Willowbrooke Court at Indian River Estates

In the surveyor’s words

From the most serious findings on record at Willowbrooke Court at Indian River Estates, in the surveyor’s own words.

• Immediate jeopardy, patternF812Aug 3, 2023

  Based on observations, interviews, record reviews, and review of facility policies and procedures, the facility failed to cook raw unpasteurized eggs in a manner to destroy all viable Salmonella species bacteria, a virulent foodborne pathogen (disease-causing microorganism) that could cause food borne illness for 3 of 3 sampled residents, Residents #11, #334 and #335. Residents #11, #334 and #335 were over [AGE] years of age and were immunocompromised. Residents #11, #334 and #335 preferred undercooked eggs (over easy) for breakfast and were served unpasteurized shell eggs (that have not been specifically treated to destroy all viable Salmonella species bacteria). […]

• No harm, potential for more than minimal, isolatedF640Oct 24, 2024

  Based on policy review, record review, and interview, the facility failed to encode and transmit a discharge Minimum Data Set (MDS) assessment for 1 of 2 sampled discharged residents. Resident #11. The findings included: Review of the policy titled Transfer From Distinct Part to Non-Certified Household / Neighborhood revised 10/2024 documented in part, Procedure: . 6. The MDS Coordinator shall complete the appropriate Minimum data Set (MDS) assessment. Upon entering the facility on 10/21/24, the Administrator informed the survey team that although they had five active households (resident units), only one household (Biscayne) was certified while the other four were non-certified and licensed only. […]

• No harm, potential for more than minimal, isolatedF661Oct 24, 2024

  Based on policy review, record review and interview, the facility failed to ensure a discharge summary, to include a recapitulation of the residents stay, for 1 of 2 sampled residents, Resident #3. The findings included: Review of the policy titled Transfer and Discharge Rights, revised 10/2024, documented, in part, Documentation of Transfer or Discharge: . 4. Information provided to the receiving community/provider should include the following: . Discharge Summary. The discharge packet provided by the Administrator included a form titled, Discharge Assessment & Summary. […]

• No harm, potential for more than minimal, isolatedF550Mar 31, 2022

  Based on observation, interview, and record review, the facility failed to treat 1 of 17 sampled resident who reside in the [NAME] Villa neighborhood in a dignified manner, Resident #57, who was served all meals on Styrofoam or paper disposable dinnerware with plastic utensil, while all other residents were served on traditional dinnerware with regular utensils. The findings included: On 03/28/22 at 8:36 AM, Resident #57 ambulated into the dining room with his rolling walker and sat down at a table. Resident #57 was served his breakfast meal on disposable dinnerware with plastic utensils. The [NAME] Villa neighborhood housed 17 residents as of 03/28/22, and residents came and went from the dining room as desired. […]

• No harm, potential for more than minimal, isolatedF561Mar 31, 2022

  Based on record review and interview the facility failed to provide showers, per request and schedule, for 1 of 1 sampled resident reviewed for choices, Resident #41. The findings included: During an interview on 03/28/2022 at 9:32 AM, with Resident #41, she stated had not had a shower in two weeks. A review of Resident #41's records revealed Resident #41 was admitted on [DATE] with a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] & Mobility, Lack of Coordination, and [CONDITION(S)]. Review of the Significant change MDS (Minimum Data Set) for wound healing, dated 03/16/22, revealed the resident had a Brief Interview Mental Status (BIMS) of 12, which indicated her cognition is mildly impaired. Her functional status for bathing documented total dependence with one person assist. […]