Brown Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Brown Health and Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF880Apr 5, 2024

  Based on observation, interview, record review, and review of the facility's policy titled, Standard Patient Room Cleaning, the facility failed to ensure prevention of spread of infection by using foam protectors in disrepair over bed rails that created an uncleanable surface for four of four Residents (R) (R19, R22, R10, and R13) reviewed for side rail use. This deficient practice had the potential for the foam covers on the side rails to harbor bacteria and spread infection to the residents. Findings include: Review of the facility's policy titled, Standard Patient Room Cleaning, dated January 2024, revealed 5. DISINFECT: . b. […]

• No harm, potential for more than minimal, patternF656Feb 16, 2023

  Based on observations, record review, staff interviews, and review of the facility policy titled Skilled Inpatient Services - ADL Plan of care, the facility failed to follow the care plan for eight residents (R) (R#26, R#35, R#43, R#7, R#23, R#27) related to activities of daily living (ADL), R#19 related to falls, and R#24 related to elevated finger stick blood sugar levels. The sample size was 33. Findings include: Review of policy titled Skilled Inpatient Services ADL Plan of Care reviewed on 12/4/2021 revealed the intent is to develop and communicate patient needs for assistance with ADLs. The policy stated ADLs are assessed on admission for each resident, addressed on the baseline care plan, and communicated to the staff. […]

• No harm, potential for more than minimal, patternF677Feb 16, 2023

  Based on observations, record review, interviews, and review of the policy titled Skilled Inpatient Services -ADL Plan of Care, the facility failed to provide activities of daily living (ADL) care for six residents (R) (R#26, R#35, R#43, R#23, R#27, R#7). The sample size was 33. Findings included. Review of the policy titled Skilled Inpatient Services -ADL Plan of Care dated 12/4/2021, indicated the intent is to develop and communicate patient needs for assistance with ADLs. Guideline: Nursing develops the patient's ADL care plan and will communicate the level of assistance required for the patient. 1. […]

• No harm, potential for more than minimal, patternF880Feb 16, 2023

  Based on observations, record review, interviews, and review of facility policies, the facility failed to implement an effective Infection Control Program to prevent the spread of infections by not ensuring staff practiced infection control standards during wound care for two residents (R) (R#43 and R#71) and by not storing respiratory supplies properly for one resident (R#18). The census was 75. 1. Review of the policy titled Skilled Nursing Services Wound Care revised 10/11/2022 revealed the intent is to provide guidelines for clean technique in providing wound care. Start with a clean surface and a clean tray, using approved cleanser and observing appropriate wet times. Cover the tray with an impervious barrier. Prepare the supplies on the tray with the barrier. […]

• No harm, potential for more than minimal, isolatedF609Sep 11, 2025

  Based on staff interviews, record review, and review of the facility policy titled, Abuse Prohibition, the facility failed to protect residents from sexual abuse by another resident by not reporting to the State Survey Agency (SSA) within the required timeframe for one resident (R) (R85) reviewed for abuse and neglect. The deficient practice had the potential of future unreported abuse.Findings include:Review of the facility policy titled Abuse Prohibition review date 4/7/2025 revealed under Policy: It is the intent of this center to actively preserve each patient's right to be free from mistreatment, neglect, abuse or misappropriation of patient property. […]