Brookdale Nine Mile

The licensee failed to provide housekeeping services as agreed upon in negotiated service agreements for six residents, resulting in a lack of cleanliness and risk of unsanitary conditions. This is an uncorrected deficiency previously cited on April 7, 2026.

The facility failed to provide care and services as agreed upon in the negotiated service agreement, but this deficiency was found to be corrected.

Forward flow testing of backflow preventers is required.

Sales/Marketing office had two refrigerators plugged into a powerstrip. Removed at inspection.

The facility failed to ensure a safe medication delivery system was in place and failed to provide medications as prescribed for five residents, resulting in contraindicated medications being administered, missed medications, and vital health measurement omissions.

Facility failed to ensure national fingerprint background checks were completed within 120 days of hire for 3 of 6 staff sampled.

Facility failed to ensure 4 staff members completed required two-step TB testing in a timely manner.

Facility failed to ensure safe medication delivery for 5 residents, resulting in medications administered when contraindicated, missed medications, and omitted vitals.

Facility failed to monitor Resident 1 after falls and failed to evaluate/take action for Resident 4 regarding blood sugar levels outside parameters.

Failure to ensure specialty training for staff serving residents with mental health or dementia needs.

Staff D did not complete required mental health and dementia specialty training.

The facility failed to notify law enforcement and the department of an allegation of sexual assault for two days after the resident reported it to staff.

The facility failed to ensure a safe delivery system for medication administration, resulting in a resident not receiving end-of-life pain and comfort medications, which caused distress and difficulty breathing.

Facility failed to ensure a qualified staff member was onsite to administer necessary end-of-life medications to a terminal resident, resulting in unmet symptom management and distress.

Facility failed to provide medication as ordered for a resident, causing distress and breathing difficulties during the dying process.