Brockton Post Acute Care

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812May 17, 2022

  Based on observation, policy review, and interview, the facility failed to properly store and label food in the facility kitchen and on two out of three unit nourishment kitchens in accordance with professional standards of practice to ensure food safety. Specifically, the facility failed to: 1. properly label and store food items in the dry storage room and kitchen refrigerators, 2. ensure food was properly stored in the kitchen freezer to allow for circulation, 3. properly label resident food in two out of three unit nourishment kitchens, and 4. ensure staff followed the facility's policy for storage of personal food items. Finding include: 1. […]

• No harm, potential for more than minimal, patternF692Jun 22, 2026

  Based on observation, record review, and interview, the facility failed to follow the therapeutic renal diet for one Resident (#102), out of a sample of 31 residents.Findings include:Review of the facility's policy titled Therapeutic Diets, dated 2001, indicated but was not limited to the following:-Diet order should match the terminology used by the food and nutrition services department.-A therapeutic diet is considered a diet ordered by a physician, practitioner, or dietitian as part of treatment for a disease or clinical condition, to modify specific nutrients in the diet, or to alter the texture of a diet.-The dietitian, nursing staff, and attending physician will regularly review the need for, and resident acceptance of, prescribed therapeutic diets. […]

• No harm, potential for more than minimal, patternF583Feb 21, 2024

  Based on observation and staff interview, the facility failed to ensure, for four Residents (#336, #110, #25, and #100), out of a total sample of 24 residents, the right to personal privacy of his/her own physical body during medical treatment was maintained. Findings include: On 2/14/24 at 9:18 A.M., the surveyor observed a lab technician enter Resident #336's room with a rolling cart and begin to prepare supplies to draw blood. The surveyor observed the technician cleanse the Resident's right arm, apply a tourniquet, and draw blood from the Resident's arm. […]

• No harm, potential for more than minimal, patternF689Feb 21, 2024

  Based on observation and interview, the facility failed to ensure residents were provided with an environment which was free from accident hazards on two (Arborwood and Cedarwood) of three units in the facility. Specifically, the facility failed to ensure potentially hazardous items were not left unsecured and easily accessible to residents. Findings include: Review of the Matrix for Providers completed by the Director of Nursing and provided to the survey team on 2/14/24 indicated: - 25 out of 53 residents residing on the Arborwood Unit had a diagnosis of Alzheimer's dementia/dementia Residents of the Arborwood and Cedarwood units were observed independently ambulating or self-propelling in wheelchairs at various times and dates of the survey. […]

• No harm, potential for more than minimal, patternF761Feb 21, 2024

  Based on observation, interview, and policy review, the facility failed to ensure all drugs and biologicals were stored in a safe and secure manner as required on three of three units in the facility. Specifically, the facility failed to: 1. Ensure all medication and treatment carts were locked when unattended and unsupervised; and 2. Provide separately locked, permanently affixed compartments for storage of controlled substances. Findings include: Review of the facility's policy titled Medication Storage, dated 10/2022, indicated but was not limited to: -all medications will be stored in a locked cabinet, cart or medication room that is accessible only to authorized personnel, as defined by facility policy. 1. […]