Brookside Care Strategies

In the surveyor’s words

From the most serious findings on record at Brookside Care Strategies, in the surveyor’s own words.

• Immediate jeopardy, isolatedF622Aug 23, 2024

  Based on record review and interview, the facility failed to honor a resident's right to return to the facility from an emergency room visit following a resident-to-resident altercation (Resident C). The facility failed to demonstrate inability to meet the resident's needs or that the resident was an immediate danger to others with interventions attempted. The Immediate Jeopardy began on 8/16/24 when the facility discharged the resident with his belongings to a hotel located 26 miles away from the facility, with a two-day paid stay. This deficient practice put the resident at risk for harm related to lack of a safe environment, placing the resident at risk of serious accidents. […]

• Immediate jeopardy, isolatedF626Aug 23, 2024

  Based on record review and interview, the facility failed to ensure facility policies were implemented to allow a resident to return to the facility for care following an emergency room visit. The resident was not provided adequate notice to appeal the discharge prior to being transported to and left at a hotel 26 miles away from the facility. The Immediate Jeopardy that began on 8/16/24, when the facility failed to allow a resident to return to the facility after a hospital visit per facility policy. This deficient practice put the resident at risk for harm related to lack of a safe environment, placing the resident at risk of serious accidents. […]

• Immediate jeopardy, isolatedF689Oct 25, 2021

  Based on observation, interview and record review, the facility failed to ensure a severely cognitively impaired resident, who was at risk for elopement and a high risk for falls, received adequate supervision to prevent elopement from the locked facility, as evidenced by the resident being able to exit the facility without detection of the staff. This failure resulted in the resident being without supervision and exposed to hazardous elements/conditions such as: uneven roads, drainage ditches, thick wooded areas, corn fields and no sidewalks for 1 of 3 residents reviewed for elopement. (Resident B) The immediate jeopardy began on 10/18/2021 when a severely cognitively impaired resident eloped from the locked facility and the facility was notified by a concerned citizen. […]

• Actual harm, isolatedF600May 21, 2026

  Based on observation, interview, and record review, the facility failed to protect a resident's right to be free from verbal abuse and neglect from staff when a CNA refused to answer a resident's call light, refused to provide personal hygiene assistance, and told the resident to not use his call light for 1 of 3 residents reviewed for abuse. (Resident 10). This deficient practice resulted in the resident being afraid of the CNA (CNA 9), being left in soiled bedding, and being tearful and crying.Finding includes:During an interview, on 5/17/26 at 1:04 p.m., Resident 10 indicated he had filed a complaint about CNA 9 and did not know what was going on with the complaint. He was very upset and speaking with his voice high. […]

• Actual harm, isolatedF600Aug 23, 2024

  Based on observation, record review and interview, the facility failed to ensure a cognitively impaired resident who wandered (Resident D) was free from resident-to-resident physical abuse perpetrated by a resident known to be physically abusive towards others when approached (Resident C) for 1 of 3 residents reviewed for abuse. This deficient practice resulted in Resident D sustaining a head laceration and required emergent treatment at the hospital with six sutures to repair. Findings include: Review of an Incident Report sent to the Indiana Department of Health's reporting system indicated, on 8/15/24 at 9:01 p.m., Resident D was found lying on the floor in Resident C's room. Resident D had a laceration on the left side of his head and bruising to his chest and head. […]