The Neighborhoods at Brookview

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF880May 19, 2022

  Based on observation, interview, record review, and policy review, the provider failed to ensure appropriate infection control practices were followed for the coronavirus (COVID-19) pandemic related to: *Infection control practices for five of twenty-three residents who reside on two separate units Ash Boulevard and Maple Grove within the same neighborhood. (5, 17, 22, 33, and 71) to prevent exposure and potential spread of COVID-19. *Informing staff and visitors of the current outbreak status in the facility. *Two of two nutrition and food service (NFS) employees (L and M) had been educated on proper infection control precautions and had not been working while sick. […]

• No harm, potential for more than minimal, patternF689Nov 13, 2025

  Based on record review, interviews, observations, document review, and policy review, the provider failed to assess three of five sampled residents (1, 4, and 5), all of whom had either experienced a fall related to a recliner or lacked access to their recliner controls. The provider also failed to update residents' care plans and educate staff as indicated in the incident reports.Findings include:1. Review of Resident 1's EMR revealed he was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, patternF812May 31, 2024

  Based on observation, interview, expiration date cheat sheet review, and policy review, the provider failed to properly label and store: *Juice cartons in two of six kitchenette refrigerators. *Food items in one of one main kitchen walk-in cooler. Findings include: 1. Observation and interview on [DATE] at 9:14 a.m. with nutrition and food service worker E in the Ash Boulevard neighborhood kitchenette revealed: *A side-by-side refrigerator with several fruit juice cartons on the top two shelves. *A grape juice carton in the refrigerator was dated [DATE] and [DATE]. *Food service worker E explained the first date was when the carton was opened. -The second date on the carton is considered the expiration date once it was opened. -Sometimes the juice is still good after one week. […]

• No harm, potential for more than minimal, patternF578May 19, 2022

  Based on interview, record review, and policy review, the provider failed to ensure advance directives were current for seven of seven sampled residents (30, 41, 47, 49, 53, 54, and 68). Findings include. 1. Review of resident 47's electronic medical record revealed: *He had a [DATE] signed power of attorney (POA) form that stated: -I desire that cardiopulmonary resuscitation (CPR) be used only when there is a good chance that the use of such a procedure shall result in a full recovery . *Admission paperwork on [DATE] from the hospital stated: -CODE STATUS is switched to DNR [do not resuscitate] after reviewing paperwork from [assisted living facility's name]. He is a DNR/DNI [do not intubate] per their paperwork. 2. […]

• No harm, potential for more than minimal, isolatedF921Nov 21, 2025

  Based on observation, interview, and policy review the provider failed to ensure a safe environment when the oven in Ash Neighborhood kitchenette was left on at 300 degrees and unattended by nutrition services (NS) D with four residents observed in he area. Findings include:1. Observation on 9/16/25 at 9:36 a.m. of the Ash Neighborhood revealed:*There was an odor that indicated something like an oven was hot.*There were no staff observed in the kitchenette area.*There were covered unbaked cookies on cookie sheets on the stove and countertop. *The ovens digital temperature light was on and indicated it was at a temperature of 300 degrees. *The oven door was not locked and opened easily. […]