Brookdale Lenoir

The facility failed to maintain a hazard-free environment due to several unsecured oxygen tanks. Specifically, six 36-inch tall tanks were found scattered around a resident's room, and one 48-inch tall tank was left unsecured in a vestibule. These unsecured tanks posed a potential obstruction and safety hazard within the resident living areas.

The facility failed to ensure that 4 out of 5 sampled residents were tested for Tuberculosis (TB) disease upon admission. Specifically, documentation was missing to confirm TB testing for certain residents, and in one instance, a required second-step skin test was not completed or documented.

The facility failed to ensure that 4 out of 5 sampled residents were tested for Tuberculosis (TB) disease upon admission. Specifically, for Resident #1, there was no documentation of a completed TB test or an attestation confirming the absence of TB following a hospital chest x-ray.

The facility failed to ensure physician's orders were implemented for a resident, specifically regarding an order for a urinalysis with culture and sensitivity. A review of laboratory results confirmed that the ordered test was never completed despite the order being placed.

The facility failed to ensure physician's orders were implemented for one resident regarding a requested urinalysis with culture and sensitivity. Although the order was placed due to increased confusion, there was no evidence of the laboratory results being completed or documented in the resident's record.

The facility failed to ensure medications were administered according to physician orders for one resident. Specifically, the resident was not receiving their prescribed weekly dose of alendronate, as evidenced by the resident reporting only receiving two doses since June and the physical absence of the medication during observation.

The facility failed to ensure medications were administered as ordered for one resident. Specifically, the facility ran out of alendronate tablets, resulting in the resident not receiving prescribed doses as intended by the physician's orders.

The facility failed to ensure proper referral and follow-up for resident health care needs. Specifically, the facility did not complete a physician-ordered TSH lab for one resident and failed to obtain a clarification order for Donepezil for another resident.