Brookstone Retirement Center

The facility failed to maintain hot water temperatures at resident bathroom sinks within the required range of 100 to 116 degrees Fahrenheit. Specifically, temperatures were measured at 120 degrees F in room #6 and 118 degrees F in room #8. Despite an attempt to adjust the thermostat, temperatures remained at 120 degrees F in room #6 during a later recheck.

The facility failed to ensure that 8 ounces of milk or equivalent dairy products were served three times daily to 6 of 28 residents in the Special Care Unit. Observations during breakfast and lunch services revealed that while juice, coffee, and water were provided, these specific residents were not served milk or any other dairy alternatives.

The facility failed to ensure that 8-ounce servings of milk or equivalent dairy products were served three times daily to 6 residents in the Special Care Unit (SCU). Review of menus and observations of meal services on 07/10/24 and 07/11/24 confirmed that these residents were not provided with milk or dairy alternatives during breakfast and lunch.

The facility failed to ensure follow-up for a resident requiring portable oxygen. Specifically, the facility did not ensure that all necessary equipment and documentation were available to meet the resident's acute health care needs, resulting in the resident being without portable oxygen tanks despite physician orders.

The facility failed to ensure necessary follow-up and access to portable oxygen for a resident with chronic respiratory failure. Specifically, the resident did not have portable oxygen tanks available for use during exertion, despite physician orders for oxygen use. This lack of equipment placed the resident at risk for increased hypoxia during physical activity.

The facility failed to ensure that 2 of 6 sampled staff members were tested for Tuberculosis disease upon hire. Specifically, documentation showed that staff members were working without required initial TB testing completed at the time of employment.

The facility failed to ensure that 2 of 6 sampled staff members were tested for Tuberculosis disease upon hire. Specifically, documentation showed that staff members were working without required initial TB testing completed at the time of employment.

The facility failed to ensure that all staff were tested for Tuberculosis disease upon hire. Specifically, two of six sampled staff members were not tested for TB at the time of their employment.

The facility failed to provide adequate supervision for a resident in the special care unit. The resident, who had Alzheimer's disease and wandering behaviors, experienced repeated falls that required hip replacement surgery.