Caretel Inns of Brighton

In the surveyor’s words

From the most serious findings on record at Caretel Inns of Brighton, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jan 14, 2021

  This citation pertains to intake(s): MI 315. Based on observation, interview and record review, the facility failed to prevent a cognitively impaired resident identified as an elopement risk from exiting the facility unsupervised for one (R703) of two residents reviewed for elopement, resulting in an Immediate Jeopardy when R703 exited the facility through an alarmed door that was deactivated by staff. This staff and another staff member both visualized R703 outside and failed to identify and initiate the facility's elopement protocol. The resident was found near a local gas station approximately half a mile from the facility, near a busy four lane street approximately 14 minutes after the alarm was deactivated by staff. […]

• Actual harm, isolatedF686Feb 11, 2026

  Based on observation, interview, and record review, the facility failed to prevent the development of a Stage 3 pressure injury for one Resident (R57) of one resident reviewed for pressure injuries, resulting in wound treatments, increased pain and discomfort, and the potential for further wound deterioration. Findings include: On 2/09/26 at 1:46 p.m., R57 was observed in their room in their hospital bed, lying on their left side, directly on the trochanteric (hip) area, with their legs bent at their knees. There was no offloading device behind them, including pillows or a wedge to support their back on their bed. No offloading devices were observed in their room. It was noted R57 was positioned on an air mattress. The bed had no footboard. […]

• Actual harm, isolatedF689Nov 12, 2025

  This citation pertains to Intake 2660312Based on interview and record review, the facility failed to implement a resident-centered intervention which required a two-person total assist for positioning onto a bedpan for one (R701) of one resident reviewed for falls, resulting in R701 falling to the floor, sustaining a left clavicle (collarbone) fracture, new pain and discomfort to their left upper extremity.Findings include:A concern was filed with the State Agency alleging on 9/18/25 prior to being transferred for their weekly outpatient paracentesis (procedure that involves the removal of fluid from the abdomen) appointment, two family members and two EMT's (Emergency Medical Technician) personnel were waiting outside R701's room while they (R701) were cared for by one Certified Nurse… […]

• No harm, potential for more than minimal, widespreadF812Feb 11, 2026

  Based on observation, interview, and record review, the facility failed to maintain best practices in the food service area resulting in the potential to spread food borne illness to all residents that consume food from the kitchen.Findings Include:On 02/11/26 at 8:14 AM observation of the kitchen two door cooler found a package of opened hot dogs with a facility marked date of 1/21/26. An interview at this time with Dietary Manager (DM) F found they use a seven-day discard for ready-to-eat, time/temperature control for safety foods.According to the 2022 FDA Food Code section 3-501.17 Ready-to-Eat, Time/Temperature Control for Safety Food, Date Marking. […]

• No harm, potential for more than minimal, widespreadF812Oct 23, 2024

  Based on observation, interview, and record review, the facility failed to maintain sanitary conditions in the kitchen, sub kitchen, and dining room counter resulting in the potential to affect all residents that consume food from the kitchen, sub kitchen, and dining room counter. Findings include: On 10/21/24 at 9:17 AM, during an initial tour of the kitchen, the following items were observed with Dietary Director I (DD I): 1. Dried Food debris on the bottom of multiple refrigerators. 2.Food debris and frozen vegetables (peas) on bottom of the freezers. 3. Food debris on top of the stove and dried splattering on side of the stove. 4. Moderate amounts of debris around entire kitchen floor. 5. […]