Broadmoor Medical Lodge

In the surveyor’s words

From the most serious findings on record at Broadmoor Medical Lodge, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Oct 12, 2023

  Based on observation, interview, and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in the facility's only kitchen reviewed for food safety. 1.The facility failed to ensure food items in the refrigerator, freezer and dry storage room were labeled and stored in accordance with the professional standards for food service. 2. The facility failed to ensure the ice machine vent was free from greasy residue buildup with dust. 3. The facility failed to discard items stored in refrigerator, freezers or dry storage that were not properly labeled or past the 'best buy', consume by or expiration dates. 4. […]

• No harm, potential for more than minimal, widespreadF812Jun 17, 2021

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food safety in the facility's only kitchen. 1. The facility failed to ensure kitchen staff wore appropriate hair coverings in the kitchen. 2. The facility failed to ensure food items in the refrigerator and freezer were dated, labeled, and sealed. 3. The facility failed to ensure canned items were free from dents. 4. The facility failed to ensure food items in the dry storage were clean and free of food debris. These failures affected residents by placing them at risk for contamination and food-borne illness. Findings included: 1. An observation on [DATE] at 9:28 a.m. […]

• No harm, potential for more than minimal, patternF583Mar 5, 2026

  Based on observations, interviews, and record review, the facility failed to ensure the resident had a right to confidentiality of his or her personal and medical records for eight of eighteen residents (Residents #39, #73, #84, #98, #109, #125, #126, and #127) reviewed for privacy and confidentiality. The facility failed to ensure LVN E secured Residents #39, #73, #84, #98, #109, #125, #126, and #127's medical information before leaving her cart on 03/03/2026. This failure could place the residents at risk of their medical information being accessed by unauthorized individuals. Findings included: Record review of Resident #39's Face Sheet, dated 03/05/2026, reflected a [AGE] year-old female admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, patternF761Mar 5, 2026

  Based on observation, interview and record review the facility failed to, in accordance with State and Federal laws, store all drugs and biologicals in locked compartments under proper temperature controls, and permitted only authorized personnel to have access to the keys for three of eighteen residents (Residents #85, #89, And #128) and one LVN (LVN E) of three LVNs reviewed for medication storage. 1. The facility failed to ensure that Resident #85 did not have an eye drop inside the room on 03/03/2026. 2. The facility failed to ensure that Resident #89 did not have eye drops inside the room on 03/03/2026. 3. The facility failed to ensure that a skin barrier was not left on top of Resident #128's overbed table on 03/03/2026. 4. […]

• No harm, potential for more than minimal, patternF812Mar 5, 2026

  Number of residents sampled: Number of residents cited: Based on observation, interviews, and record reviews the facility failed to ensure food was stored, prepared, distributed, and served in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for food storage, labeling, and dating. The facility failed to ensure all food items in the facility kitchen were dated and discarded prior to their use-by date . These failures could place residents at risk for food contamination and food-borne illness. […]