Brunswick Pointe Transitional Care

In the surveyor’s words

From the most serious findings on record at Brunswick Pointe Transitional Care, in the surveyor’s own words.

• Actual harm, isolatedF689Aug 6, 2024

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NONCOMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, resident interview, staff interview, review of hospital records, review of the facility investigation and review of facility policy, the facility failed to ensure residents were safely secured during transportation in the facility van. This resulted in Actual Harm on 07/15/24 when Resident #56's wheelchair was not safely secured in the facility van and tipped during transportation. Resident #56's weight rested on the left seatbelt shoulder strap, resulting in a fracture to her left upper arm. This affected one resident (#56) of three residents reviewed for transportation safety. The facility census was 89. […]

• Actual harm, isolatedF686Oct 13, 2022

  Based on record review, interview, and policy review the facility failed to provide treatment in a timely manner for Resident #20. Actual Harm occurred when resident complained of pain to buttock on 08/14/22 and an open area was noted on 08/16/22. Treatment to Resident #20's buttocks was not started until 08/19/22 when the area was identified as a deep tissue injury (DTI). The DTI developed into a Stage III pressure ulcer to Resident #20's left buttock on 08/23/22. Resident #20 also developed moisture associated skin damage (MASD) to right buttock on 08/23/22. This affected one (Resident #20) of three residents reviewed for pressure. Facility census was 85. Findings include: Review of the medical record revealed Resident #20 was admitted on [DATE] and discharged on [DATE]. […]

• No harm, potential for more than minimal, widespreadF812May 5, 2026

  Based on observation and interview, the facility failed to prepare and distribute food and ice under sanitary conditions. This had the potential to affect all residents who received meal trays and drinks from the kitchen. The facility census was 78.Finding Include:Observation on 04/27/26 from 8:20 A.M. to 8:45 A.M. revealed two small ice scoops and one large ice scoop laying on top of the ice machine. To the right of the ice machine was a container on the wall that was used for placing the large ice scoop when not in use. Additional observation of the kitchen revealed the can opener had a buildup of a black substance with dirt particles on and around the blade area. Observation on 04/29/26 from 11:55 A.M. to 12:45 P.M. […]

• No harm, potential for more than minimal, widespreadF880May 5, 2026

  Based on observation, staff interviews and record review, the facility failed to ensure infection control practices were followed for isolation precautions and proper glove use. This affected two residents (Resident #16 and Resident #69) and had the potential to affect all 78 residents who resided in the facility.Findings include:1.Review of the medical record revealed Resident #16 was admitted to the facility on [DATE] with diagnoses including metabolic encephalopathy, clostridium difficile, chronic obstructive pulmonary disease, malnutrition, anxiety, depression. Review of the comprehensive Minimum Data Set (MDS) assessment, dated 04/08/26 revealed the resident had impaired cognition. The resident was dependent with transfers. […]

• No harm, potential for more than minimal, widespreadF725Apr 4, 2025

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on record review and interview, the facility failed to ensure adequate weekend staffing. This finding had the potential to affect all 89 residents residing in the building. The facility census was 89. Findings include: Review of the Staffing Data Report information for the fourth quarter (07/01/24 to 09/30/24) revealed the facility triggered for excessively low weekend staffing. Interview on 04/04/25 at 9:33 A.M. with the Administrator confirmed the facility triggered for excessively low weekend staffing for the fourth quarter on the Staffing Data Report form. […]