Brookdale Skyline

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Nursing and Physician Services Deficiencies

Observe each nurse aide's job performance and give regular training.

Emergency Preparedness Deficiencies

Establish policies and procedures including evacuation.

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

Smoke Deficiencies

Provide properly protected cooking facilities.

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Services Deficiencies

Have elevators that firefighters can control in the event of a fire.

Services Deficiencies

Install properly constructed and protected linen or trash chutes.

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Services Deficiencies

Install properly constructed and protected linen or trash chutes.

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Resident Rights Deficiencies

The resident has the right to receive notices in a format and a language he or she understands.

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Assist a resident in gaining access to vision and hearing services.

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Environmental Deficiencies

Keep all essential equipment working safely.

Smoke Deficiencies

Provide properly protected cooking facilities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Emergency Preparedness Deficiencies

List the names and contact information of those in the facility.

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

Smoke Deficiencies

Provide properly protected cooking facilities.

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

A complaint survey, prompted by #CO40297 was conducted on 6/10/25 to 6/11/25. One deficiency was cited. Based on observations, record review and interviews, the facility failed to ensure residents who were unable to carry out activities of daily living (ADL) received the necessary services to maintain proper personal hygiene for three (#6, #8 and #9) of seven residents reviewed for ADLs out of 13 sample residents. Specifically, the facility failed to:-Ensure staff used a gait belt when transferring Resident #6 from a recliner to the wheelchair while taking the resident to his room to provide incontinence care;-Ensure staff properly used a Hoyer lift (mechanical lift) when transferring Resident #8 to her bed to provide incontinence care; and,-Ensure Resident #8 and Resident #9 were provided with timely incontinence care.Findings include:I. Professional reference According to the Joerns Hoyer manufacturer guidelines, 2021, retrieved on 6/16/25, from https://www.https://www.joerns.com/product/hoyer-pro-slings/,"A sling is an item of moving and handling equipment that is used with a mechanical lift in order to facilitate the transfer of a patient. It comprises a specially designed and constructed piece of fabric that is placed under and/or around a patient before being attached to the spreader bar/cradle of a lift to raise, transfer and lower the patient. When selected and used correctly, a sling and lift combination will achieve a safer transfer and reduce the risks associated with manual handling."Cross over leg straps, pass one leg strap through the other and attach to the hoist on the front hooks."II. Facility policy and procedureThe Supporting the Activities of Daily Living policy, revised February 2024, was provided by the assistant director of nursing (ADON) on 6/11/25 at 5:10 p.m. It read in pertinent part, "Residents who are unable to carry out activities of daily living independently should receive theservices necessary to maintain good nutrition, grooming, personal and oral hygiene."Appropriate care and services should be provided for residents who are unable to carry outADLs independently, with the consent of the resident and/or resident representative and inaccord..

A recertification survey with complaints #CO34869 and #CO38476 was completed on 4/15/25 to 4/17/25. Five deficiencies were cited. An Emergency Preparedness survey was conducted from 4/15/25 to 4/17/25. Two deficiencies were cited. Based on observation, record review and staff interviews, the facility failed to develop and implement policies and procedures to provide for the safe evacuation from the facility in the event of an emergency.Specifically, the facility failed to develop a safe evacuation plan in the event the elevators were not usable for the third, fourth and fifth floors, which included consideration of care and treatment needs of the evacuees and staff responsibilities.Findings i.. Based on observations and interviews, the facility failed to ensure an infection prevention and control programs (IPCP) was maintained and followed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections on one of three units. Specifically, the facility failed to ensure staff wore the appropriate PPE when providing wound care for Resident #50 who was on enhanced b.. Based on observations, record review and interviews, the facility failed to ensure meals were served according to the resident' s preferences for one (#103) of three residents out of 27 sample residents. Specifically, the facility failed to ensure Resident #103 received the meal items she ordered. Findings include: I. Resident #103 A. Resident status Resident #103, age greater than 65, was admitted on 4/9/25. According to the A.. Based on observations, record review and interviews, the facility failed to ensure residents who needed respiratory care was provided such care, consistent with professional standards of practice for one (#1) of two residents reviewed for the use of supplemental oxygen of 27 sample residents. Specifically, the facility failed to ensure Resident #1' s oxygen was consistently administered according to physician' s orders. Findings include: I. Facility po.. Based on observations, record review, and interviews, the facility failed to ensure a resident who displayed or was diagnosed with dementia received the appropriate treatment and services to attain or maintain his or her highest practical physical, mental, and psychosocial well-being for two (#29 and 42) of three residents reviewed for dementia care out of 27 sample residents. Specifically, the facility failed to effectively identify person-centered approaches fo.. Based on record review and interviews, the facility failed to complete a performance review of every nurse aide at least once every 12-months and provide regular in-service education based on the outcome of these reviews for two of two certified nurse aides (CNA).Specifically, the facility failed to complete annual performance reviews and provide regular in-service education based on the outcome of the reviews for CNA #2 and CNA #3.Findings include:I. Facility .. Based on record review and interviews, the facility failed to conduct two exercises annually to test the facility' s emergency plan and maintain documentation of the facility' s response to all drills, tabletop exercises, and emergency events, and then revise the facility' s emergency plan, as needed.Specifically, the facility failed to:-Participate in a community-based or facility based-full scale exercise and/or actual emergency in the previous 12- month cycle; and,..