Deficiencies per Year
16
12
8
4
0
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Renewal
Census: 7
Capacity: 78
Deficiencies: 1
Oct 27, 2025
Visit Reason
The inspection was conducted as a renewal licensing study for Brookdale Troy AL to assess compliance with regulatory requirements and determine if the facility meets licensing standards.
Findings
The facility was found to be in non-compliance due to failure to complete an annual tuberculosis (TB) risk assessment as required by state rules. No other deficiencies were noted in this report.
Deficiencies (1)
| Description |
|---|
| Failure to complete an annual tuberculosis (TB) risk assessment as required by R 325.1922 Admission and retention of residents. |
Report Facts
Number of staff interviewed and/or observed: 15
Number of residents interviewed and/or observed: 7
Facility capacity: 78
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mary North | Authorized Representative | Named as authorized representative of the facility |
| William Brown | Administrator | Named as administrator of the facility |
Inspection Report
Complaint Investigation
Capacity: 78
Deficiencies: 2
Jan 22, 2025
Visit Reason
The inspection was conducted in response to a complaint alleging that the facility was serving expired food, dishes were not properly sanitized, and that there were unaddressed insect issues in the building.
Findings
The investigation substantiated that the facility was serving expired food and that dishes were not properly sanitized due to lack of dishwasher testing documentation. The allegation of unaddressed insect presence was unsubstantiated based on recent pest control inspection results.
Complaint Details
The complaint alleged expired food was being served, dishes were not properly sanitized, and that staff observed roaches in the building which were not addressed. The expired food and sanitation allegations were substantiated; the insect allegation was unsubstantiated.
Deficiencies (2)
| Description |
|---|
| The facility was serving expired food. |
| Dishes were not properly sanitized; no documentation or testing strips were available to confirm dishwasher effectiveness. |
Report Facts
Capacity: 78
Expired food date: 12
Inspection dates: Jan 21, 2025
Inspection date: Jan 22, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| William Brown | Administrator | Interviewed regarding kitchen staffing, expired food, and dishwashing issues |
Inspection Report
Renewal
Deficiencies: 0
Jan 26, 2024
Visit Reason
An administrative review of licensing activity for the past year was conducted to assess compliance with public health code and administrative rules regulating home for the aged facilities.
Findings
The review revealed substantial compliance with applicable regulations, resulting in the renewal of the Home for the Aged license effective 02/07/2024.
Report Facts
License effective date: Feb 7, 2024
Inspection Report
Complaint Investigation
Capacity: 78
Deficiencies: 3
Oct 30, 2023
Visit Reason
The inspection was initiated due to a complaint alleging insufficient staffing, soiled trash left in the kitchen area during meal preparation, and facility cleanliness concerns.
Findings
The investigation found no violation regarding insufficient staffing or facility cleanliness, but violations were established for improper garbage handling and inadequate employee work schedules and training documentation for temporary agency staff.
Complaint Details
The complaint alleged insufficient staffing, specifically that the Resident Care Coordinator would not hire sufficient staff and required staff to work double shifts. Additional allegations included soiled trash left in the kitchen area during meal prep and that the facility was dirty. The complaint was received anonymously on 2023-10-27.
Deficiencies (3)
| Description |
|---|
| Soiled trash was left in the kitchen area during meal preparation, with garbage cans uncovered and trash bags left outside of containers. |
| The facility's work schedule did not accurately reflect staff who actually worked, nor did it identify the supervisor of resident care on each shift. |
| No training documentation or evidence of competency evaluation was available for a temporary agency staff member working as a caregiver. |
Report Facts
Facility capacity: 78
Complaint receipt date: Oct 27, 2023
Investigation initiation date: Oct 30, 2023
Report due date: Dec 26, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tara Hannon | Administrator | Interviewed regarding staffing and training issues |
| Mary North | Authorized Representative | Corresponded regarding training documentation and corrective action plan |
Inspection Report
Renewal
Census: 18
Capacity: 78
Deficiencies: 15
Jan 30, 2023
Visit Reason
The inspection was conducted as a renewal licensing study to evaluate compliance with state regulations for the facility's license renewal.
Findings
The facility was found to be in non-compliance with multiple administrative rules including medication management, employee health screenings, meal and food records, sanitation, storage, and maintenance. Numerous repeat violations were noted from prior inspections, and multiple residents missed scheduled medication doses without proper documentation or evidence of medication reordering.
Deficiencies (15)
| Description |
|---|
| Lack of a formalized medication program leading to missed doses due to reactive medication refills. |
| Resident service plans not updated to reflect changes in medication administration. |
| Failure to have evidence of tuberculosis screening prior to admission for some residents. |
| Failure to provide initial tuberculosis screening for new employees within 10 days of hire. |
| Multiple missed scheduled medication doses for residents with inadequate documentation and unclear pharmacy actions. |
| Employee records missing initial TB screening results. |
| Menus maintained only for one month instead of the required three months. |
| Failure to maintain meal census records for the preceding three months. |
| Resident toilet rooms and bathrooms used for storage of equipment and supplies. |
| Garbage cans throughout the facility observed without lids. |
| Perishable food items stored uncovered and unlabeled in kitchen refrigerators and freezers. |
| Lack of reliable thermometers in refrigerators and freezers used for resident food storage. |
| Dishwashing machine chemical sanitizer levels not tested or documented. |
| Dry goods containers had scoops left inside permanently without sanitization. |
| Hazardous and toxic materials stored unsecured in multiple facility locations, including a vape pen found on medication cart. |
Report Facts
Number of staff interviewed: 13
Number of residents interviewed: 18
Facility capacity: 78
Date of on-site inspection: Jan 30, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amy Borzymowski | Authorized Representative | Named as authorized representative of the facility. |
| Gary Kosten | Administrator | Named as facility administrator. |
| Elizabeth Gregory-Weil | Licensing Consultant | Author of the inspection report. |
Inspection Report
Original Licensing
Capacity: 78
Deficiencies: 0
Feb 17, 2009
Visit Reason
The visit was conducted to process an addendum to the original licensing study report due to a legal entity name change for the licensee.
Findings
The licensee legally changed its name from Alterra Healthcare Corporation to Brookdale Senior Living Communities, Inc. on February 17, 2009. This change does not affect the tax identification number or other licensing terms.
Report Facts
Facility capacity: 78
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Beth Mell | Authorized Representative | Requested modification of license terms due to legal entity name change |
| Loma M Campbell | Licensing Staff | Prepared and signed the addendum report |
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