Brookhaven Health Care Facility, LLC

In the surveyor’s words

From the most serious findings on record at Brookhaven Health Care Facility, LLC, in the surveyor’s own words.

• Actual harm, isolatedF689Aug 23, 2023

  Based on interviews and record review during the Recertification and Abbreviated Survey (NY00304131) initiated on 8/16/2023 and completed on 8/23/2023, the facility did not ensure that each resident received adequate supervision to prevent accidents. This was identified for one (Resident #209) of three residents reviewed for accidents. Specifically, Resident #209, who was assessed at high risk for falls, had specific directions on their Comprehensive Care Plan (CCP) for staff to stay inside the bathroom when toileting the resident. Resident #209 was left in the bathroom unattended by staff on 10/20/2022, fell , and sustained a right eyebrow laceration (a deep cut or tear in the skin) measuring 3 centimeters (cm) by 2 cm by 1 cm requiring sutures. […]

• No harm, potential for more than minimal, patternF761Mar 4, 2026

  Based on observations, record review, and interviews the facility did not ensure drugs and biologicals used in the facility must be labeled and stored in accordance with currently accepted professional principles. This was identified for six (6) (medication carts on Unit A high side, Unit B low and high side, Unit C high side, and Unit D high and low side) of six (6) medication carts reviewed during the Medication Storage Task. Specifically, the medication carts were observed with unidentified loose medication tablets and a hearing screening device stored without a container. The carts were soiled with debris and dried liquid medication residue. […]

• No harm, potential for more than minimal, isolatedF554Mar 4, 2026

  Based on observations, record review, and interviews, the facility did not ensure that each resident had the right to self-administer medications if the interdisciplinary team has determined that this practice is clinically appropriate. This was identified for two (2) (Resident #55 and Resident #123) of four (4) residents reviewed for Accident Hazards. Specifically, Resident #55 and Resident #123 were observed on 02/26/2026 and on 02/27/2026 with an inhaler at their bedside. There was no documented evidence that Resident #55 and Resident #123 were assessed by the interdisciplinary team to determine that it was safe for the residents to exercise their right to self-administer. Additionally, there were no physician orders for Resident #55 and Resident #123 to self-administer medications. […]

• No harm, potential for more than minimal, isolatedF880Mar 4, 2026

  Based on observations, record review, and interviews, the facility did not ensure that it established and maintained an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. This was identified for two (2) (Resident #55 and Resident #171) of ten (10) Residents reviewed for Infection Control. Specifically, 1) Resident #55 had a physician's order for Enhanced Barrier Precautions and Certified Nursing Assistant #1 was observed providing high contact activities such as dressing the resident, transferring the resident to a chair, and then making the resident's bed, without wearing a gown as required ; 2) Licensed Practical Nurse #2 was observed… […]

• No harm, potential for more than minimal, isolatedF554Nov 26, 2024

  Based on observations, record review, and interviews during the Recertification Survey initiated on 11/20/2024 and completed on 11/26/2024, the facility did not ensure the right to self-administer medications if the interdisciplinary team has determined that this practice is clinically appropriate. This was identified for two (Resident #242 and Resident #293) of two residents reviewed for Choices. Specifically, 1) Resident #242 was observed with the inhalers and nasal spray medications at their bedside during the initial tour and the resident stated they self-administered their inhaler medications. There was no documented evidence that Resident #242 was assessed to self-administer their medications. […]