Diversicare of Brookhaven

In the surveyor’s words

From the most serious findings on record at Diversicare of Brookhaven, in the surveyor’s own words.

• Actual harm, isolatedF600Jun 4, 2025

  Based on observation, interview, record review, and facility policy review, the facility failed to protect residents right to be free from verbal, mental, and physical abuse for two (2) of four (4) sampled residents (Resident #2 and Resident #3). Specifically, Certified Nurse Aide (CNA) #1 verbally and physically abused Resident #2 during incontinence care on 5/21/25 by striking the resident's legs, scolding him, and failing to provide care in a safe, supportive, and respectful manner, resulting in the resident experiencing fear, shame, emotional distress, and feelings of helplessness. […]

• No harm, potential for more than minimal, widespreadF812Dec 1, 2022

  Based on observation, staff interviews, and facility policy review, the facility failed to ensure cookware was properly sanitized for one (1) of two (2) kitchen tours. All 55 residents residing in the facility had the potential to be affected. Findings Include: A review of the Facility's policy, Manual Warewashing Policy, revised 09/2017, revealed, . All cookware, dishware, and serviceware that is not processed through the dish machine will be manually washed and sanitized. Procedures 1. The Dining Service staff will be knowledgeable in proper technique including .chemical sanitizer testing and concentrations. 2. Appropriate test strips will be utilized to measure the concentration of the sanitizer solution. […]

• No harm, potential for more than minimal, patternF658Jan 8, 2026

  Based on observation, interviews, record reviews and facility policy the facility failed to obtain a physician order for oxygen (02) before administrating for one (1) of two (2) residents reviewed for oxygen. Resident #27Findings include:A record review of the facility's Oxygen Guideline policy with an update of 8/1/24, revealed medical oxygen is classified by the Food and Drug Administration as a drug and therefore it is provided in accordance with a healthcare provider's order and in accordance with acceptable standards of practice .On 01/05/2026 at11:32 AM, in an observation of Resident #27 in bed eating lunch. […]

• No harm, potential for more than minimal, patternF812Jan 8, 2026

  Based on observation, interview and facility policy review, the facility failed to store food and maintain sanitary practices in accordance with professional standards for food safety related to foods not dated, staff touching the garbage can lid and then touching clean dishes, touching food that is ready to eat with hands, staff touching their face then touching the food thermometer, placing used water pitchers back on the shelf with clean dishes during two (2) of (2) kitchen observations.Findings include:A review of the facility's policy, Handwashing Procedure for Dining Services, undated, revealed .situations that require hand hygiene.After handling soiled equipment or utensils.After.touching your.face.A review of the facility's policy, Food Storage: Cold Foods, revised 2/2023 revealed,… […]

• No harm, potential for more than minimal, patternF690Nov 18, 2025

  Based on observation, record review, policy review and interviews, the facility failed to provide incontinent supplies and services for one (1) resident with indwelling urinary catheter (Resident #4) and for three (3) incontinent residents out of six (6) sampled incontinent residents, Residents #1, #2 and #3. Findings include:Policy review of the facility policy titled Proper Techniques for Urinary Catheter Maintenance, undated, revealed the policy revealed, .Do not rest the bag on the floor .Empty the collecting bag regularly, as a standard of practice at least every shift The policy did not address necessity of physician's order for indwelling catheters. […]