Fairwinds - Brighton Court

Facility failed to use an appropriate tool (SLUMS) to annually assess special needs related to dementia for 1 resident.

Facility failed to ensure 2 staff members met training requirements (Mental Health specialty training and continuing education hours).

Facility failed to obtain medications in a timely manner for 1 resident, resulting in missed doses of omeprazole and citalopram.

The facility failed to follow criteria for nurse delegation; unlicensed staff administered eye drops, nasal spray, and topical ointment to Resident 4 without proper training or delegation.

Facility failed to maintain a written plan (FAMT) for 2 sampled residents receiving medication assistance from family members.

Facility failed to ensure 1 staff member completed the required TB screening test within three days of hire.

The facility failed to obtain medications in a timely manner for Resident 4, resulting in missing dosages of citalopram (8 days) and omeprazole (2 days).

The facility failed to document necessary services in the NSA for 2 of 2 sampled residents (Resident 4 and 8), including an alternate plan for hospice aide absence and safety monitoring for blood thinner side effects.

Sprinkler heads in kitchen cooler and freezer exceed the 5-year replacement requirement for harsh environments.

Facility unable to provide documentation for monthly single station smoke alarm testing.

Exit light in hallway near room 299 is not functional/staying on.

Multiple fire doors failed to close and latch automatically, often hanging on carpet or having malfunctioning coordinators.

Missing or improper signage on exhaust hood/system cabinet regarding protected cooking appliances.

No documentation provided for hydrostatic testing of Fire Department Connection.