Brookdale Concord Parkway

The facility failed to ensure that a resident's care plan was signed and dated by the primary care physician within 15 calendar days of the assessment completion. Specifically, for Resident #5, the physician signed the care plan on 05/08/24, which was outside the required 15-day window following the 04/11/24 completion date.

The facility failed to ensure that residents received therapeutic diets as ordered by their physicians regarding texture-modified diets. For Resident #2, a physician order dated 07/15/24 required a change to a mechanical soft diet and nectar/mildly thickened liquids, but the dietary menu for 07/24/24 did not reflect appropriate adherence to these requirements.

The facility failed to ensure that a resident's care plan was signed and dated by the primary care physician within 15 calendar days of the assessment completion. Specifically, for Resident #5, the care plan was signed by the physician on 05/08/24, which exceeded the required 15-day window following the assessment completion.

The facility failed to ensure an annual FL2 medical examination was completed for 2 of 5 sampled residents. Specifically, one resident lacked an updated FL2 signed by a primary care provider after August 2021, and another resident had no documentation of an annual FL2 completion between November 2021 and November 2022.

The Health and Wellness Director failed to check the tracker for completion of required FL2s due to high staff turnover. The facility must ensure resident assessments are completed within 30 days of admission and at least annually thereafter.

The facility failed to ensure an annual FL2 medical examination was completed for 2 of 5 sampled residents. Specifically, Resident #3 did not have an updated FL2 signed by a provider after 08/04/21, and Resident #1 lacked documentation of an annual FL2 between their initial 11/04/21 exam and their 11/30/22 exam.

The facility failed to administer medications as ordered for one resident. Specifically, the facility failed to ensure the administration of ursodiol, a medication for liver disease, as evidenced by a gap in medication delivery from the pharmacy in late December 2019.

The facility failed to administer medications as ordered for a resident receiving treatment for liver disease. Specifically, the facility failed to provide ursodiol 500mg for two separate 10-day periods due to a failure to coordinate with the pharmacy and physician regarding medication backorders.

The facility failed to maintain accurate nutritional tracking tools and seating charts. The color-coded therapeutic diet seating chart and the nutrition tracker were not updated to reflect a resident's new diet order, leading to the incorrect meal being served.

The facility failed to ensure that therapeutic diets, including texture-modified diets, were served as ordered by the resident's physician. Specifically, a resident prescribed a texture-modified diet was served a regular diet with whole pieces of meat, and the facility's tracking tools had not been updated to reflect recent physician orders.

The facility failed to ensure therapeutic diets, specifically regular diets with chopped meats, were served as ordered by the physician. During a meal observation, a resident was served a whole piece of sliced ham instead of the required chopped texture. This discrepancy was noted across the physician's diet order, the facility's modified diet list, and the nutrition tracker tool.