Brookdale Carriage Club Providence

In the surveyor’s words

From the most serious findings on record at Brookdale Carriage Club Providence, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Feb 21, 2024

  Based on observations and staff interviews, the facility failed to label and date leftover food items stored for use, discard dented canned goods stored for use, maintain a utility cart in clean condition that was used to transport clean dishware, keep a food storage area clean and orderly, failed to ensure a scoop was stored without the potential for cross-contamination, failed to dry metal prep pans and plastic plate covers prior to stacking, failed to ensure metal plate warmers were clean prior to use, and failed to maintain a hand washing sink in good repair. These practices occurred in the walk-in refrigerator, walk-in freezer, dry goods storage area, and had the potential to affect food served to residents. The findings included: 1. […]

• No harm, potential for more than minimal, widespreadF867Feb 21, 2024

  Based on observations and staff interviews, the facility's Quality Assessment and Assurance Committee failed to maintain implemented procedures and to monitor interventions that the committee had previously put in place following the recertification survey on [DATE]. This was for a deficiency in the area of food safety requirements (F812). The continued failure since the previous survey of record showed a pattern of the facility's inability to sustain an effective Quality Assurance Program. […]

• No harm, potential for more than minimal, widespreadF801Nov 5, 2021

  Based on a kitchen observation, staff interviews and record review, the facility failed to employ a full time certified professional as director of food and nutrition services for 7 months (April 2021 - November 2021). This had the potential to affect a census of 7 of 7 residents on the skilled nursing unit. The findings included: The Dietary Manager (DM) was observed in the kitchen on 11/02/21 at 11:12 AM providing instruction to the dietary staff regarding hot foods for the lunch meal. During an interview with the DM on 11/02/21 at 11:20 AM, he stated that he completed a training class in 2003 to become a certified dietary manager (CDM), but that he had not completed the CDM examination. He stated he was not certified. […]

• No harm, potential for more than minimal, patternF812Apr 7, 2025

  Based on observation and staff interviews, the facility failed to perform hand hygiene between handling soiled and then clean dishes to prevent cross-contamination of the clean dishes. These practices had the potential to affect food served and distributed to 9 of 9 residents who received an oral diet. Findings included: A continuous observation of the skilled nursing satellite kitchen was conducted on 04/02/25 from 1:09 PM through 1:16 PM. Dietary Aide #1 was observed operating the dish machine and washing dishes. Dietary Aide #1 had gloves on both hands with left hand glove observed with large ripped in area over the palm. […]

• No harm, potential for more than minimal, patternF806Feb 21, 2024

  Based on observations, resident and staff interviews, and record reviews the facility failed to honor food choices for 3 of 3 sampled residents (Residents #8, #10, #4) reviewed for preferences. The deficient practice had the potential to affect 9 residents who received food from the kitchen. The findings included: a. Resident #8 was admitted to the facility on [DATE]. The admission Minimum Data Set (MDS) dated [DATE] revealed that Resident #8 was cognitively intact. The MDS also indicated Resident #8 needed partial or moderate assistance when eating. A review of Resident #8's care plan dated 1/29/24 revealed Resident #8 was at increased nutrition/hydration risk related to variable food intakes related to frequent nausea and was at risk for weight loss and malnutrition. […]