Inspection Reports for
Brookdale Delta

R 400.15312 Resident medications: staff member Chad Fender took resident medications out of the facility, violating narcotic protocols and medication administration requirements.

R 400.15201 Qualifications of administrator, direct care staff, licensee, and members of household; provision of names of employee, volunteer, or member of household on parole or probation or convicted of felony; food service staff: licensee designee unable to verify training in CPR, first aid, and nutrition upon request; administrator unable to verify training in safety and fire prevention and nutrition.

R 400.15204 Direct care staff; qualifications and training: employee Adrienne Holmes does not have CPR and first aid training for the department to review.

R 400.15205 Health of a licensee, direct care staff, administrator, other employees, those volunteers under the direction of the licensee, and members of the household: employee Chad Fender does not have a current physical on file for the department to review.

R 400.15205 Health of a licensee, direct care staff, administrator, other employees, those volunteers under the direction of the licensee, and members of the household: employee Chad Fender does not have current TB test results on file for the department to review.

R 400.15207 Required personnel policies: licensee unable to show written employee policies and job descriptions and verification of receipt of the policies and job descriptions given to employees.

R 400.15208 Direct care staff and employee records: no reference checks for employee Chris Fender for the department to review.

R 400.15210 Resident register: no resident register on file for the department to review.

R 400.15301 Resident admission criteria; resident assessment plan; emergency admission; resident care agreement; physician's instructions; health care appraisal: signature of licensee missing for resident assessment plans and AFC care agreements to verify plans were reviewed; Resident A does not have a current health care appraisal for the department to review.

R 400.15312 Resident medications: Resident A missing Acetaminophen Oral tablet 325 mg and Loperamide HCI Oral tablet 2 mg; both medications are not stored in the facility.

R 400.15315 Handling of resident funds and valuables: no Funds I and II forms for any resident maintained in resident files.

R 400.15401 Environmental health: water at kitchen faucet exceeds 120 degrees Fahrenheit.

R 400.15403 Maintenance of premises: combustible items are stored in both furnace rooms and feces covered on toilet in resident bedroom #4 private bedroom.

R 400.15408 Bedrooms generally: bedrooms #6 and #7 combined together as 1 bedroom without a 7-foot horizontal opening between the rooms.

R 400.15312 Resident medications: Resident A was prescribed medications that were not available at the facility, preventing her from taking them as prescribed.

R 400.15103 Licenses; required information; fee; effect of failure to cooperate; posting of license; reporting of changes in information: The facility did not report the appointment of the new administrator and licensee designee to LARA within 5 business days.

R 400.15301 Resident admission criteria; resident assessment plan; emergency admission; resident care agreement; physician's instructions; health care appraisal: Resident A’s assessment plan lacked signatures or dates verifying review by Resident A and the licensee designee.

R 400.15206 Staffing requirements: no direct care staff member was present at Brookdale Delta AL from 10:30pm to 2am on 11/23/2023, resulting in inadequate staff-to-resident ratio and unmet resident needs.

R 400.15103 Licenses; required information; fee; effect of failure to cooperate with inspection or investigation; posting of license; reporting of changes in information: this facility is without a licensee designee and administrator and did not inform the department.

R 400.15202 Administrator; qualifications: this facility is without an administrator.

R 400.15204 Direct care staff; qualifications and training: direct care staff Kylene Cortez, Jackie Hallock, and Kalie Cotter were not trained in first aid.

R 400.15204 Direct care staff; qualifications and training: direct care staff Kylene Cortez, Jackie Hallock, and Kalie Cotter were not trained in CPR.

R 400.15301 Resident admission criteria; resident assessment plan; emergency admission; resident care agreement; physician's instructions; health care appraisal: Resident A did not have an annually updated written Resident Care Agreement.