Brookdale Winston-Salem

The facility failed to ensure one of five sampled residents had completed the required two-step tuberculosis (TB) testing. While the resident had a negative first-step skin test recorded, there was no documentation of the second-step test following their admission.

The facility failed to ensure proper referral and follow-up for a resident's routine healthcare needs. Specifically, the facility failed to follow a physician's order to hold lisinopril and notify the Primary Care Provider when the resident's blood pressure readings fell below the specified threshold of 110/70.

The facility failed to ensure proper referral and follow-up to meet the routine healthcare needs of residents. Specifically, staff failed to follow a physician's order to hold lisinopril and notify the Primary Care Provider when blood pressure readings were 110/70 or lower. This resulted in the medication being administered despite readings that met the criteria for withholding the dose.

The facility failed to ensure that a Licensed Health Professional Support (LHPS) assessment was completed within 30 days of admission or quarterly thereafter for three sampled residents. Specifically, assessments for tasks including catheter care, fingerstick blood sampling, insulin injections, and TED stocking application were not performed within the required timeframe.

The facility failed to ensure that a Licensed Health Professional Support (LHPS) assessment was completed within 30 days of admission or quarterly thereafter for three sampled residents. Specifically, assessments for tasks including catheter care, fingerstick blood sampling, insulin injections, and TED stocking application were not performed within the required timeframe.

The facility failed to ensure that a Licensed Health Professional Support (LHPS) assessment was completed within 30 days of admission or quarterly thereafter for 3 of 5 sampled residents. Specifically, assessments were missing for residents requiring catheter care, fingerstick blood testing, medication administration via injection, and assistance with transfers.