Brighton Gardens of Raleigh

The facility failed to maintain a safe environment due to unsecured oxygen tanks. Multiple observations across four resident rooms revealed numerous portable oxygen cylinders sitting upright on the floor without being secured in a rack, cart, or holder.

The facility failed to maintain a safe environment due to unsecured oxygen tanks. Multiple observations across several resident rooms revealed portable oxygen cylinders sitting upright on the floor instead of being secured in a rack, cart, or holder.

The facility failed to respond to resident calls for assistance in a timely manner. A resident reported not using their call pendant due to slow response times, and staff admitted that residents often waited longer than 30 minutes for assistance.

The facility failed to provide adequate supervision for a resident with dementia, confusion, and wandering behaviors. This lack of supervision resulted in the resident exiting the facility with a walker, crossing a busy city street, and falling where they remained until discovered by a passing bus.

The facility failed to ensure that two of two sounding exit door alarms and locks accessible to residents were properly functioning and audible to staff in the Special Care Unit. This failure occurred in a unit where a resident had previously been able to elope.

The facility failed to ensure that two of two sounding exit door alarms and locks accessible to residents were properly working and at a sufficient volume for staff to hear in the Special Care Unit. This failure occurred in a unit where a resident with wandering behaviors was able to elope.

The facility failed to ensure 8 ounces of milk was served twice daily to residents in the Assisted Living Unit (ALU) and Special Care Unit (SCU). Observations and interviews revealed that milk was often only provided during breakfast if residents were eating cereal, and residents frequently had to ask for milk themselves during lunch and dinner.

The facility failed to ensure that 8 ounces of milk was served twice daily to residents on the Assisted Living Unit (ALU) and the Special Care Unit (SCU). Observations and interviews revealed that milk was not offered during lunch or dinner, and residents often had to specifically ask for it. In some instances, milk was only provided during breakfast if the resident was eating cereal.

The facility failed to equip two exit gates for the special care unit courtyard with sounding devices that activate when opened. This lack of notification resulted in two residents with dementia exiting the courtyard unsupervised and being found by maintenance staff near the employee parking lot.