Brookdale New Hope

The facility failed to ensure that one resident sampled was tested for tuberculosis disease upon admission. Records showed no documentation of a TB skin test being completed prior to the resident's admission on 11/16/24.

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The facility failed to ensure that resident care plans were signed and dated by the Primary Care Provider (PCP) within 15 days of completion. This was evidenced by two of five sampled residents, including Resident #3 and Resident #4, having care plans that lacked the required physician signature.

The facility failed to ensure that one of five sampled residents was tested for tuberculosis disease upon admission in compliance with required control measures. Specifically, Resident #3's record showed no documentation of a completed TB skin test prior to their admission.

The facility failed to ensure that one of three sampled Medication Aides had completed the required medication administration training. A review of the employee's personnel file showed no documentation of successful training, and the employee confirmed they did not possess a copy of their training records.

The facility failed to maintain an accurate and current listing of residents with physician-ordered therapeutic diets in the kitchen. Observations revealed that the posted therapeutic diet lists were outdated and did not match the current physician orders for sampled residents.

The facility failed to ensure that one of three sampled Medication Aides had completed the required medication administration training. A review of the employee's personnel file showed no documentation of successful training completion.

The facility failed to ensure that therapeutic diets, including texture-modified diets and thickened liquids, were served as ordered by the resident's physician. Specifically, for two sampled residents, the kitchen's therapeutic diet list incorrectly indicated that chopped meats could be served, which did not align with the physician's order for a mechanical soft diet.

The facility failed to ensure therapeutic diets were served as ordered for residents requiring texture-modified diets. Specifically, a resident ordered to have ground meats was observed being served pork chops cut into 1-inch cubes during lunch service.

The facility failed to ensure walls and doors in resident rooms #37 and #40 were in good repair. Specifically, multiple doors and door frames exhibited scratches revealing bare wood, black scuff marks, and broken trim. Additionally, sheetrock was gouged or missing, and a bathroom sink cabinet door was off its hinges.

The facility failed to ensure that walls and doors in resident rooms #37 and #40 were kept in good repair. Specifically, in room #37, multiple doors and door frames exhibited scratches revealing bare wood, scuff marks, and loose or splintered components, while walls showed gouges and missing sheetrock.