Brookdale Admiral Heights

Facility failed to provide documentation showing annual 1.5 hour power test for exit signs and emergency lights.

Kitchen exit to dining area had a rag tied to the fire door keeping it from latching.

Facility failed to provide documentation showing monthly inspection of single station and multiple station smoke alarms.

Gas-fired appliances need to be tethered per manufacturer's instruction.

Facility failed to provide documentation for: 3-year dry system full flow trip test, annual forward flow test for backflow, and 5-year fire department connection hydrostatic test.

Fire/smoke damper report from 3/26/2023 shows dampers that failed; need report showing dampers have been fixed and subsequent one year inspection.

1st floor SW exit blocked by chairs and walkers; exit out of back of kitchen blocked by 5-gallon bucket and boxes.

Facility failed to include necessary care information in Negotiated Service Agreements for 4 residents (1, 4, 5, and 7), specifically regarding medication assistance and side effect monitoring for blood thinners.

Facility failed to ensure 1 of 4 sampled staff members (Staff A) was screened for tuberculosis within three days of employment.

Facility failed to follow a dietary order for a sodium-restricted diet for 1 of 1 sampled resident (Resident 8), resulting in the resident receiving a regular diet since June 2025.

Facility failed to perform required annual dementia assessments for Resident 3 and failed to update the Bedside Mobility Device Risk Evaluation for Resident 6.

Facility failed to maintain cold food temperatures at 41°F or less in the salad bar and failed to ensure 1 staff member had a valid food worker card.

Facility failed to administer medications as prescribed for Residents 2 and 5; staff held anti-itch lotion without an order and failed to hold losartan as required by pulse/blood pressure parameters.

Facility failed to ensure 2 of 2 newly hired staff members (Staff B and C) received facility orientation and 1 of 1 staff member (Staff E) completed required mental health specialty training.

Facility failed to follow a dietary order from an external provider for Resident 8.

Facility failed to maintain carpeting in 2 of 8 sampled resident apartments (Resident 6 and 7), which were observed to be stained and unclean.

A spray bottle of disinfectant was left in the ice cream bar in the main dining room, accessible to 10 ambulatory residents with cognitive impairment.

Exposed wires found on soup warmer in kitchen.

Loose receptacle in kitchens entrance outside of housekeeping room; broken receptacle cover in kitchen.

Blocked electrical panels in 4th floor PPE room and 3rd floor PPE room.

Annual forward flow test (NFPA 25 13.7.2) documentation not provided.

Hood filters in kitchen need verification that no gaps are present allowing grease pass.

Fire extinguisher found mounted above 5ft from floor.

Missing Carbon Monoxide alarms in area directly connected to a fossil fuel burning appliance.

Documentation for fire door inspection schedule and results not provided.

Failed to maintain confidentiality of resident records; 'Resident/Staff Sample List' marked 'Confidential – Do Not Post' was found in a public binder.

Failed to ensure a staff member was screened for TB within three days of employment; test was administered four months after hire.

Failed to ensure 3 of 3 sampled pets were certified by a veterinarian to be free of diseases transmittable to humans.

Failed to include protocols in the Negotiated Service Agreement for recognizing/managing hypoglycemia and hyperglycemia symptoms, and failed to include safety instructions for anticoagulation therapy side effects for a resident.

Failed to keep carpets in 3 of 7 sampled resident apartments clean and free of significant dirt and staining.

Failed to complete necessary assessments, risk/benefit statements, or documentation for an Adult Portable Bed Rail (APBR) used by a resident, and the device was not properly secured.