Broadway Living Center

In the surveyor’s words

From the most serious findings on record at Broadway Living Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Mar 18, 2024

  Based on observation,record review, and interview the facility failed to ensure the appropriate testing strips were used for checking sanitization levels for the dishwasher and the three compartment sink observed during one of two kitchen observations. The Director of Operations identified 82 residents resided in the facility. Findings: A Sanitation test strips policy, dated 08/06, read in part, .If Dishwasher sanitizing test strip is off, use best practice: stop machine, make 3 sink system and do manually while awaiting service repair call. A Washing by Hand instruction guide for wash, rinse and sanitize, undated, read in part, .Wash. […]

• No harm, potential for more than minimal, patternF576Mar 18, 2024

  Based on record review and interviews, the facility failed to provide mail delivery to residents on Saturdays. The Director of Operations identified 82 residents resided in the facility. Findings: On 03/14/24 at 10:25 a.m., a Resident Council group meeting was held with 11 residents. They stated the mail did not get distributed on the weekends. On 03/14/24 at 11:30 a.m., the Director of Operations stated mail was delivered Monday through Friday and packages were put in the medication room until Monday morning when staff could verify that it belonged to the resident. On 03/14/24 at 11:54 a.m., the Director of Operations stated if weekend mail was actually brought into the facility it would be delivered, but mail delivered to the locked mailbox would not be delivered until Monday. 49701

• No harm, potential for more than minimal, patternF578Jan 19, 2023

  Based on record review and interview, the facility failed to offer residents the choice to formulate advanced directives for six (#25, 39, 82, 37, 60, and #42) of 12 sampled residents reviewed for advanced directives. The Resident Census and Conditions of Residents report, dated [DATE], documented 85 residents resided in the facility. It documented there were no residents who had advanced directives. Findings: A facility policy titled Advance Directives, revised [DATE], read in parts .Upon admission, the resident will be provided with written information concerning the right to refuse or accept medical or surgical treatment and to formulate an advance directive if he or she chooses to do so .Information about whether or not the resident has executed an advance directive shall be displayed… […]

• No harm, potential for more than minimal, patternF606Jan 19, 2023

  Based on record review and interview, the facility failed to perform fingerprint background checks for two (CNA #1 and RN #1) of five sampled employees hired within the last six months. The administrator identified 29 employees hired in the last 6 months. Findings: An undated facility policy, titled RESIDENT ABUSE, MISTREATMENT, NEGLECT, MISAPPROPRIATION AND EXPLOITATION POLICY, read in part .The facility shall maintain and provide evidence of efforts to determine if newly hired persons have records of abuse. Screening potential for a history of abuse, neglect or mistreating residents includes attempting to obtain information from previous employers and/or current employers, and checking with appropriate licensing board and registries. […]

• No harm, potential for more than minimal, patternF641Jan 19, 2023

  Based on record review and interview, the facility failed to ensure the accuracy of MDS assessments for three (#16, 51, and #57) of 20 residents whose MDS assessments were reviewed. The Resident Census and Conditions of Residents form documented 85 residents resided in the facility. Findings: 1. Res #16 had diagnoses which included GERD, dementia, and diabetes. The weight record, documented on 08/12/22 the resident's weight was 168.0 lbs. The weight record, documented on 09/01/22, the resident's weight was 159.0 lbs. A nutrition progress note, dated 11/14/22, documented Res #16's weight as 155 lbs and had a 10% weight loss in the past 6 months. The weight record, documented on 12/02/22, the resident's weight was 154.0 lbs. […]