Brookdale Skeet Club

The facility failed to ensure physician orders were implemented for a resident requiring thrombo-embolic deterrent (TED) hose. Specifically, electronic medication administration records showed multiple dates in January, February, and March 2025 where the TED hose were documented as not available.

The facility failed to ensure medications were administered as ordered for two of five sampled residents. Specifically, the facility failed to properly administer a gel for pain and a laxative for one resident, and a pain patch for another resident.

The facility failed to ensure physician orders for thrombo-embolic deterrent (TED) hose were implemented for one resident. Records showed frequent instances where the TED hose were documented as not available, and staff observations confirmed the resident was not wearing them during the survey.

The facility failed to ensure proper referral and follow-up to meet the healthcare needs of a resident regarding International Normalized Ratio (INR) laboratory results and warfarin dosage changes. Specifically, the facility did not timely process or act upon physician orders to adjust blood thinner dosages based on updated lab values.

The facility failed to ensure proper referral and follow-up to meet the healthcare needs of a resident. Specifically, the facility did not ensure the necessary follow-up regarding routine International Normalized Ratio (INR) laboratory results and subsequent changes to a resident's warfarin dosage.

The facility failed to ensure medication administration was in accordance with physician orders for one resident. Specifically, Lisinopril was administered despite systolic blood pressure readings being below the required threshold of 140 on multiple occasions in November and December 2016.

The facility failed to ensure medication administration was in accordance with physician orders for Resident #2. Specifically, Lisinopril was administered despite systolic blood pressure readings being below the ordered threshold of 140 mmHg on multiple occasions in November 2016, December 2016, and January 2017.