure that seven out of seven licensed nurses (registered nurses (RNs) #2, #3, and #4, and licensed practical nurses (LPNs) #1, #2, #3, #4) had the specific competencies and skill sets necessary to identify, intervene, and notify the physician of residents' acute changes of condition. This affected three residents (#2, #8, and #9) and contributed to Resident #2 sustaining serious harm. Cross-reference F684J. Specifically: I. The facility failed to ensure that registered nurse (RN) #2 had the competency and skills to identify, intervene, and notify the physician of Resident #2's change of condition on [DATE]. -Resident #2, was admitted to the facility's rehabilitation unit on [DATE] after abdominal surgery. […]

• Actual harm, isolatedF686Feb 10, 2022

  Based on observations, record review, and interviews, the facility failed to ensure two (#5 and #211) of four out of 27 sample residents received care consistent with professional standards of practice to promote prevention and healing of pressure injuries. Resident #5 was dependent on staff for mobility, toileting, transfers and repositioning and was identified to be at risk for developing pressure injuries and had a history of [MEDICAL RECORD OR PHYSICIAN ORDER] . The facility failed to continue utilizing identified interventions to prevent the development of a new pressure injury for Resident #5 who previously had pressure injuries that were healed. […]

• Actual harm, isolatedF689Feb 10, 2022

  Based on interviews and record review, the facility failed to provide adequate supervision and assistance devices to prevent accidents for one (#39) of three residents reviewed for falls out of 27 sample residents. The facility failed to timely and appropriately revise Resident #39's care plan and implement interventions including required extensive assistance with all activities of daily living and ambulation to and from the bathroom as documented in her 12/27/21 minimum data set (MDS) assessment. The facility failed to provide staff education and increase resident's supervision to prevent falls when she could not initiate staff assistance by using her call light. […]