Brighton Court Assisted Living

Facility unable to provide documentation for 3-year dry system full flow trip test and missing quarterly reports for 4/29/25 and 6/19/25. Kitchen fire sprinklers had dust/grease.

Facility failed to provide documentation that the annual fire wall inspection had been completed.

In the staff lounge, a microwave was plugged into a powerstrip.

In the mechanical room, there are fuel burning appliances and no carbon monoxide detection.

Throughout the memory care and assisted living facility, electrical panels were unlocked.

The resident laundry was prevented from closing due to a laundry basket being stored in front of the door.

Facility unable to provide required documentation for monthly fire extinguisher maintenance.

Facility unable to provide documentation for monthly single and multiple station alarm testing.

In resident room 57, there were multiple multiplug/extension cords in use and daisy chained.

The facility failed to obtain prescribed medications for a resident in a correct and timely manner, resulting in missed medication doses.

Facility failed to ensure safe food holding temperatures in 2 of 2 kitchens, failed to ensure staff had a valid food worker card, and failed to record menu changes.

Facility failed to complete a character, competence and suitability review for a staff member with a non-disqualifying criminal conviction.

Facility failed to ensure 1 of 4 staff had obtained required CPR, first aid training, and home-care aide certification.

Facility failed to complete a character, competence and suitability review for 1 of 3 staff (Staff D) who had a non-disqualifying criminal conviction.

Facility failed to ensure a national fingerprint background check was completed for 1 of 5 staff (Staff D).

Facility failed to ensure a safe medication delivery system, resulting in residents not receiving medications as prescribed for 3 of 11 residents. Multiple instances of missed doses and incorrect recording found.

An annual safety assessment for a medical device had recently expired.

Facility failed to ensure resident-specific nurse delegation training was completed for 7 of 10 staff, impacting residents receiving delegated services (insulin injections and medication crushing).

Facility unable to provide documentation for twelve planned/unplanned fire drills in the previous 12 months. Missing Quarter 1 and 2 drills for Swing and NOC shifts.

Resident lounge door does not close and latch properly.

Fire protection equipment and control rooms lacked required identification signage.

Chains are present on exit doors, which are not authorized.

Documentation for 4-year fire and smoke damper inspection missing.

Oxygen cylinders in room #12 are not secured to prevent falling.

Facility unable to provide documentation for monthly 30-second emergency light activation tests for May through November 2024.

Missing documentation for semi-annual kitchen suppression system service.

Unapproved extension cord in use in room 52.

Unapproved use of multiplug adapters and refrigerators plugged into powerstrips in the DNS office, Room 57, and the staff lounge.

Facility unable to provide documentation for the 4-year fire and smoke damper inspection.

Storage of materials located in designated working space around electrical panels in Hallway 20 south and the kitchen.

Facility unable to provide documentation for the annual 90-minute power test for emergency lights; last report was from 1/15/24.

Commercial kitchen hood cleaning documentation missing prior to 08/22/24.

Missing documentation for quarterly sprinkler inspections, 5-year internal piping inspection, annual trip test, 3-year dry system full flow test, and annual backflow forward flow test.

Missing smoke detector sensitivity test report.

Missing documentation for monthly carbon monoxide detector maintenance from May-November 2024.

Missing documentation for annual fire alarm system testing and maintenance.

Fire alarm pull stations obstructed by recycle bin (office) and wheelchair (50S hallway).

Facility failed to complete a character, competence, and suitability (CCS) review for 1 staff member who had a non-disqualifying criminal conviction.

Facility failed to include specific instructions in the negotiated service agreement regarding food and fluid intake for a resident receiving hospice services, placing the resident at risk for aspiration.

The facility failed to ensure staff were credentialed and qualified to provide nurse delegated services. Specifically, a medication technician performed blood sugar checks and insulin administration without the required nurse delegation training, certification, or registration.