The Springs of Brinkley

In the surveyor’s words

From the most serious findings on record at The Springs of Brinkley, in the surveyor’s own words.

• Immediate jeopardy, isolatedF656Feb 23, 2026

  Based on record review, observation, interview, and video review, the facility failed to ensure effective care planned interventions were created and implemented following new on-set of wandering and/or elopement associated behaviors, in which Resident #1 attempted on multiple occasions to exit the facility and voiced intent to exit the facility in the future. At the time of the survey, there were 8 residents in the secured unit at risk of eloping. It was determined the facility's noncompliance with one or more requirements of participation had caused, or was likely to cause, serious injury, harm, impairment, or death to residents. […]

• Actual harm, isolatedF600Jul 17, 2025

  Based on record review, interviews, and facility policy review, it was determined that the facility failed to prevent resident to resident abuse for two (Resident #1 and Resident #3) of four residents reviewed for abuse. The findings include: Resident #1: A review of Resident #1’s admission Record indicated the facility admitted the resident on 07/25/2024, with diagnoses which included metabolic encephalopathy (brain dysfunction) and Parkinson’s disease, with dyskinesia (involuntary muscle movements). A review of Resident #1’s quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 03/19/2025, revealed a Brief Interview for Mental Status (BIMS) score of 05, which indicated the resident had severe cognitive impairment. […]

• No harm, potential for more than minimal, widespreadF812Aug 25, 2023

  Based on observation and interview, the facility failed to ensure the kitchen area air conditioner intake filter and vents were clean to prevent potential food borne illness. This failed practice had the potential to affect 47 residents who received food from the kitchen (total census: 49), according to the Diet List provided by the Dietary Manager on 08/21/23 at 10:55 AM. The findings are: 1. On 08/21/23 at 11:03 AM, the following observations were made in the Kitchen: a. Observed the air conditioner unit located in the middle of kitchen area. The air intake filter and vents had a dark brown/black substance and dark brown fuzzy particles of debris stuck to the vents which was over the food prep table area. b. […]

• No harm, potential for more than minimal, widespreadF814Aug 25, 2023

  Based on observation and interview, the facility failed to ensure waste was properly contained in a dumpster with the door and lid closed to reduce the potential of insect and/or rodent infestation. The failed practice had the ability to affect all 49 residents who resided in the facility according to the Resident Census and Conditions of Residents provided by the Administrator on 08/25/23 at 1:05 PM. The findings are: 1. On 08/24/23 at 8:52 AM, upon exiting the back door of the building, the ground was littered with cigarette butts. To the right on the way to the dumpster was a brown cardboard box. The door of the dumpster was open with a white bag protruding from the opening. Located next to the dumpster, on the ground was an additional bag of trash. 2. […]

• No harm, potential for more than minimal, widespreadF812May 25, 2022

  Based on observation, record review, and interview, the facility failed to ensure dietary staff wash hands before and during meal serving trays, staff did not touch their face or clothes before handling clean equipment or food ,and dented cans were removed to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. The failed practices had the potential to affect 40 residents who received trays as documented on a list provided by Administrator documented on 5/23/22 at 2:18 PM. The findings are: 1. On 5/23/22 at 10:55 AM., the following observations were made on initial rounds with Dietary Employee (DE) #1: a. In the dry storage area there was a large container labeled flour. There was no date on the label. […]