Brighton Post Acute Care

In the surveyor’s words

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

• Actual harm, patternF689Nov 3, 2023

  Based on observation, record review, and interview, the facility failed to 1.follow the care plan intervention to prevent a fall with a fracture and laceration for one Resident #1.2. implement and develop appropriate interventions to prevent a fall with a fracture for one Resident (#35), 3. complete a fall investigation report after a fall for one Resident (#7), and 4. keep one Resident (#67) free from accidents/hazards after ingestion of lotion with subsequent hospitalization, . 5(a). For Resident #5, the facility failed to implement a scoop mattress intervention in a timely manner (b). have a bed alarm in good working condition out of a total sample of 30 residents. […]

• No harm, potential for more than minimal, widespreadF880Nov 3, 2023

  Based on observations, policy review, and interview, the facility failed to 1.) ensure nursing staff disinfected reusable resident care equipment (a vital sign machine) between residents and 2.) ensure nursing staff disinfected a blood glucose monitor after use. 3.) maintain measures they have in place to prevent the growth of Legionella, specifically, failed to monitor and document weekly testing protocols. Findings include: Review of the facility policy titled, Cleaning Equipment, dated as reviewed September 2023, indicated: 4. DME (durable medical equipment) must be cleaned and disinfected before reuse by another resident. 1.) The facility failed to ensure nursing staff disinfected reusable resident care equipment (a vital sign machine) between residents. […]

• No harm, potential for more than minimal, patternF712Nov 14, 2025

  Based on record review and interview, the facility failed to ensure physician visits were completed as required for three Residents (#32, #4 and #15) out of a total of 22 sampled residents. Findings include: 1. Resident #32 was admitted to the facility in December 2024 with diagnoses including heart failure, asthma and respiratory failure. Review of the Minimum Data Set Assessment (MDS) dated [DATE] indicated Resident #32 was cognitively intact evidenced by a score of 13 out of a possible 15 on the Brief interview for Mental Status Exam (BIMS). Review of Resident #32's clinical record indicated he/she had been seen by the Physician on 12/28/24 and 9/2/25 and by the Nurse Practitioner (NP) on 1/3/25, 1/4/25, 1/7/25, 3/28/25, 4/15/25, 5/20/25, 6/8/25, 7/9/25, 7/27/25, 8/1/25 and 8/8/25. […]

• No harm, potential for more than minimal, patternF842Nov 14, 2025

  Based on record review and interview, the facility failed to maintain medical records in accordance with accepted professional standards and practices that are complete and readily accessible for facility staff for four Residents (#8, #44, #32 and #42) out of a total sample of 22 residents. Specifically:1. For Resident #44 and #8, the facility failed to ensure the Physician and other licensed professionals' progress notes were documented in the Electronic Health Record (EHR).2. For Resident #42, the facility failed to ensure nursing staff accurately documented the administration of lidocaine pain patches.3. For Resident #32, the facility failed to accurately document the cleaning of an oxygen concentrator filter. Findings include: 1. […]

• No harm, potential for more than minimal, patternF641Oct 31, 2024

  Based on observations, record review and interview the facility failed to accurately complete a Minimum Data Set (MDS) assessment for four Residents (#61, #41, #59, and #32) out of a total sample of 17 residents. Specifically, 1. For Resident #61 the facility inaccurately coded no significant weight gain when there was one. 2. For Resident #41 and Resident #59, the facility inaccurately coded their ability to be understood. 3. For Resident #32, the facility inaccurately coded that the Resident was in a comatose state. Findings Include: 1. Resident #61 was admitted to the facility in November 2023 with diagnoses including stroke, heart disease, asthma and diabetes. Review of the medical record indicated the following weights: 2/27/2024 15:14 146.2 Lbs. (pounds) 3/5/2024 13:51 151.4 Lbs. […]