Inspection Reports for Brookdale College Place

The Department completed a follow-up inspection of the Assisted Living Facility on 03/04/2025 to verify correction of previously cited deficiencies.

The follow-up inspection found no deficiencies, indicating that previously cited issues related to maintenance and housekeeping were corrected.

The document informs the facility administrator that the Informal Dispute Resolution request for the Statement of Deficiencies dated January 29, 2025, was denied because the request was submitted after the required deadline.

The IDR request was denied without further process due to late submission; the facility did not meet the required timeframe for requesting an informal dispute resolution meeting.

The Department completed a complaint investigation of the Assisted Living Facility due to a complaint that the facility did not meet Assisted Living Facility requirements, specifically regarding resident unit furnishings.

The facility failed to provide required furnishings such as bed sheets, bed comforter, mattress cover, lotion, and towels when a resident moved in, resulting in the family having to purchase these items. Facility administration was unaware of these requirements.

Complaint investigation included allegation that the facility did not provide bed sheets, bed comforter, mattress cover, lotion, and towels when the named resident moved in and the family had to purchase the items. Investigation found failed provider practice and citation written.

The visit was an unannounced on-site complaint investigation triggered by allegations that identified resident's physician orders were not followed.

The investigation found that the facility failed to implement a safe medication system for one resident, resulting in the resident not receiving ordered treatments prior to surgery. Deficient practices included failure to enter orders for medicated wash and failure to complete special showers as ordered, increasing infection risk.

The complaint alleged that identified resident's physician orders were not followed. The investigation substantiated the complaint with findings of deficient practice related to medication administration and treatment orders.

The Department completed a follow-up inspection of the Assisted Living Facility on 11/12/2024 to verify correction of previously cited deficiencies.

The follow-up inspection found no deficiencies, and the facility meets the Assisted Living Facility licensing requirements. The prior deficiencies were corrected as listed in the letter.

The inspection was conducted as a complaint investigation regarding the facility's medication room conditions and compliance with Assisted Living Facility requirements.

The facility's medication room was found to have piles of expired or discontinued medications that needed to be destroyed, unsecured in cabinets and drawers that were too full to close, lacked ventilation, and had missing light bulbs. A consultation was issued for failure to have safe, secure storage of medications.

The complaint alleged that the facility's medication room had piles of expired/discontinued medications that needed to be destroyed and were unsecured in cabinets and drawers that were too full to close.

The inspection was conducted as a complaint investigation following an allegation that a named resident was not given their prescribed medications.

The investigation found that the named resident did not receive their medications as ordered, placing the resident at risk of health decline and unmet needs. The facility failed to obtain medications in a timely manner, resulting in missed doses.

The complaint alleged that a named resident was not given their prescribed medications. The investigation substantiated this allegation with failed provider practice identified and citations written.

The Office of the State Fire Marshal conducted a re-inspection at the facility to verify correction of previously cited fire safety violations.

Multiple violations related to fire safety systems and maintenance remain uncorrected, including overdue sprinkler head testing, lack of documentation for fire alarm and smoke detector testing, and failure to maintain fire doors and dampers.

The inspection was conducted following a complaint regarding a sprinkler system burst at the facility.

A burst pipe caused water to leak into rooms 206 and 106, triggering the fire alarm. Residents were relocated, no fire occurred, no sprinklers activated, and no injuries were reported. Repairs were completed and the system was restored.

Complaint #68362 regarding a sprinkler system burst was investigated. The complaint was approved. It was determined the issue was a broken pipe, not a fire, and the fire department did not respond.

The inspection was conducted as a complaint investigation regarding a named resident who had medication ordered and delivered by their provider but was not given the medication by the facility because it was not in their system.

The facility failed to give an antibiotic to the named resident, delaying treatment of their infection. This failure placed two residents at risk for potential harm and worsening infections. The investigation identified failed provider practice and citations were written.

The complaint investigation was triggered by an allegation that the facility would not give a named resident medication because it was not in their system. The investigation confirmed failed provider practice and citations were issued.