Brookdale High Point North

The facility failed to ensure that 8 ounces of milk or equivalent dairy products were served three times daily to 28 of 39 residents in the Special Care Unit. Observations and interviews revealed that staff were offering other beverages like water, juice, and tea instead of milk, and some staff members were unaware of the requirement to serve milk with every meal.

The facility failed to ensure that 8 ounces of milk or equivalent dairy products were served three times daily to 28 of 39 residents in the Special Care Unit. Observations and interviews revealed that staff were serving other beverages like water, juice, and tea instead of milk, and some staff members were unaware of the requirement to serve milk with every meal.

The facility failed to ensure that 8 ounces of milk or equivalent dairy products were served three times daily to 28 of 39 residents in the Special Care Unit. Review of menus and meal service observations showed that milk was not consistently provided during lunch and breakfast services, with residents being served alternative beverages instead.

The facility failed to ensure that one of three sampled staff members acting as a medication aide met all required training and employment verification standards. Specifically, Staff B was observed passing medications without documentation of the required 5, 10, or 15-hour medication aide training or prior medication aide employment verification.

The facility failed to ensure that one of three sampled staff members met the required training or employment verification criteria for medication aides. Specifically, the staff member had not completed the required medication aide training or demonstrated prior experience within the required timeframe prior to administering medications.

The facility failed to ensure adequate supervision for two residents with a history of frequent falls. Specifically, one resident fell four times in two weeks resulting in sutures, and another fell five times in six weeks resulting in skin tears.

The facility failed to provide adequate incontinence care to a resident, as evidenced by redness and blanching on the resident's sacrum and coccyx. Despite the resident's care plan requiring assistance for toileting and hygiene, staff failed to maintain skin integrity during care.