Brookdale Torbett

Facility failed to ensure prescribed medications were available for 3 of 4 sampled residents, leading to missed doses, resident agitation, and risk of health decline. This is a recurring citation.

The licensee failed to ensure medications were available for three residents, resulting in missed doses, one resident exhibiting agitation, and increased risk for a decline in chronic health conditions.

The facility failed to implement and manage appropriate infection control practices, provide necessary supplies, and ensure staff had required training/protection during a norovirus and COVID-19 outbreak.

Resident 1 was left for over three hours without sheets or clothing while bed-bound due to short staffing.

Resident 1 was left for over three hours without sheets or clothing while bed-bound due to short staffing.

Facility failed to ensure medications were given as prescribed and lacked a safe medication system for 5 of 7 sampled residents.

Facility failed to monitor and take action for Resident 6's contagious skin condition (scabies).

Facility failed to ensure staff were screened for tuberculosis within three days of hire for 2 of 4 staff (Staff C and D).

Facility failed to ensure required two-year background check submissions for 2 of 3 staff members (E and F).

Facility failed to ensure resident access to their rooms without staff assistance and failed to provide outdoor areas protected from rain and sun.

Facility failed to maintain signed/documented consent, quarterly reevaluations, and Negotiated Service Agreement (NSA) documentation for electronic monitoring for 4 residents.

Facility failed to ensure Staff B (who had a positive TB test) received a chest X-ray within 7 days.

Facility failed to ensure medication technicians were nurse-delegated for 2 residents (Residents 3 and 6), posing a risk of complications due to incorrectly performed delegated tasks.

Facility failed to ensure staff (A, B, C, and D) received facility orientation.

Facility failed to ensure caregivers (Staff C and E) met long-term care worker training and home care aide certification requirements.

Facility failed to ensure fingerprint background was completed within 120 days for 1 of 2 provisionally hired staff (Staff C).

Facility failed to investigate and document incidents (falls and altercations) for Residents 1, 2, 5, and 7.

The facility failed to implement a safe medication system, resulting in a resident not receiving prescribed laxatives due to a transcription error following a physician order change.

The facility failed to report an allegation of sexual abuse between two residents to the Department's Complaint Resolution Unit (CRU) or local law enforcement.