Brighton Gardens of Edison

In the surveyor’s words

From the most serious findings on record at Brighton Gardens of Edison, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Jun 27, 2023

  Based on interviews, record review, and review of pertinent documents, it was determined that the facility failed to protect a resident (Resident #31) from verbal abuse by a Certified Nurse Aide (CNA #1) by failing to ensure: a.) the facility policy was followed to identify an allegation of abuse, b.) that upon receiving an allegation of abuse on 6/20/23 during the 7:00 AM to 3:00 PM shift, the facility immediately protected Resident #31, and other residents from potential abuse, and c.) a thorough investigation was immediately initiated. This deficient practice occurred for 1 of 3 residents reviewed for abuse. […]

• No harm, potential for more than minimal, widespreadF812Oct 16, 2024

  Based on observation, interviews, and review of facility documentation it was determined that the facility failed to a.) handle, clean and sanitize dishware in a manner to prevent microbial growth and cross contamination, and b.) wear hair restraints to maintain proper kitchen sanitation. This deficient practice was evidenced by the following: On 10/10/24 at 9:22 AM, the surveyor entered the kitchen with a second surveyor. The surveyors observed a staff member at the dish machine without a hair restraint. At 9:35 AM, the surveyors began the kitchen tour with the Dining Director. The surveyors observed the same staff member (now with a hair restraint worn) load the dish machine with soiled dishware and bare hands. […]

• No harm, potential for more than minimal, isolatedF607Oct 16, 2024

  Based on interview, record review and review of pertinent facility documents, it was determined that the facility failed to complete reference checks on employees before their start date. The deficient practice was identified for 5 of 6 employees reference checks reviewed under Sufficient and Competent Nurse Staffing task. The deficient practice was evidenced by the following: On 10/15//24, the surveyor reviewed six employee files of employees hired since the last standard survey which revealed that five of the six did not have reference checks done prior to the start of employment. […]

• No harm, potential for more than minimal, isolatedF623Oct 16, 2024

  Based on observation, interviews, review of medical records and other facility documentation, it was determined that the facility failed to notify the resident and or resident representative in writing of the reason for transfer or discharge to the hospital for 2 of 2 residents (Resident #8 and Resident #173) reviewed for hospitalization . This deficient practice was evidenced by the following: 1.) On 10/11/24 at 9:52 AM, the surveyor observed Resident #8 out of bed in a high back wheelchair in the common area with activities. On 10/11/24, the surveyor reviewed the Electronic Medical Record (EMR) which indicated that Resident #8 was admitted to the facility for long term care. […]

• No harm, potential for more than minimal, isolatedF692Oct 16, 2024

  Based on observation, interview, and record review, it was determined that the facility failed to obtain an admission weight for 1 of 3 residents, Resident # 173, reviewed for nutrition. This deficient practice was evidenced by the following: On 10/10/24 at 11:19 AM, during the initial tour, the surveyor observed Resident #173 in bed with their eyes closed. The resident's family member was at the bedside and stated the resident had just been readmitted to the facility. The surveyor reviewed the electronic medical record (EMR) for Resident #173. […]