Brookhaven Nursing & Rehab

In the surveyor’s words

From the most serious findings on record at Brookhaven Nursing & Rehab, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jun 8, 2023

  Based on observation, interview, and record review the facility failed to ensure food was stored, prepared, and distributed in a manner to prevent possibly contamination when staff failed to keep ice machine free of white substances, failed to dispose of outdated refrigerated foods, and when stored clean, wet dishes on a tray. This had the potential to affect all residents who consumed food from the facility kitchen. The facility census was 68. 1. Review of the 2013 Missouri Food Code showed food-contact surfaces of equipment and utensils shall be clean to sight and touch. Review of the facility's policy titled, Nutrition and Dining Services Manual, [DATE], showed wash the inside of the machine thoroughly with warm detergent solution, rinse with baking soda water, and dry monthly. […]

• No harm, potential for more than minimal, patternF689Dec 13, 2024

  Based on observation, interview, and record review, the facility failed to ensure an environment as free of accident hazards as possible when the facility failed to complete a smoking assessment per policy and failed to care plan smoking for one resident (Resident #268) and when staff allowed three residents (Resident #27, #48, and #67), who were care planned to store smoking supplies at the nurses' station, to maintain smoking supplies on their person and in their room. The facility census was 75. […]

• No harm, potential for more than minimal, patternF804Dec 13, 2024

  Based on observation, interview, and record review, the facility failed to ensure food prepared by the facility was palatable to the residents. The facility census was 75. Review of the facility policy, Food Temperatures, Nutrition and Dining Services Manual, dated May 2015, showed hot foods should be at least 120 degrees Fahrenheit (F) when served to the resident. 1. During an interview on 12/09/24, at 11:14 A.M., Resident #40 said the following: -He/she preferred to eat his/her meals in his/her room; -The food was cold probably at least half the time -He/she would like to have food that is warm, most of the time; -He/she said the eggs are always cold in the morning; -Eggs are his/her biggest complaint about the food, but it would be nice if it could all be warm. […]

• No harm, potential for more than minimal, patternF812Dec 13, 2024

  Based on observation, interview, and record review, the facility failed to keep food safe from potential contamination or bacterial growth when staff placed clean dishes upside down on a tray, while still wet, which could potentially contaminate any food, served from those items. The facility census was 75. 1. Review of the facility's policy, Dish Machine, Nutrition and Dining Services Manual, dated May 2015, showed the following: -Pull the rack out of the machine to air dry; -Allow to air dry and stack in proper area. […]

• No harm, potential for more than minimal, patternF880Dec 13, 2024

  Based on observation, record review, and interviews, the facility failed establish and maintain an effect infection control program when the facility failed to screen all staff for tuberculosis (a contagious infection that usually attacks the lungs) at hire when the facility failed to complete the two-step tuberculin (TB) skin test for three staff member (Certified Nurse Aide (CNA) N, Licensed Practical Nurse (LPN) D, Dietary Aide (DA) M), out of 10 sampled staff members, per facility policy and standards of practice. Staff also failed maintain catheters (a tube that is inserted into the bladder to drain urine) in a manner to prevent the possible introduction bacteria in the system when the catheter bag and tubing for one resident (Resident #14) was on the ground. […]