Broad Creek Care Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Mar 18, 2026

  Based on interview, record review, and facility policy review, the facility failed to ensure that Resident (R)1 had adequate supervision to prevent a successful elopement on 02/18/26, for 1 of 3 residents reviewed for accidents/hazards/supervision. Specifically, R1 was observed by facility staff outside the facility in the parking lot at approximately 9:00 PM.On 03/17/26 at 5:21 PM, the State Agency (SA) determined that the facility's non-compliance with one or more federal health, safety, and/or quality regulations has caused or was likely to cause serious injury, serious harm, serious impairment, or death. […]

• No harm, potential for more than minimal, widespreadF812Jun 7, 2023

  Based on observation, interview, and facility policy review, the facility failed to provide safe food storage and maintain sanitation in a safe and consistent manner. This had the potential to affect 22 residents who consumed food from the kitchen. Findings include: Review of the facility's policy titled Sanitation and Safety, revised June 2011, revealed . 2. F&B [Food and Beverage] staff is expected to practice good personal hygiene and cleanliness to protect residents and guests from potential foodborne illness. Hygiene standards include but are not limited to those listed below . 2.3 Approved hair restraints or head coverings are worn in food preparation areas . 4.2.2 Thermometers are chosen for specific purposes and are washed, rinsed, sanitized and air-dried before and after each use. […]

• No harm, potential for more than minimal, isolatedF607Oct 27, 2023

  Based on interviews, record review, document review, and policy review, the facility failed to ensure Certified Nursing Assistant (CNA)1 was immediately removed from resident contact for 1 of 5 sampled residents reviewed for abuse. Specifically, Resident (R)1 alleged physical abuse perpetrated by CNA1 and CNA1 was not immediately removed from the situation. Findings included: Review of a facility policy titled, Abuse/Neglect Prevention Protocol, revised March 2018, revealed, 4. Employees of the community who have been accused of mistreatment will be removed from resident contact immediately until the results of the investigation have been reviewed by the Administrator or designee. […]

• No harm, potential for more than minimal, isolatedF609Oct 27, 2023

  Based on interviews, record review, and policy review, the facility failed to ensure staff immediately reported an allegation of physical abuse to the Director of Nursing (DON) or Administrator for 1 of 5 sampled residents reviewed for abuse, Resident (R)1. Findings include: Review of the facility's policy titled, Abuse/Neglect Prevention Protocol, revised March 2018, revealed, Internal Report Requirements and Identifications of Allegations: 1. Employees are required to report any occurrences of potential mistreatment they observe, hear about, or suspect to the Administrator. 2. All residents, visitors, volunteers, family members and others must report their grievances or suspected incidents of potential mistreatment to the Administrator. 3. […]

• No harm, potential for more than minimal, isolatedF656Oct 27, 2023

  Based on interviews, record review and facility policy review, the facility failed to ensure staff implemented the care plan for the level of staff assistance required for toileting for 1 of 5 sampled residents, Resident (R)1. Findings include: Review of the facility policy titled, Medical, Nursing and Personal Care, revised October 2017, revealed, Philosophy - Resident Care Policies are intended to describe the Company commitment to a customer-centered approach to care provided throughout the continuum of clinical services. Purpose - This policy outlines general requirements for care and services provided to residents in Skilled Nursing (SN). […]