Daybreak Nursing Center

In the surveyor’s words

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

• No harm, potential for more than minimal, isolatedF689Nov 17, 2025

  Based on observation, interview, and record review, the facility failed to ensure all residents were kept free from possible accident hazards when the facility staff failed to monitor one resident (Resident #10) out of four sampled residents and one resident (Resident #29) outside the sample during scheduled resident smoke breaks. The facility census was 66. Review of the facility's policy titled, Smoking Policy - Residents, dated October 2023, showed:- This facility has established and maintains safe resident smoking policies;- Prior to, and upon admission, residents are informed of the facility smoking policy, including designated smoking areas, and the extent to which the facility can accommodate their smoking or non-smoking preferences;- Smoking is only allowed in designated resident… […]

• No harm, potential for more than minimal, isolatedF699Nov 17, 2025

  Based on interview and record review, the facility failed to identify, assess, and provide supportive interventions for two residents (Residents #42 and #50) with a diagnosis of post-traumatic stress disorder (PTSD - a mental health condition triggered by a terrifying event - either experiencing it or witnessing it; symptoms may include flashbacks, nightmares and severe anxiety, as well as uncontrollable thoughts about the event) out of four sampled residents. The facility's census was 66.The facility did not provide a PTSD policy.1. […]

• No harm, potential for more than minimal, isolatedF759Nov 17, 2025

  Based on observation, interview, and record review, the facility failed to maintain a medication error rate of less than five percent (%). There were 28 opportunities with three errors made, resulting in an error rate of 10.71% for three residents (Residents #15, #31 and #59) out of five sampled residents. The facility's census was 66.Review of the facility's policy titled, Insulin Administration, last revised March 2025, showed:- Did not address insulin administration using an insulin pen.Review of the Humalog/lispro (a rapid insulin that helps lower mealtime blood sugar spikes) Kwik Pen (insulin in a pen-type device) instructions, revised July 2023, showed:- Prime the pen by turning the dose knob to two units;- Hold the pen with the needle pointing up;- Tap the cartridge holder gently to… […]

• No harm, potential for more than minimal, isolatedF584Oct 10, 2024

  Based on observation, interview, and record review, the facility failed to provide a safe, clean, comfortable, and homelike environment. This deficient practice had the potential to affect all residents in the facility. The facility census was 65. Review of the facility's policy titled, Homelike Environment, revised February 2021, showed: - Residents are provided with a safe, clean, comfortable and homelike environment and encouraged to use their personal belongings to the extent possible; - The facility staff and management maximizes, to the extent possible, the characteristics of the facility that reflect a personalized, homelike setting which includes a clean, sanitary and orderly environment. […]

• No harm, potential for more than minimal, isolatedF677Oct 10, 2024

  Based on observation, interview, and record review, the facility failed to provide adequate personal hygiene for one resident (Resident #10) out of 16 sampled residents and two additional residents (Resident #2 and #57) and failed to provide showers at least twice a week for one resident (Resident #2) outside the sample. The facility census was 65. Review of the facility's policy titled, Dignity, revised February 2021, showed: - Each resident shall be cared for in a manner that promotes and enhances his or her sense of well-being, level of satisfaction with life, and feelings of self-worth and self-esteem; - Residents are treated with dignity and respect at all times; - The facility culture supports dignity and respect for residents by honoring resident goals, choices, preferences, values… […]