Brynwood Health and Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF725Jan 17, 2024

  Based on observations, resident and staff interviews, and record review the facility failed to provide sufficient nursing staff to ensure residents received required assistance in a timely manner during an outbreak when 32 of the 88 residents at the facility had been placed on isolation precautions after testing positive for COVID-19 (Coronavirus Disease 2019). The findings include: Observations On 1/16/24 at approximately 10:15 AM, upon entrance to the facility, the Director of Nursing (DON) explained that there had been an outbreak of COVID-19 infections at the facility. Since 1/6/24, 32 of the 88 residents in the facility had tested positive. Upon entering the facility, 31 of the 88 residents were still under droplet isolation precautions. […]

• No harm, potential for more than minimal, isolatedF584Dec 12, 2024

  Based on observations and interviews, the facility failed to maintain the laundry areas in a clean and sanitary manner. The findings include: A tour of the facility was conducted on 12/11/24 at 2:27 PM with the facility's Environmental Services Director. During this tour, the surveyor reviewed the soiled utility and shower rooms on each hallway along with the facility's laundry area. Photographic evidence was obtained of all the following areas of concern. The Infectious Waste room located within the nursing station on the North/Rehab hallway contained a handwashing sink. Closer observation revealed there was no paper towel holder present despite a sign present which stated for staff to wash hands prior to returning to work. […]

• No harm, potential for more than minimal, isolatedF761Dec 12, 2024

  Based on observations, interviews, and record review, the facility failed to ensure medications were stored in a secure manner for 2 of 20 residents reviewed (Resident #37 and #16). The facility also failed to ensure medications were locked in a secure manner during 2 of 5 medication administration observation times. The facility also failed to properly dispose of medications during 2 of 5 medication observation times. The findings included: Resident #37 During a tour of the facility conducted on 12/10/24 at 8:58 AM, the surveyor observed a tube of Arthritis Cream on the nightstand of Resident #37. (photographic evidence obtained) A review of Resident #37's medical record revealed she was initially admitted to the facility on [DATE] and was last readmitted on [DATE]. […]

• No harm, potential for more than minimal, isolatedF880Dec 12, 2024

  Based on observations, interviews, and policy review the facility failed to ensure infection control standards were maintained during 2 of 5 medication administration observations. The findings include: A medication administration observation was conducted on 12/10/24 at 4:00 PM with Staff E, Licensed Practical Nurse (LPN) for Resident #45. Staff E stated Resident #45 was due to receive two insulin shots. After appropriately obtaining Resident #45's blood glucose result, Staff E prepared the insulin pens for administration. Upon entering Resident #45's room, Staff E washed her hands, then approached Resident #45, cleaned the right and left upper quadrants of Resident #45's abdomen, and proceeded to administer the two types of insulin without first donning gloves. […]

• No harm, potential for more than minimal, isolatedF695Jan 17, 2024

  Based on observations, interview, and policy review, the facility failed to maintain oxygen tubing and humidifiers in safe operating condition for 1 of 1 sampled resident (#11). The findings included: On 1/17/24 at approximately 9:48 AM, an observation and interview was conducted with Resident #11. The resident's room was under droplet precautions to prevent transmission of COVID-19 (Coronavirus Disease 2019). Resident #11 had an oxygen concentrator at his bedside. His oxygen tubing was on the floor. The humidifier attached to the concentrator had a piece of tape with a date of 12/21/23 written on it. The oxygen tubing storage bag hanging on the concentrator had a different name written next to patient name. The room number written on the storage bag was not Resident #11's room. […]