Brownsville Nursing and Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, patternF635May 8, 2025

  Based on interview, and record review the facility failed to have physician orders for the resident's immediate care at time of admission for 1 of 4 residents (Resident #2) reviewed for physician admission orders. 1.Resident #2 was readmitted to the facility on [DATE] and did not have orders in place for blood sugar checks and had an episode of low blood sugar on 04/08/25 that required him to be sent to hospital. 2.Resident #2 was readmitted to the facility on [DATE] and did not have wound care orders in place for identified impaired skin intergrity until 04/07/25. An IJ was identified on 05/06/25. The IJ template was provided to the facility on [DATE] at 5:18PM . […]

• Immediate jeopardy, patternF684May 8, 2025

  Based on interview, and record review the facility failed to provide treatment and care in accordance with the comprehensive person-centered care plan and in accordance with professional standards of practice for 1 of 4 residents (Resident #2) reviewed for quality of care. 1.Resident #2 was readmitted to the facility on [DATE] and did not have orders in place for wound care for MASD to sacrum, diabetic wound to left heel and left dorsum foot or abrasion to penis until 04/07/25. 2. Resident #2 was readmitted to the facility on [DATE] and did not have orders in place for blood sugar checks and had an episode of low blood sugar on 04/08/25 that required him to be sent to hospital. An IJ was identified on 05/06/25. The IJ template was provided to the facility on [DATE] at 5:18PM . […]

• Immediate jeopardy, isolatedF689Jul 15, 2025

  Based on observations, interviews, and record review, the facility failed to ensure residents remained free from accidents, hazards and each resident received adequate supervision and assistance while providing care for 1 of 5 residents (Resident #1) reviewed for accidents and supervision. The facility failed to ensure Resident #1 received supervision when outside in his wheelchair. Resident #1 wheeled his way down the parking lot to the road, flipping his wheelchair where the parking lot met the roadway pinning Resident #1 on the roadway where he was unable to get up. The non-compliance was identified as past non-compliance. The Immediate jeopardy began on 12/31/2024 and ended on 01/02/2025. The facility had corrected the noncompliance before the survey began. […]

• No harm, potential for more than minimal, patternF812Aug 12, 2025

  Based on observation, interviews and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for storage, preparation and sanitation. 1.The facility failed to ensure the juice gun nozzle, coffee maker, cabinets, drinking glasses, pitchers, and utensils were clean. 2.The facility failed to ensure the area under a prep sink was free from water damage and debris. 3.The facility failed to ensure the underside of the shelf on the stove, directly above cooking food, was kept clean. 4.The facility failed to ensure dirty utensils were not kept in a clean drawer. 5.The facility to ensure dry storage items were not left on the floor. […]

• No harm, potential for more than minimal, patternF880Aug 12, 2025

  Based on observation, interview, and record review the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment, and to help prevent the development and transmission of communicable diseases and infections for 3 of 5 residents (Resident #97, Resident #111 , ) reviewed for infection control practices. 1.The facility failed to ensure proper contact precautions for infections of ESBL and MRSA were followed for Resident #97 to prevent cross-contamination and possible infection. 2.The facility failed to ensure proper contact isolation precautions were followed for Resident #9 to prevent cross-contamination and spread of infection. […]