Brookdale East Broad

The facility failed to ensure proper referral and follow-up to meet the routine and acute health care needs of residents. Specifically, for one sampled resident, the facility did not ensure the administration of prescribed medications (azithromycin and benzonatate) ordered by the primary care provider to treat a cough and an infection.

The facility failed to ensure necessary medical follow-up and medication administration for a resident. Specifically, the facility did not process or administer prescribed azithromycin and benzonatate despite receiving a faxed order from the resident's primary care provider.

The facility failed to keep ceilings and floor coverings clean and in good repair. Specifically, resident rooms #20 and #26 had water-stained ceilings, and multiple resident rooms (#1, #3, #4, #5, #7, #12, #21, and #30) had carpets with numerous dark splotches, stains, and smears.

The facility failed to ensure that medication administration was in accordance with physician orders and facility policies. This was evidenced by discrepancies between resident charts and medication administration records (MAR) regarding current orders.

The facility failed to keep ceilings and floor coverings clean and in good repair. Specifically, several resident rooms had beige carpets with numerous dark splotches, stains, and smears, and ceilings in rooms #20 and #26 exhibited water stains. Resident interviews and record reviews confirmed that some carpets had not been professionally cleaned recently and some stains were permanent.

The facility failed to keep floor coverings clean and in good repair. Observations revealed numerous dark splotches, stains, and smears on the carpets in the hallways, activity room, and 13 different resident rooms.

The facility failed to ensure consistent reporting of incidents to the county department of social services. While the plan of correction addresses the need for a tracking system, the deficiency indicates a failure in the established process for notifying the department of incidents requiring medical evaluation or hospitalization.

The facility failed to keep floor coverings clean in the hallways, activity room, and 13 resident rooms. Observations revealed numerous dark splotches, stains, smears, and spots on the carpets throughout these areas. Interviews indicated that carpet shampooing had not been a priority and some stains had been present for over a year.