Brookdale Durham

The facility failed to ensure medications were administered according to physician orders for one resident. Specifically, staff incorrectly administered sliding scale insulin (Lispro) on multiple dates in December 2025, providing doses that did not align with the prescribed fingerstick blood sugar (FSBS) parameters.

The facility failed to ensure medications were administered according to physician orders, specifically regarding sliding scale insulin (SSI) for one resident. Discrepancies were noted between the physician's orders and the instructions recorded in the electronic medication administration record (eMAR). This resulted in incorrect insulin dosing parameters being used during the month of December 2025.

The facility failed to respond immediately to a resident's emergency call following a fall. After the resident activated his emergency pendant, staff did not provide timely intervention, resulting in the resident being left unattended until EMS arrived and eventually requiring hospitalization for a hip fracture.

The facility failed to maintain hot water temperatures at resident fixtures between 100°F and 116°F. Inspections revealed water temperatures as high as 125°F in the Special Care Unit and 123°F in the Assisted Living unit, posing a burn risk to residents.

The facility failed to maintain hot water temperatures at resident fixtures between 100°F and 116°F. Specifically, inspections revealed water temperatures as high as 125°F in the Special Care Unit and 123°F in the Assisted Living unit, posing a burn risk to residents.

The facility failed to clarify a medication order for a resident regarding Levothyroxine. While the electronic MAR indicated the medication should be administered daily, the pharmacy label and punch card instructions only specified administration six days a week. The facility failed to verify or reconcile this discrepancy between the physician's orders, the eMAR, and the pharmacy label.

The facility failed to clarify a medication order for one resident regarding a medication used to treat an underactive thyroid. Specifically, the facility did not ensure that medication directions on the physician's order and pharmacy label correlated with the medication administration record (MAR).

The facility failed to ensure that 8 ounces of milk or equivalent dairy products were served three times daily to residents in the Assisted Living and Special Care Units. Menu reviews and meal observations showed that residents were offered water, tea, or lemonade instead of milk, and the daily menus did not list equivalent dairy products for the surveyed dates.