Brookdale Alderwood

Facility failed to document in the Personal Service Plan the plan for health support services, roles and responsibilities, and an alternate plan for a resident with an indwelling catheter.

Facility failed to maintain the required emergency supply of food and water for 40 Memory Care Unit residents.

Facility failed to properly date ready-to-eat food in the Memory Care Unit refrigerator and staff lacked valid food worker cards.

Primary kitchen GFCI next to fire extinguisher is blinking red, indicating malfunction.

Facility unable to provide documentation for semi-annual hood cleaning.

Main kitchen gas appliances on casters are not tethered to wall.

Fire doors to dining and living areas in country wing blocked; door propped open in room 26.

Fire doors not properly latching in rooms 40, 42, 39 and Boat House kitchen.

Hydraulic calculation plate missing on riser.

Documentation unavailable for semi-annual kitchen suppression service.

Detector missing in sprinkler room; smoke detector covers hanging in rooms 43 and 47.

Memory care wander garden exterior gates system lacks instructions for exiting within six feet of the door.

The facility failed to implement their 'Change of Condition' policy when a resident was unable to ambulate or transfer independently and was experiencing pain, resulting in a delay in medical evaluation for a broken hip.

The licensee failed to implement their Change of Condition policy for a resident who could no longer ambulate or transfer independently and was experiencing pain, resulting in a delay in medical evaluation for a broken hip.

Medication Technician (Staff C) failed to practice proper infection control (hand hygiene/gloving) while administering medications to multiple residents.

Facility failed to protect resident privacy by storing notebooks with personal/clinical info in public areas and leaving medication cart computer screens unlocked with resident info displayed.

Facility failed to ensure Staff C completed the required post-hire one-step tuberculin skin test (TST).

Medication cart in Memory Care unit was left unlocked and unattended while residents were nearby, with keys left on the cart.

Staff failed to observe residents ingest medications after dispensing and failed to prepare/administer medication as prescribed.

Facility failed to secure hazardous items (all-purpose cleaner, stove controls) in areas accessible to residents, including those with dementia.

Facility failed to ensure wet mops were stored correctly, leaving a wet mop in a basin with brown water.

Facility failed to update the assessment for Resident 5 after a change in diet and care needs.

Facility failed to ensure residents had a means to call for assistance from living rooms and sleeping rooms in all apartments, as the facility did not require all residents to wear pendant systems.

Facility failed to ensure staff were properly credentialed to provide care; an activity director who was not credentialed performed a transfer of a resident, resulting in a hand fracture.

The facility failed to document resident consent, specific duration for monitoring, and quarterly re-evaluations for the use of the SafelyYou Fall Detection System for 2 of 3 residents.

Facility failed to implement policy on documenting an unstageable wound for Resident 1, resulting in no documentation of the wound.

Facility failed to update the Negotiated Service Agreement (NSA) for Resident 1 following a significant change in condition and development of an unstageable wound.

Facility failed to implement the NSA for Resident 2 by not providing turning, repositioning, and incontinence care every two hours, contributing to pressure injuries.