Inspection Reports for Brookdale Lewiston

The inspection was a health care licensure and follow-up survey to verify compliance with previous deficiencies and regulatory requirements.

The facility had multiple deficiencies including incomplete background checks for employees, lack of designated smoking area signage, poor housekeeping and maintenance issues, medication administration errors, incomplete resident assessments, and documentation deficiencies. Several issues were previously cited and remain uncorrected.

The inspection was conducted as a health care complaint investigation to assess compliance with medication administration and resident health status protocols.

The facility failed to ensure residents received medications as ordered, with specific residents missing multiple medications. Additionally, the facility nurse did not assess residents after changes in their mental and health status, including falls and surgery.

The investigation was triggered by complaints regarding medication administration errors and failure to assess residents after health status changes. Specific incidents involved Resident #6, Resident #7, Resident #1, and Resident #5.

The inspection was conducted as a health care complaint investigation to assess compliance with negotiated service agreements and facility maintenance standards.

The facility failed to provide residents with a complete breakdown of personal care charges at admission and did not consistently deliver care as outlined in residents' Negotiated Service Agreements, including bathing, medication administration, housekeeping, and laundry services. The facility was also found to be unclean and poorly maintained, with multiple rooms showing stains, debris, soiled linens, and odors.

The investigation was triggered by complaints regarding missed personal care services, medication administration, and housekeeping. The facility acknowledged staffing issues contributing to inconsistent care. The deficiencies were previously cited on 01/13/23.

The inspection was a fire life safety and sanitation licensure survey conducted to assess compliance with fire and life safety codes and sanitation standards at the facility.

The facility had multiple deficiencies including damaged vinyl tile flooring exposing sub-flooring, an unserviced fire extinguisher, lack of required testing documentation for smoke detectors, sprinkler pendants, and emergency lighting, an unsecured oxygen cylinder in a resident room, and incomplete emergency drill documentation.

The inspection was conducted as a fire life safety and sanitation licensure survey at Brookdale Lewiston.

The facility failed to provide documentation for annual inspection of fuel-fired heating systems and did not maintain compliance with the 2018 NFPA 101 Life Safety Code, including lack of documentation for testing Alcohol Based Hand Rub dispensers and emergency lighting, and a door that was chocked open and failed to self-close and latch properly.

The inspection was conducted as a health care licensure and follow-up visit combined with a complaint investigation.

The facility was found to have multiple deficiencies including failure to complete investigations for resident falls, inadequate housekeeping and maintenance, incomplete quarterly assessments by the Registered Nurse, missing current medication orders, lack of self-administration medication assessments, inconsistent medication refrigerator temperature monitoring, accumulation of expired medications, missing psychotropic medication reviews, outdated Negotiated Service Agreements, incomplete resident care records documentation, missing CPR and first aid certifications in personnel records, incomplete as-worked schedules, failure to offer snacks between meals, and lack of delegation for staff passing medications.

The visit was complaint-related and included follow-up; specific substantiation status is not stated.

The inspection was conducted as a fire life safety and sanitation licensure survey to assess compliance with fire and life safety standards and sanitation regulations.

The facility failed to maintain compliance with multiple fire and life safety standards including deficiencies in smoke detector functionality, lack of documentation for waterflow alarm testing, suppression system inspections, staff training on oxygen safety, and inspection/testing of alcohol-based hand rub dispensers. Additional issues included failure to self-close and latch of a rated door, lack of annual inspection documentation for fuel-fired heating systems, damaged vinyl flooring in utility closets, and unsafe electrical installations such as daisy-chained extension cords and prohibited multi-plug adapters.