Brekenridge Retirement Center

The facility failed to administer medications as ordered for a resident. Specifically, metolazone was not administered despite the resident meeting the physician's criteria for weight gain (greater than 3 lbs in 24 hours) on multiple occasions in January and February 2024.

The facility failed to administer medications as ordered for a resident, specifically failing to provide metolazone as needed for weight gain. Although records showed a weight gain of 3.2 lbs on 01/22/24, the medication was not administered according to the physician's orders.

The facility failed to provide adequate supervision for three residents, including two residents who experienced multiple falls resulting in injuries such as fractures. Additionally, the facility lacked a formal Fall Prevention Policy and failed to implement documented interventions following resident falls.

The facility failed to provide adequate supervision for three residents, leading to multiple falls and injuries including fractures. Specifically, the facility lacked a Fall Prevention Policy and failed to implement documented fall interventions for residents following unwitnessed falls and injuries.

The facility failed to maintain clean and orderly kitchen, dining, and food storage areas protected from contamination. Specific issues included dirty handwashing sinks, a dirty ice machine, and rust or stains on kitchen walls and equipment. Additionally, food in the walk-in and reach-in freezers lacked required date and time labels, and chemicals were stored improperly next to food in the dry storage area.