Willowbrooke Ct Skilled Care Buckingham's Choice

In the surveyor’s words

From the most serious findings on record at Willowbrooke Ct Skilled Care Buckingham's Choice, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF641Feb 17, 2026

  Based on medical record review and staff interview, it was determined that facility staff failed to ensure Minimum Data Set (MDS) assessments were accurately coded. This was evident for 8 (#21, #1, #19, #7, #22, #5, #16, #30) of 19 residents reviewed during the recertification/complaint survey.The findings include: The MDS is part of the Resident Assessment Instrument that was Federally mandated in legislation passed in 1986. The MDS is a set of assessment screening items employed as part of a standardized, reproducible, and comprehensive assessment process that ensures each resident's individual needs are identified, that care is planned based on those individualized needs, and that the care is provided as planned to meet the needs of each resident. […]

• No harm, potential for more than minimal, patternF712Feb 17, 2026

  Based on medical record review and interview, it was determined that the facility staff failed to ensure that the attending physician visit residents at the required intervals . This was evident for 3 (Resident #14, #16, #9) of 19 residents reviewed during an recertification/complaint survey.The findings include: 1) Review of Resident #14's medical record on 2/13/26 revealed the Resident was admitted to the facility on [DATE]. Review of Resident #14's physician notes for the first 90 days revealed the Resident was seen by the physician on 7/18 and 8/22/25. There are no physician notes for September 2025. […]

• No harm, potential for more than minimal, patternF641Nov 22, 2024

  Based on record reviews, interviews and a review of the facility's investigation, it was determined that the facility failed to accurately code the Minimum Data Set (MDS) assessments for: 1) the use of residents' 1/8 grab bars and 2) the resident's status after a fall. This was evident for 5 residents (Resident #5, #15, #23, #2 and #231) of 18 residents reviewed during the annual survey. The findings include: Minimum Data Set (MDS) is a core set of screening, clinical, and functional status data elements, including common definitions and coding categories, which form the foundation of a comprehensive assessment for all residents of nursing homes certified to participate in Medicare or Medicaid. […]

• No harm, potential for more than minimal, patternF656Nov 22, 2024

  Based on record reviews and interviews, it was determined that the facility failed to develop and implement comprehensive person-centered care plans for residents residing in the facility for: 1) the use of Hearing Aids 2) Pain 3) Chronic Constipation and 4) the use of bilateral Grab Bars. This was evident for 4 (Resident #233, #230, #5 and #23) of 18 residents reviewed for care planning during the annual survey. The findings include: A care plan is a guide that addresses the unique needs of each resident. It is used to plan, assess, and evaluate the effectiveness of the resident's care. […]

• No harm, potential for more than minimal, patternF804Nov 22, 2024

  Based on interview and observation, it was determined that the facility failed to ensure that food was delivered to residents at an appropriate and palatable temperature. This was evident for 1 out of 1 observation of test tray temperatures. This practice has the potential to affect all residents who eat food prepared by the facility. The findings include: On 11/19/24 at 7:53 AM, in an interview with the Regional Certified Dietary Manager (CDM), she revealed the meal schedule for the [NAME] Brooke Court/ Skilled Nursing Unit are as follows: Breakfast- 8:00 AM Lunch- 12:30 PM Dinner -5:30PM The Regional CDM took the surveyor to the Assisted Living (AL) kitchen which temporarily served the Skilled Nursing Unit and stated that she came to the facility to assist because the facility's CDM… […]