Brookestone Meadows Rehabilitation and Care Center

In the surveyor’s words

From the most serious findings on record at Brookestone Meadows Rehabilitation and Care Center, in the surveyor’s own words.

• Actual harm, isolatedF697Apr 1, 2025

  Licensure Reference Number 175 NAC 12-006.09 Based on observation, interview, and record review; the facility failed to implement interventions to manage pain during wound care for 1 (Resident 24) of 5 residents sampled for pain control. The facility identified a census of 128 residents. Findings are: Record review of a facility policy entitled Skin and Wound Management Standard dated revised 04/2019 identified that the following were examples of non-pressure skin conditions: -Venous insufficiency ulcers. The policy defined venous insufficiency ulcer as an open lesion of the skin and subcutaneous tissue of the lower leg. […]

• No harm, potential for more than minimal, widespreadF812Mar 12, 2024

  Licensure Reference Number 175 NAC 12.006.11E Based on observation, interview and record review, the facility failed to ensure beard restraints were used during meal preparation and service to prevent food borne illness. This had the ability to affect 127 of the 129 residents that reside at the facility. The facility census was 129. The findings are: Record Review of the facility's undated policy titled Hygienic Practices revealed that food employees shall wear hair restraints such as hats, hair coverings or nets, beard restraints and clothing that covers body hair, that are designed and worn to effectively keep their hair from contacting exposed food; clean equipment, utensils, linens and unwrapped single service and single-use articles. […]

• No harm, potential for more than minimal, patternF812Apr 1, 2025

  Licensure Reference Number 12 NAC 12-006.11(E) 2017 Nebraska Food Code 2-301.14 Based on observations, interviews, and record reviews; the facility failed to implement hand hygiene practices between glove changes during meal service to prevent the potential for food borne illness. This had the potential to affect 31 residents who ate foods from the neighborhood satellite kitchen. The facility identified a census of 128. The findings are: Record review of a facility provided document entitled Hand Hygiene Competency dated revised 12/2019 revealed: -When to wash hands: -Before and after gloving. -Whenever indicated. […]

• No harm, potential for more than minimal, patternF689Oct 29, 2021

  Licensure Reference Number 12-006.18E4 Based on observations, interviews, and record review, the facility failed to secure hazardous chemicals in two open-air kitchens. This deficient practice had the potential to affect the 66 residents that resided on Waters/Longpine and Calamus/Lodgepole halls. The facility census was 120. Findings are: An observation on 10/29/2021 at 4:00 PM revealed an unattended spray bottle with a red liquid on a cart in the Calamus/Lodgepole dining room. Further observation revealed two entrances to the dish room in the Calamus/Lodgepole open-air kitchen, which was adjacent to the dining room. Both doors to the dish room were propped open. […]

• No harm, potential for more than minimal, patternF761Oct 29, 2021

  Based on observations, interviews, document review, and facility policy review, the facility failed to monitor and record medication refrigerator temperatures daily for two (Nemaha and Elkhorn) of four medication rooms reviewed for medication storage. This deficient practice had the potential to affect the 23 residents who resided on Nemaha and Elkhorn. The facility census was 120. Findings are: A. A review of the Elkhorn medication refrigerator temperature log, dated October 2021, revealed the following temperatures were recorded: - On 10/03/2021, 34 degrees Fahrenheit (F) - On 10/06/2021, 35 degrees F - On 10/11/2021, 34 degrees F - On 10/23/2021, 40 degrees F - On 10/24/2021, 40 degrees F - On 10/26/2021, 31 degrees F All other dates between 10/01/2021 and 10/29/2021 were blank. […]