Brookestone View

In the surveyor’s words

From the most serious findings on record at Brookestone View, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Feb 27, 2025

  Licensure Reference Number 175 NAC 12-006.18, 1-005.06 (D)(E)(F) The facility failed to ensure staff wore masks above the nose and below the chin, the laundry staff performed hand hygiene for at least 20 seconds, the CPAP (Continuous Positive Airway Pressure -a treatment that uses mild air pressure to keep your breathing airways open), mask was cleaned every day for Resident 109, failed to have a barrier on the counter outside of a Covid positive resident's room where laundry items were placed, provide peri care after incontinence for Resident 11, and staff failed to remove PPE (Personal Protective Equipment used to protect healthcare workers, patients, and others from potentially contacting and/or spreading potential infections) correctly when exiting a positive Covid 19 residents room to… […]

• No harm, potential for more than minimal, widespreadF880Mar 21, 2024

  Liscensure Reference Number 12-006.18C Liscensure Reference Number 12-006.17D The facility failed to ensure proper hand hygiene and gloving was performed during wound care for Resident 29, failed to ensure contaminated laundry was carried in a manner to prevent cross contmination and hand hygiene was performed after transportation, failed to ensure Resident 21's Neb kit was cleaned after each treatment. The facility census was 52. 50348 B. A record review of the facility's undated Medication Aide Procedure Checklist Topical (applied to skin) Medication revealed the facility staff was to apply gloves, apply the topical medication according to the five rights, remove gloves and discard into waste container, then wash and dry hands thoroughly when applying topical medication. […]

• No harm, potential for more than minimal, widespreadF801Apr 13, 2023

  Licensure Reference Number 175NAC 12-006.04D2 Based on record review and interview the facility failed to ensure that the facility Dietary Manager had the required credentials to meet the regulatory guidelines for the position. This had the potential to affect food service provided to 52 of 52 residents who are served food from the facility kitchen. The facility census was 52. Findings are: A. Record review of the undated facility Dietary Supervisor (Manager) Job Description revealed the section titled Professional Qualifications. The professional qualifications revealed that Dietary Supervisors are qualified as a food service supervisor. Interview on 4/12/23 at 3:02 PM with the facility Dietary Manager (DM) confirmed that the DM is not a certified dietary manager. […]

• No harm, potential for more than minimal, widespreadF812Apr 13, 2023

  Licensure Reference Number 175NAC 12-006.11E Based on observation, record review, and interview the facility failed to ensure that dietary staff followed food safety procedures for checking the temperatures of resident foods which had the potential to affect all facility residents that received food from the facility kitchen. The facility failed to ensure that staff performed hand washing as required during food preparation, food service, and glove use, and failed to handle plates in a manner to prevent the potential for foodborne illness and cross contamination; failed to ensure that staff handled ready to eat foods in a sanitary manner to prevent the potential for foodborne illness and cross contamination for 11 residents (Residents 21, 51, 42, 5, 8, 1, 17, 36, 50, 43, and 53); and the… […]

• No harm, potential for more than minimal, patternF803Apr 13, 2023

  Licensure Reference Number 175NAC 12-006.11A1 Based on observation, record review, and interview the facility failed to ensure that dietary staff followed the menus for food serving sizes for resident foods and failed to prepare foods following the facility recipes. This affected 28 residents (Residents 31, 44, 25, 7, 26, 19, 39, 12, 20, 24, 3, 30, 29, 2, 45, 49, 13, 16, 23, 10, 28, 6, 47, 38, 35, 37, 4, and 18). The facility census was 52. Findings are: A. Record review of the undated Diet Spreadsheet (a menu with serving sizes to be provided for resident meals) provided by the facility on 4/12/23 revealed it was the Diet Spreadsheet for Week 1 Day 4 of the menu cycle. […]