Brookestone Village

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Aug 16, 2023

  Licensure Reference Number 175 NAC 12.006.11E Based on observation, interview, and record review, the facility failed to ensure food was stored in the facility's refrigerators and freezers in a sealed container that was labeled and dated. This had the potential to affect all 130 resident that consumed food from the kitchen. The total census was 130. Findings are: A record review of the facility's Dietary Storage Policy and Procedure dated 08/2023 revealed the facility staff should store food in covered containers or wrap securely and clearly label and date each item. […]

• No harm, potential for more than minimal, patternF880Feb 24, 2026

  Licensure Reference Number 175 NAC 12-006.18Based on observation, interview and record review, the facility failed to ensure a staff member wore a face shield or goggles in a droplet/contact isolation room, failed to restrict sharing of communal food items, and failed to ensure a staff member disinfected goggles between resident rooms in droplet/contact isolation to prevent cross contamination. The facility staff identified a census of 122.Findings are:Record review of an e-mail from an Infection Preventionist at the Nebraska Infection Control Assessment and Promotion Program (ICAP) to the Infection Preventionist and Assistant Director of Nursing (ADON) A at the facility dated February 18, 2026, at 3:20 PM revealed the following list of immediate prevention actions to follow regarding a… […]

• No harm, potential for more than minimal, patternF880Aug 16, 2023

  Licensure Number 175 NAC 12-006.17D The facility failed to ensure that staff performed hand hygiene between Residents 9, 59, 77, 87, 91, 95, and 103 during dining and failed to ensure that staff performed hand hygiene when providing wound care to one (Resident 6) of two sampled residents. The total facility census was 130. Findings are: A. A record review of the facility's Hand Hygiene (washing) Policy dated 08/19/2022 revealed that according to the World Health Organization, 5 key moments in patient (resident) care during which hand hygiene should be performed is before touching a patient (resident), before a clean procedure, after touching a patient (resident), after body fluid exposure risk, and after touching a patient's (resident's) surroundings. […]

• No harm, potential for more than minimal, isolatedF551Mar 24, 2026

  Based on interview and record review, the facility failed to ensure that 1 (Resident 1) of 3 sampled residents' representative's preference of female caregivers only was honored. The facility census was 130. Findings are:A record review of the facility's Resident Rights dated 05/19 revealed the resident had the right to designate a legal representative who can make choices about care and to make choices about aspects of your life in the facility that are significant to the resident. The resident had the right to choose activities, schedules, health care and health providers.A record review of Resident 1's Clinical Census dated 03/23/2026 revealed that Resident 1 was admitted to the facility 12/12/2025. […]

• No harm, potential for more than minimal, isolatedF610Feb 24, 2026

  Based on interview and record review, the facility failed to report and investigate an allegation of abuse for Resident 22 within the required timeframe. The facility claimed a census of 122. A record review of the facility's undated Abuse and Neglect Prevention Standard, revised 1/2023, revealed the following Required Elements:It is the responsibility of all team members to immediately report any act of witnessed, suspected, or reported abuse to the Administrator or their supervisor.InvestigationAll allegations of abuse and/or neglect will be investigated and reported in accordance with the state and federal laws.In the situation of an allegation of abuse, the following people will be notified immediately: Administrator, Director of Nursing (DON), and Social Services.The suspected team… […]