Brookside Retirement Community

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Feb 11, 2026

  The facility identified a census of 47 residents. The sample included three residents. Based on observation, interview, and record review, the facility failed to ensure Resident (R) 1 remained free from accidents when Activity Staff Z did not utilize the seatbelt to secure R1 in the facility transportation van before transporting. On 02/02/26 at approximately 03:25 PM, Activity Staff Z pressed on the brakes quickly upon seeing a stopped school bus and cars in their lane of the highway. The sudden braking, with no seatbelt applied, caused R1 to fall forward onto the floor of the facility van. Activity Staff Z stated there was no place to pull over, so Activity Staff Z continued to drive R1 back to the facility, about a mile and half away, with R1 on the floor of the vehicle. […]

• No harm, potential for more than minimal, widespreadF880Dec 11, 2024

  The facility had a census of 49 residents. The sample included 13 residents. Based on observation, record review, and interview, the facility failed to handle all soiled linen as contaminated and use appropriate barriers while sorting soiled laundry to prevent contamination of clean linens. This placed the residents at increased risk for infectious diseases. Findings included: - On 12/10/24 at 02:38 PM, observation of the Laundry area with Housekeeping U revealed two commercial washing machines and dryers. The area was divided into a soiled and clean area. The soiled side had the washing machine and the clean side had the dryer and folding areas. Housekeeping U reported a company tests the water temperatures and the dispensing machine for correct settings. […]

• No harm, potential for more than minimal, isolatedF625Dec 11, 2024

  The facility had a census of 49 residents. The sample included 13 residents with one resident reviewed for discharge. Based on observation, record review, and interview, the facility failed to provide Resident (R)25 with written information regarding the facility's bed hold policy when they were transferred to the hospital. This placed the resident at risk of not being permitted to return and resume residence in the nursing facility. Findings included: - R25's Electronic Medical Record (EMR) recorded diagnoses of pleural effusion (abnormal accumulation of fluid in the lungs), cellulitis (a bacterial infection that affects the skin and tissues beneath it), Alzheimer's disease (progressive mental deterioration characterized by confusion and memory failure), and hypertension (HTN-elevated… […]

• No harm, potential for more than minimal, isolatedF580Jan 4, 2023

  The facility had a census of 49 residents. The sample included 13 residents. Based on observation, record review, and interview, the facility failed to notify the physician and seek treatment for Resident (R)11, who's genitals were red and swollen. This placed the resident at risk for pain and infection. Findings Included: - The Electronic Medical Record (EMR)for R11 documented diagnoses of dementia without behavioral disturbance (progressive mental disorder characterized by failing memory, confusion), overactive bladder (the muscles of the bladder start to contract on their own even when the volume of urine in the bladder was low), and chronic kidney disease, stage three (mild to moderate kidney damage). […]

• No harm, potential for more than minimal, isolatedF684Jan 4, 2023

  The facility had a census of 49 residents. The sample included 13 residents, with three reviewed for non-pressure related skin conditions. Based on observation, record review, and interview, the facility failed to treat Resident (R) 11's male genitalia which was swollen and red. The facility further failed to implement interventions to prevent skin tears for R36, who received four skin tears during transfers and cares. This placed the residents at risk for infection and further injury. […]