Brookdale Salisbury

The facility failed to ensure that 2 of 3 sampled medication aides had completed the required 5-hour, 10-hour, or 15-hour training course prior to administering medications. Specifically, one staff member had started an online course but had not completed it, and the facility lacked documentation to verify training from previous employers.

The facility failed to ensure that 2 out of 3 sampled medication aides had completed the required 5-hour, 10-hour, or 15-hour training course prior to administering medications. Personnel records for Staff A and Staff B lacked documentation of the required training completion, and staff members were found to be administering medications without verified certificates.

The facility failed to ensure water was served to each resident at each meal in addition to other beverages. Observations and interviews revealed that for 33 of 52 assisted living residents, water was not provided during lunch on 04/22/25, and for 18 residents, water was not provided during breakfast on 04/23/25.

The facility failed to ensure water was served to each resident at each meal in addition to other beverages. Observations and interviews revealed that for many residents, water was only provided if specifically requested, rather than being served routinely as required by the daily menu.

The facility failed to ensure a Licensed Health Professional (LHP) performed required evaluations for Resident #2. Specifically, there was no LHP evaluation completed for the resident between February 7, 2023, and January 4, 2024, despite the resident requiring tasks such as insulin administration and fingerstick blood sample testing.

The facility failed to ensure that a Licensed Health Professional Support (LHPS) evaluation was completed at least quarterly for a resident requiring medication administration through injections and assistance with assistive devices. Specifically, for Resident #2, no LHPS evaluation was performed between February 7, 2023, and January 4, 2024.

The facility failed to ensure that 4 of 5 sampled residents had completed required tuberculosis (TB) testing in compliance with established control measures. Specifically, one resident had no documentation of a TB skin test despite having a chest X-ray to rule out active disease.

The facility failed to ensure timely follow-up for physician referrals to meet the health care needs of residents. For one resident, there was no documentation of a psychiatrist visit or a home health nurse consult despite physician orders being placed in February and March 2022.

The facility failed to ensure that one of five sampled residents had completed required tuberculosis testing in compliance with established control measures. Specifically, there was no documentation of a TB skin test for Resident #3, and the administrator noted that the required two-step testing process was not completed following a previous serum shortage.

The facility failed to assure the necessary referral and follow-up services required to meet the routine and acute health care needs of residents.