Brookdale Dickinson Avenue

The facility failed to ensure that 2 of 5 sampled residents were tested for tuberculosis disease upon admission in compliance with state control measures. Specifically, one resident lacked documentation of a required second-step TB test, and another resident's records did not demonstrate compliance with admission testing protocols.

The facility failed to ensure that care plans for 2 of 5 sampled residents were certified, signed, and dated by the residents' physicians. Specifically, for Resident #3, the Personal Service Plan lacked the required physician certification despite the resident requiring assistance with certain tasks and using a walker.

The facility failed to ensure that care plans for 2 of 5 sampled residents were certified by the residents' physician and included the physician's dated signature. Specifically, the physician had not signed or dated the Personal Service Plan to authorize services and certify the resident's medical diagnosis and limitations.

The facility failed to ensure proper referral and follow-up for residents' health care needs. Specifically, the facility failed to notify a primary care provider regarding missed doses of an antidepressant for one resident and failed to ensure a follow-up appointment was completed for a resident discharged from the emergency room.

The facility failed to ensure residents' routine and acute health care needs were met by failing to notify a primary care provider regarding missed doses of an antidepressant for one resident and failing to ensure a follow-up appointment was completed for another resident discharged from the emergency room.

The facility failed to ensure proper health care referral and follow-up for two residents. Specifically, vaginal bleeding for one resident was not reported to their primary care provider, and the facility failed to schedule an ordered echocardiogram for another resident with COPD and CHF.

The facility failed to ensure proper health care referral and follow-up for two residents. Specifically, vaginal bleeding for one resident was not reported to their primary care provider, and the facility failed to schedule a physician-ordered echocardiogram for another resident with COPD and CHF.

The facility failed to ensure that medication administration, specifically insulin, was in accordance with prescribing practitioner orders and manufacturer directions. Observations revealed staff failed to perform necessary 'air shots' with insulin pens and did not hold needles in place for the required duration. Additionally, insulin was administered too far in advance of meals, increasing the risk of hypoglycemia.