Broad Acres Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Broad Acres Health and Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF880Aug 20, 2026

  Based on review of select facility policies and procedures, observation, clinical record review, and staff interview, it was determined that the facility failed to implement appropriate enhanced barrier precautions to prevent the development and the transmission of communicable diseases and infections for five of 20 residents reviewed (Residents 1, 5, 10, 22, and 27).Findings include: Review of a current facility document titled Infection Control-Enhanced Barrier Precautions states that the facility will place a trash can inside the room near the door for discarding PPE (personal protective equipment). […]

• No harm, potential for more than minimal, patternF725May 28, 2025

  Based on review of facility documents and resident and staff interview, it was determined that the facility failed to have sufficient nursing staff to meet resident needs on one of two nursing units (B unit), and three of four residents reviewed (Residents 2, 3, and 4). Findings include: In an interview with Resident 3 on May 28, 2025, at 11:11 AM she stated she completes a lot of her care needs herself but does have to ring the call bell for staff and occasionally must wait some time for them. The resident was not specific on dates or times. […]

• No harm, potential for more than minimal, patternF812Oct 6, 2023

  Based on observation and staff interview, it was determined that the facility failed to store food in a manner to prevent the potential spread of foodborne illness in the main kitchen. Findings include: Observation of the facility's kitchen on October 3, 2023, at 11:07 AM revealed the following in the facility's dry storage area: Two unopened double chocolate boxed cake mixes with a manufacture's date of August 13, 2022 An unopened bag of vanilla wafers/cookies with a use by date of April 7, 2023 Three-quarters of a case of individual servings of Jiff peanut butter with a use by date of June 29, 2023 Four unopened containers of thickened orange juice with a use by date of April 23, 2023. […]

• No harm, potential for more than minimal, patternF684Oct 28, 2022

  Based on review of clinical records, review of select facility policies and procedures, and staff interview, it was determined that the facility failed to provide the highest practicable care regarding wound assessments and diabetes management for three of three residents reviewed (Residents 2, 40, and 55). Finding include: Review of the policy entitled Admission and Weekly Skin Observations, indicates that the facility should monitor skin impairment, which can include abrasions, excoriations, skin tears, and surgical wounds weekly on the Open Lesion progress note until healed. Review of Resident 2's clinical record revealed a nursing note dated September 29, 2022, at 3:07 PM indicating that Resident 2 had an area between buttocks 6 cm (centimeters) by 0.25 cm. […]

• No harm, potential for more than minimal, patternF677May 9, 2022

  Based on clinical record review and staff interview, it was determined that the facility failed to complete turning and repositioning and toileting programs for four of six residents reviewed that are dependent on staff assistance (Residents 1, 2, 3, and 6). Findings include: Review of Resident 1's clinical record revealed a Minimum Data Set Assessment (MDS, an assessment tool completed at specific intervals to determine care needs) dated April 4, 2022, that indicated the facility assessed her as being totally dependent on one staff member for toileting. […]