Brown Memorial Home Inc

In the surveyor’s words

From the most serious findings on record at Brown Memorial Home Inc, in the surveyor’s own words.

• Actual harm, isolatedF689Jul 24, 2026

  Based on record review, staff interviews, review of hospital records, review of orthopedic notes and review of facility policy, the facility failed to ensure the hallways were maintained free from accident hazards to prevent falls and failed to ensure the cause of falls were investigated. Actual harm occurred on 01/12/26 when a housekeeping employee placed a bag of garbage on the hallway floor. Resident #44 stumbled over the edge of the bag and fell to the floor, resulting in pain and a comminuted intra-articular right distal radius fracture which required surgical intervention. This affected one (Resident #44) out of the three residents reviewed for falls. The facility census was 37. […]

• No harm, potential for more than minimal, widespreadF921May 28, 2025

  Based on observation and staff interview, the facility failed to ensure shower room exhaust fans were maintained in good and working order. This had the potential to affect all 33 residents identified by the facility as using the shower rooms. The facility census was 33. Findings include: Observation and interview with the Director of Nursing (DON) on 05/28/25 at 11:00 A.M. confirmed the exhaust fans in the front and back shower rooms were not working. A small amount of a mildew-like substance was present on the ceiling around the exhaust fan in the back shower room. The DON stated she was not sure if parts had been ordered to repair or replace the exhaust fans but she would check. Interview with the DON on 05/28/25 at 12:33 P.M. […]

• No harm, potential for more than minimal, widespreadF812Sep 5, 2024

  Based on observations, staff interview, and facility policy review, the facility failed to appropriately date opened food items in the refrigerator and freezer. The deficient practice had the potential to affect all 39 residents who resided in the facility. The facility did not identify any residents with a physician ordered nothing by mouth (NPO) diet. Findings Include: Observations completed during the initial tour of the kitchen on 09/03/24 at 10:20 A.M. with Dietary Manager (DM) #106 revealed the following items in the refrigerator had been opened and not dated: One large glass container of dill pickle spears One large plastic container of mayonnaise, 75% empty One plastic container of pimento cheese spread One large plastic container with a handle of Pace Picante salsa One bottle of… […]

• No harm, potential for more than minimal, widespreadF880Nov 10, 2021

  Based on observations, staff interviews, review of the facility's policy, review of the Centers for Disease Control and Prevention (CDC) guidance, and record reviews, the facility failed to appropriately wear Personal Protective Equipment (PPE) during the COVID-19 pandemic, and failed to perform appropriate hand hygiene during wound care for Resident #12 and medication administration for Resident #11. This had the potential to affect all 37 residents who resided in the facility. Findings include: 1. Review of Resident #12's medical record revealed an original admitted [DATE]. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . coli infection of gastrointestinal tract, chronic kidney disease, and diabetes mellitus. […]

• No harm, potential for more than minimal, isolatedF760Jul 24, 2026

  Based on resident record review, staff interviews, and review of facility policy, the facility failed to ensure a resident received the correct dose of medication as ordered by the physician. This affected one resident (#44) out of the three residents reviewed for medication administration. The facility census was 37. Findings include:Record review for Resident #44 revealed the resident was admitted to the facility on [DATE] and had diagnoses which included schizoaffective disorder, dementia, psychosis, and hallucinations. Review of the quarterly Minimum Data Set (MDS) assessment, dated 06/23/26, revealed the resident was assessed to have impaired cognition. […]