The William Breman Jewish Home

In the surveyor’s words

From the most serious findings on record at The William Breman Jewish Home, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Dec 12, 2024

  Based on observations, interviews, and review of facility's policies titled, Food Storage, Date and Label, and Cleaning Instructions: Ice Machine and Equipment, the facility failed to ensure proper food labeling, dating, and storage in the reach in cooler, failed to discard dry storage food items by the expiration date, and failed to maintain sanitary condition of the ice machine. The facility census was 85 residents. Findings include: Review of the facility policy titled Food Storage dated [DATE] revealed in section Refrigerated food storage: F. All foods should be covered, labeled, and dated. All foods will be checked to ensure that foods (including leftovers) will be consumed by their safe use by dates, or frozen (where applicable), or discarded. […]

• No harm, potential for more than minimal, widespreadF812Jul 31, 2022

  Based on observations, interviews, and review of facility policies, the facility failed to maintain sanitary conditions of the cookware by not stacking wet cookware (wet nesting) to prevent bacterial growth; failed to ensure food items were labeled and dated; failed to discard leftover food by discard date; failed to maintain sanitary conditions of the stand-up mixer to prevent cross contamination; and failed to properly use the 3-compartment sink correctly to prevent food borne illness. This deficient practice had the potential to effect 81 residents receiving an oral diet. Findings include: 1.Review of the policy titled Cleaning Dishes with Dish Machine, dated 8/21 revealed procedure 9. Dishes should be air dried on the dish racks. Procedure 10. […]

• No harm, potential for more than minimal, isolatedF695Jun 11, 2026

  Based on observations, staff interviews, and review of the websites titled, Cozpalace.com and www.Thoracic.org, the facility failed to obtain a physician order for a CPAP (continuous positive airway pressure) unit, failed to properly label and store the CPAP supplies, and failed to document the nightly use of the CPAP unit for one of one resident (R) (R29), reviewed for CPAP use. Findings include:The facility failed to produce a policy related to the use of PAP (positive airway pressure) devices, including CPAP (continuous positive airway pressure) units.Review of the website titled, Thoracic.org, revealed distilled water should be used to humidify the pressurized air flowing through the CPAP unit.Review of the website titled, Cozpalace.com, revealed the shelf life of an opened container… […]

• No harm, potential for more than minimal, isolatedF578Dec 12, 2024

  Based on observations, record review, staff interviews, and review of facility's policy titled, Advanced Directives, the facility did not properly maintain record of and the correct orders for one of 47 sampled residents (R) (R12) related to Advanced Directive choice. The deficient practice had the potential to result in the residents' wishes not being honored in the event of a medical emergency or end-of-life situation. Findings include: A review of the facility's policy titled Advanced Directives revealed under the section titled Policy Statement: Advanced Directives will be respected in accordance with the state law and facility policy. […]

• No harm, potential for more than minimal, isolatedF759Dec 12, 2024

  Based on observations, record review, staff interview, and review of the facility policy titled, Medication Administration, the facility failed to ensure the medication error rate was less than five percent (%). There were three medication errors of 30 opportunities made by two of four nurses for a medication error rate of 10 %. Findings include: Observation on 12/11/2024 at 9:37 am with Licensed Practical Nurse (LPN) BB during medication administration for Resident (R) (R50) morning medications revealed R50 had several medication in the prefilled pharmacy pouch which included acetaminophen 650 mg (milligrams) one tab and aspirin 81 mg. LPN BB proceeded to take two 325 mg acetaminophen and one aspirin 81 mg from the floor stock medication drawer and placed them in the medication cup. […]