Brookridge Cove Rehabilitation and Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF725Aug 1, 2025

  Based on facility document review, interviews, record review, and facility policy review, it was determined that the facility failed to ensure sufficient staffing to meet the residents' needs as evidenced by not following the facility assessment staffing guidelines for 15 of 15 shifts reviewed from 01/04/2025 day shift through 03/06/2025 night shift. The findings include: The Facility Assessment indicated the facility acuities affecting licensed nurses included cancer treatments, respiratory treatments, behavioral and mental health, medication management, high risk of intravenous or intramuscular medications and infusions, dialysis care which was contracted with an outside vendor, ostomy care, hospice care also contracted with an outside vendor, respite care, isolation… […]

• No harm, potential for more than minimal, widespreadF812Apr 25, 2024

  Based on observation and interview, the facility failed to ensure 1 of 1 kitchen was in sanitary condition. The findings are: On 04/24/2024 at 09:04 AM, the ice machine had a cloth trimming under the lid. It was wet and had brown and black stains. On 04/24/2024 at 09:05 AM, the Dietary Manager was asked, What's the cloth material on the ice machine? She stated, I don't know what that is. It's been on there since I've been here. I've been here for 2 years. On 04/24/2024 at 09:30 AM, the Administrator stated, We are taking the ice machine out of commission. On 04/24/2024 at 10:22 AM, the Dietary Manager stated, A new ice machine has been ordered. On 04/24/2024 at 11:54 AM, a thick layer of dust and lint was observed on a spice rack on the counter in the kitchen. […]

• No harm, potential for more than minimal, widespreadF812Feb 17, 2023

  Based on observation, and interview, the facility failed to ensure staff washed their hands between dirty and clean tasks and before handling clean dishes or food items to prevent the potential for food borne illness for residents who received meals from 1 of 2 kitchens; failed to ensure dairy products were maintained at or below a temperature of 41 degrees Fahrenheit; failed to ensure expired food items were promptly removed/discarded by the expiration or use by dates to prevent the potential for food borne illness for residents who received meals from 2 of 2 kitchens. […]

• No harm, potential for more than minimal, widespreadF812Aug 20, 2021

  Based on observation and interview, the facility failed to ensure dietary staff washed their hands before handling clean equipment or food items to decrease the potential for foodborne illness for residents who received food from 1 of 1 kitchen. The failed practice had the potential to affect 66 residents who received meals from the kitchen, as documented on a list provided by the Food Service Supervisor on 8/18/21. The findings are: 1. On 8/17/2021 at 11:16 a.m. Dietary Employee #1 took a pan of Oreo cookie delight from the walk -in refrigerator and placed it on the counter. Without washing her hands, she picked up a clean blade and attached it to the base of the blender to be used in pureeing food items to be served to the residents who required pureed diets. 2. […]

• No harm, potential for more than minimal, patternF812Aug 1, 2025

  Based on observation, interview, and facility policy review, the facility failed to ensure that the dish washing machine vent hood was free of rust; the pest trap was free of rust and dirt; two of three ice machines were maintained in a clean and sanitary condition in one of two kitchens; expired food item was promptly removed / discarded on or before the expiration or use by date, and dietary staff washed their hands before handling clean equipment or food items for two of two meals observed.Based on observation, interview, and facility policy review, the facility failed to ensure a pest trap was free of rust and dirt and kept away from meal preparation areas; two of three ice machines were maintained in a clean and sanitary condition in one of two kitchens; expired food items were… […]