Brookdale Eden

The facility failed to ensure that 2 of 5 sampled residents completed a tuberculosis (TB) skin test prior to admission. Specifically, one resident had a chest x-ray but no documentation of a one-step TB skin test, and another resident lacked documentation for either a TB skin test or an interferon-gamma release assay (IGRA).

The facility failed to ensure that 2 of 5 sampled residents completed a tuberculosis (TB) skin test prior to admission. Specifically, one resident had a chest x-ray but no documentation of a one-step skin test, and another resident had no documentation of a skin test, IGRA, or a positive test to justify using an x-ray instead.

The facility failed to provide care and services in accordance with the resident's care plan. (Note: The provided text truncates the specific finding for this tag, only showing the regulation and the start of the plan of correction).

The facility's Executive Director or Nurse Manager/designee is required to audit resident records to ensure all needed or due LHPS are completed monthly.

The facility failed to ensure proper referral and follow-up to meet the health care needs of a resident requiring weekly INR monitoring. Specifically, there were no physician orders on the FL2 for INRs despite a previous order for weekly self-monitoring, and there was no documentation explaining why Coumadin doses were held on multiple dates in May 2022.

The facility failed to ensure that one of three sampled staff members was tested for tuberculosis disease upon hire. Specifically, there was no documentation of a TB skin test for a medication aide at the time of employment, and the employee's previous test results were not provided or verified as being within the required timeframe.

The facility failed to ensure medications were administered according to physician orders for two residents. Specifically, for Resident #3, several one-time doses of Coumadin (12.5 mg on 8/11/16 and 10 mg on 8/30/16) and a scheduled dose on 8/31/16 were not administered as prescribed.

The facility failed to ensure that medications were administered according to physician orders. Specifically, for two sampled residents, Coumadin doses were not administered or documented as prescribed, including missed doses of 12.5 mg and 10 mg as ordered.