Brookside Rehabilitation and Healthcare Center

In the surveyor’s words

From the most serious findings on record at Brookside Rehabilitation and Healthcare Center, in the surveyor’s own words.

• Actual harm, isolatedF689Nov 1, 2022

  Based on observations, record review, document review and interview, the facility failed to ensure its staff provided adequate assistance devices to prevent accidents for one Resident (#42), out of three discharged sampled Residents and failure to ensure the environment remained as free of accidents as possible. Specifically, 1) the facility failed to ensure that Resident #42's wheelchair foot pedals were functioning properly to help prevent major injuries from one of two falls the resident sustained, and 2) the staff failed to monitor the temperatures of foods that had been reheated in the microwave and provided to residents. […]

• Actual harm, isolatedF600Jun 28, 2022

  Based on records reviewed and interviews, for one of three sampled residents (Resident #1), the Facility failed to ensure Resident #1 was free from physical abuse when on 06/07/22 during the 11:00 P.M. to 7:00 A.M. shift a staff member heard Resident #1 yelling out ouch, leave me alone. The staff member went to see what was going on and witnessed Certified Nurse Aide (CNA) #1 forcefully holding onto the back of Resident #1's neck and the back of his/her house gown, taking Resident #1 back to his/her room. […]

• No harm, potential for more than minimal, widespreadF880Nov 17, 2022

  Based on observation, record review, and interview, the facility failed to: 1) conduct surveillance for COVID-19 symptoms during a COVID-19 outbreak for 3 Residents (#1, #4, and #6) out of a total of 3 Residents sampled, and 2) ensure that its staff adhered to the Department of Public Health (DPH) guidelines and the facility policies pertaining to the use of Personal Protective Equipment (PPE) to prevent the spread of infection. Specifically, 1) the facility staff failed to conduct surveillance of COVID-19 symptoms for each Resident during outbreak testing on each shift as required, and 2) failed to don (put on) face mask while in a resident care area, and also failed to don the required PPE when entering a resident room designated as Quarantine Precautions. […]

• No harm, potential for more than minimal, widespreadF886Nov 17, 2022

  Based on record review, and interview, the facility failed to ensure that its staff conducted Covid-19 testing for all residents as required, following an identified outbreak of Covid-19 infections. Specifically, the facility staff failed to: 1) conduct outbreak testing of all residents to ensure new Covid-19 cases were identified, and 2) document dates and results of Covid-19 testing of all residents. Findings include: Review of the facility policy titled, Coronavirus Testing, dated May 17, 2020, indicated the following: Upon identification of a new COVID-19 case in the facility (i.e. […]

• No harm, potential for more than minimal, widespreadF801Jun 11, 2021

  Based on interview, facility staff failed to designate a person, who met regulatory requirements, to serve as the Director of Food and Nutrition Services when a full time dietician was not employed. Findings include: During an interview on 6/8/21 at 7:35 A.M., the Food Service Director (FSD) said that she began working as the FSD at the facility in December of 2020. The FSD also said that she thought the dietician worked only part time at the facility. The FSD said that she was not a Certified Dietary Manager (CDM) or Certified Food Service Manager (CFSM), and that she did not have a qualifying degree, as required. During an interview on 6/8/21 at 4:40 P.M., the Administrator said that the dietician worked part time at the facility and that that the FSD was not a CDM or CFSM, as required.