Brookdale University Park

A relicensure survey with complaint #CO35408 was completed on 9/3/24. A deficiency was cited. Based on record review, observation, and interview, the residence failed to make a sanitary environment available, either directly or indirectly through a resident agreement, affecting four of four sample residents.Findings include1. References The residence' s September 2024 resident agreement read in part, the residence will in good effort provide the care and services indicated in the resident' s care plan. 2. Record Review Resident #1 was admitted to the residence on 1/20/22 with diagnoses of benign prostatic hyperplasia with lower urinary tract symptoms and dementia. A care plan, dated 4/29/24, read in part the resident was incontinent of bladder and bowel. Resident #1 required assistance with incontinence products and toileting needs. According to the incontinence product instructions on the package, wearing multiple incontinence products at one time could cause leaks and skin damage. There was similar deficient practice for Resident #3, #5 and #7.3. Interviews On 9/3/24 at 9:26 a.m., Staff #1 stated she often saw that Resident #1 had two incontinence products on him. She stated some staff place two incontinence products on residents who had higher care needs such as Residents #3 and #5. On 9/3/24 at 11:36 a.m., Resident #3 stated staff usually placed two incontinence products on her every time they assisted her with toileting. On 9/3/24 at 11:45 a.m., Resident #5 stated when staff assisted her with toileting, they always put two incontinence products on at a time except for the morning of 9/3/24.On 9/3/24 at approximately 12:00 p.m., Staff #5 stated she often saw that staff had placed two incontinence products on Resident #1 and Resident #3 at 6:00 a.m., the beginning of her shift. She also stated that throughout the day when she went to check on the residents, they had more than one incontinence product on them. She acknowledged that placing two incontinence products on residents was unsafe.On 9/3/24 at 2:02 p.m., the health and wellness director (HWD) stated she was unaware staff placed more than one incontinence ..