Day Brook Village Senior Living

In the surveyor’s words

From the most serious findings on record at Day Brook Village Senior Living, in the surveyor’s own words.

• Actual harm, isolatedF689May 10, 2022

  Based on records reviewed and interviews, for one of three sampled residents (Resident #1), who was severely cognitively impaired, resided on a secured unit, had history of unwitnessed falls, and was assessed by nursing as being at high risk for falls, the Facility failed to ensure they provided an environment that was free of hazards and failed to provide adequate supervision to Resident #1 in an effort to maintain his/her safety and prevent incidents/accidents resulting in injury. […]

• Actual harm, isolatedF600Jul 7, 2021

  Based on interviews and records reviewed, for one of the three sampled residents (Resident #1), the Facility failed to ensure Resident #1 was free from physical abuse when, on 6/24/21 around 3:00 P.M., Certified Nurse Aide (CNA) #1 pushed Resident #1's head backward and poked Resident #1 in the ribs, and the incident was witnessed by several staff members. Resident #1 became upset and cried during the incident, and asked CNA #1 to stop and leave him/her alone. Findings include: Review of the Facility Resident Abuse Prevention, Investigation and Reporting Policy, revised as 2/17/17, indicated abuse was defined as willful infliction of injury, unreasonable confinement, intimidation of punishment which caused physical harm, pain or mental anguish. […]

• Actual harm, isolatedF686Jun 16, 2021

  Based on records reviewed and interviews, for one of three sampled residents (Resident #1), who was admitted post-surgical repair of a right [CONDITION(S)], was being treated with a knee immobilizer to stabilize his/her right leg, was to be non-weight-bearing for six weeks, and had a history of [MEDICAL RECORD OR PHYSICIAN ORDER] . The Facility failed to ensure the skin under Resident #1's knee immobilizer was assessed by nursing for potential skin breakdown and to prevent the development of a pressure injury. For eight days, Resident #1's knee immobilizer remained in place on his/her right leg, without being removed by nursing to assess for skin breakdown. […]

• No harm, potential for more than minimal, patternF755Apr 3, 2025

  Based on observation, record review, and interview, the facility failed to establish a system of records of receipt and disposition of controlled medications consistent with applicable state and federal requirements for two out of four medication carts on one unit (Unit One) out of two units observed to prevent loss, diversion and/or accidental exposure. Specifically, the facility failed to: -destroy controlled substance medications (including opioids, narcotics, and sedatives) that were removed from two locked medication carts on unit one and were being stored in the Administrator's office for a documented duration of greater than one year. […]

• No harm, potential for more than minimal, patternF803Apr 3, 2025

  Based on observation, and interview, the facility failed to provide resident choices for beverage and meal preferences, on one unit (Unit Two) out of two units observed. Specifically, the facility failed to ensure that fluids and meal preferences were honored when the meals tickets identified residents' choices of fluids and meals. Findings include: Review of the facility policy titled Nutrition Management, revised 9/30/24, indicated: -Residents will receive care and services to ensure acceptable parameters of nutritional status are maintained to the extent possible as indicated by the resident's clinical condition. -Purpose is to provide nutritional care and services to each resident, consistent with the resident's comprehensive assessment. […]