The Bradford at Brookside

In the surveyor’s words

From the most serious findings on record at The Bradford at Brookside, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF850Aug 27, 2025

  Based on interview and record review, the facility failed to ensure the social worker had the required qualifications for 1 of 1 facility reviewed for social worker qualifications. The Social Worker hired on 12/09/2024, as a full-time social worker was not licensed by the Texas State Board of Social Worker Examiners. This failure could place all residents at risk for unmet social services and psychosocial needs.Record review of an employee file on 08/27/2025 indicated the SW was not a licensed social worker and held a bachelor's degree in social work. The facility hired her as a social worker on 12/09/2024. Review of the facility's January 2017 job description for the Social Worker position indicated Qualifications: Minimum of a bachelor's degree in social work or in human services fields. […]

• No harm, potential for more than minimal, patternF553Jun 14, 2023

  Based on interview and record review, the facility failed to ensure that the residents and/or representatives had the right to participate in the development and implementation of his or her person-centered plan of care, and to ensure that the planning process facilitated the inclusion of the residents and/or representatives for 5 (Resident #23, #28, #38, #42 and #51) of 16 residents reviewed for care planning. The facility failed to ensure the IDT, Resident #23, Resident #28, and Resident #38 and RP of Resident #38, Resident #42 and the RP of Resident #42, Resident #51 and RP of Resident #51 were involved in the review of the comprehensive assessment and were able to discuss their individualized care needs for services to include their need for medical and nursing care, medications,… […]

• No harm, potential for more than minimal, patternF561Jun 14, 2023

  Based on observation, interview and record review, the facility failed to promote resident self-determination through support of resident choice for 1 of 22 residents reviewed for resident rights. (Resident #19) The facility did not assist Resident #19 out of bed when he requested. This failure could place dependent residents at risk for feelings of depression, lack self-determination and decreased quality of life. Findings included: Record review of the face sheet dated 06/13/23 indicated Resident #19 was [AGE] years old and admitted on [DATE] with diagnoses including heart failure, anxiety disorder, and reduced mobility. Record review of the MDS dated [DATE] indicated Resident #19 was understood and understood others. […]

• No harm, potential for more than minimal, patternF677Jun 14, 2023

  Based on observation, interview, and record review, the facility failed to provide the necessary services to maintain personal hygiene for 3 of 22 residents reviewed for ADLs (Resident #17, Resident #19, and Resident #219). The facility failed to provide scheduled baths/showers for Resident #17 and Resident #19. The facility failed to trim and clean Resident #219 nails. These failures could place residents who required assistance from staff for personal hygiene at risk of not receiving care and services to meet their needs. Findings included: 1. Record review of the face sheet dated 06/13/23 indicated Resident #17 was [AGE] years old and admitted on [DATE] with diagnoses including heart failure, history of colon cancer, and anxiety disorder. […]

• No harm, potential for more than minimal, patternF812Apr 28, 2022

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food under sanitary conditions in the kitchen. The facility did not ensure that the water temperature reached 120 degrees Fahrenheit, in the chemical sanitizing dish machine as per manufacturer's recommendations. This failure could place residents who received meals prepared in the kitchen at risk of cross contamination. Findings included: During an observation on 04/25/22 at 9:47 a.m., the dish machine was not reaching the recommended 120 degrees Fahrenheit, as required when sanitizing with a chemical sanitizer. […]