Brookdale Northwest Greensboro

The facility failed to serve therapeutic diets as ordered for a resident requiring a texture-modified (mechanical soft) diet. Specifically, the resident was served a whole chicken leg and whole broccoli florets instead of the required chopped, bite-sized pieces, rendering the meal inedible for the resident.

The facility failed to ensure that all therapeutic diets, including nutritional supplements and thickened liquids, were served according to the physician's orders. This lack of compliance regarding prescribed dietary requirements was identified during the inspection.

The facility failed to administer medications as ordered by a licensed prescribing practitioner for one resident. Specifically, the facility did not administer doses of omeprazole used to treat acid reflux on several dates in May 2022, as evidenced by gaps in the electronic medication administration record.

The facility failed to administer medications as ordered by a licensed prescribing practitioner for one resident. Specifically, the resident did not receive several doses of omeprazole, a medication used to treat acid reflux, due to gaps in medication availability and issues with the refill request process.

The facility failed to properly implement processes to protect resident rights regarding the accuracy of medical order transcription. This failure impacted the oversight of new order tracking and the execution of physician-ordered care.

The facility failed to maintain an accurate medication administration record (MAR). There were deficiencies in the proper transcription of physician orders and the accuracy of the documentation regarding medication administration.

The facility failed to ensure a necessary medical referral and follow-up were completed for a resident. Specifically, a required cardiology appointment for a Holter monitor, as noted in hospital discharge summaries and physician orders, was not scheduled or tracked.

The facility failed to ensure that medication administration and treatments were performed in accordance with licensed practitioner orders. This included issues with the accuracy of transcription and following physician orders for resident care.

The facility failed to ensure a medical referral was scheduled for a resident who required a cardiologist appointment for a Holter monitor. Although the physician had ordered the referral, the facility did not follow up to ensure the appointment was completed, leaving the resident's acute health care needs unmet.

The facility failed to maintain hot water temperatures between 100 and 116 degrees Fahrenheit at 10 different sinks in resident rooms on Hall #1. Specifically, temperatures were observed as high as 138 degrees F, with visible steam present in one instance. Resident interviews confirmed that water temperatures had been excessively hot for at least one year.

The facility failed to maintain hot water temperatures at resident sinks between 100 and 116 degrees Fahrenheit. Specifically, 10 out of 10 water fixtures on Hall #1 were found to have temperatures exceeding the 116-degree limit, with some reaching as high as 138 degrees F. Residents reported that the water had been too hot for at least one year.