Brookstone Terrace of Thomasville

The facility failed to ensure one of five sampled residents was tested for Tuberculosis (TB) disease upon admission. Specifically, Resident #4 was admitted in November 2023, but there was no record of a TB screening evaluation being performed.

The facility failed to ensure physician follow-up was completed for one of five sampled residents who had heart rate values outside of ordered parameters. For Resident #5, multiple instances were identified where the heart rate fell below the ordered threshold of 60, but there was no documentation that the primary care provider was notified.

The facility failed to ensure that one of five sampled residents was tested for Tuberculosis (TB) disease upon admission in compliance with required guidelines. Specifically, Resident #4 was admitted in November 2023 without a documented TB screening evaluation, and staff incorrectly believed a previous chest x-ray was a sufficient substitute for the required screening.

The facility failed to ensure proper referral and follow-up to meet the health care needs of residents, specifically regarding medication refusals for Resident #3. This resulted in a lack of necessary communication with the Primary Care Provider to clarify orders following medication non-compliance.

The facility failed to ensure that medication administration was in accordance with physician orders. Specifically, there were issues with the administration and documentation of PRN medications, controlled substances, and warfarin therapy for certain residents.

The facility failed to follow proper medication administration recording procedures, which prohibit pre-charting. Additionally, there were instances where medications were left untended and available in resident apartments or common areas.

The facility failed to ensure proper referral and follow-up for a resident's health care needs. Specifically, the facility did not notify the physician after a resident refused Symbicort inhaler doses more than three times, violating the facility's own medication administration policy.

The facility failed to notify the primary care provider for Resident #2 regarding blood pressure readings that exceeded physician-ordered parameters. Specifically, there were numerous instances in June, July, and August 2019 where blood pressure readings were outside the prescribed range, yet no documentation of provider notification was found in the resident's record. Staff utilized a tablet for communication but failed to document these interactions in the resident's medical record as required.

The facility failed to ensure proper referral and follow-up for a resident's health care needs. Specifically, staff failed to notify the primary care provider regarding multiple instances where blood pressure readings exceeded the physician-ordered parameters. This failure occurred across numerous documented opportunities in June and July 2019.

The facility failed to ensure that all exit doors accessible to residents are equipped with a sounding device that activates when opened. Specifically, the front entrance door alarm did not sound upon entry, posing a risk to a resident with dementia known to exhibit wandering and exit-seeking behaviors.

The facility failed to ensure that all exit doors accessible to residents are equipped with a sounding device that activates when opened. Specifically, the front entrance door alarm did not sound upon entry, posing a risk to a resident with dementia known to exhibit wandering and exit-seeking behaviors.