Inspection Reports for
Brookdale Westlake Village

OH, 44145

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 1.8 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

61% better than Ohio average
Ohio average: 4.6 deficiencies/year

Deficiencies per year

4 3 2 1 0
2019
2022
2023
2024

Occupancy

Latest occupancy rate 97% occupied

Based on a October 2024 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Occupancy rate over time

20% 40% 60% 80% 100% 120% Nov 2019 Oct 2022 Oct 2023 Oct 2024

Inspection Report

Complaint Investigation
Census: 58 Deficiencies: 1 Date: Oct 3, 2024

Visit Reason
The inspection was conducted due to a complaint investigation regarding medication errors at the facility.

Complaint Details
This deficiency represents non-compliance investigated under Complaint Number OH00157849.
Findings
The facility failed to ensure medications to treat diabetes were administered as ordered, resulting in a medication error affecting one resident. The error involved administering the wrong insulin type and dose, leading to the resident being sent to the hospital for observation.

Deficiencies (1)
F 0760: The facility failed to ensure residents were free from significant medication errors. One resident received the wrong insulin type and dose, resulting in potential harm and hospital transfer.
Report Facts
Facility census: 58 Units of insulin administered: 55

Employees mentioned
NameTitleContext
LPN #397Licensed Practical NurseAdministered the wrong insulin to Resident #35
LPN #305Licensed Practical NurseVerified the medication error and stated LPN #397 was an agency nurse

Inspection Report

Complaint Investigation
Census: 58 Deficiencies: 1 Date: Oct 3, 2024

Visit Reason
The inspection was conducted due to a complaint investigation regarding medication errors at the facility.

Complaint Details
This deficiency represents non-compliance investigated under Complaint Number OH00157849.
Findings
The facility failed to ensure medications to treat diabetes were administered as ordered, resulting in a medication error affecting one resident. The error involved administering the wrong insulin type and dose, leading to the resident being sent to the hospital for observation.

Deficiencies (1)
F 0760: Ensure that residents are free from significant medication errors. The facility failed to administer diabetes medications as ordered, resulting in a medication error for one resident.
Report Facts
Residents present: 58 Residents affected: 1

Employees mentioned
NameTitleContext
LPN #397Licensed Practical NurseAdministered wrong insulin to Resident #35
LPN #305Licensed Practical NurseVerified medication error and stated LPN #397 was an agency nurse

Inspection Report

Complaint Investigation
Census: 60 Deficiencies: 2 Date: Oct 6, 2023

Visit Reason
The inspection was conducted as a complaint investigation related to allegations of staff-to-resident physical abuse and inadequate supervision leading to resident elopement.

Complaint Details
The complaint investigation was related to Master Complaint Number OH00146912 for the abuse allegation and Complaint Number OH00146456 for the elopement incident. The abuse allegation was found to have no support but was not reported timely. The elopement incident was past non-compliance and was subsequently corrected.
Findings
The facility failed to timely report an allegation of staff-to-resident physical abuse and failed to provide adequate supervision and equipment to prevent a resident from leaving the facility unsupervised. Both incidents were determined to cause minimal harm and affected a few residents.

Deficiencies (2)
F 0609: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The facility failed to report an allegation of staff-to-resident physical abuse in a timely manner to the state agency.
F 0689: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The facility failed to provide adequate supervision and equipment to ensure a resident remained inside the facility, resulting in elopement.
Report Facts
Residents affected: 1 Residents affected: 1 Facility census: 60

Employees mentioned
NameTitleContext
Dietary Staff #106Made the allegation of physical abuse
State Tested Nursing Aide (STNA) #107Alleged perpetrator of physical abuse
Registered Nurse (RN) #101Notified nursing management about missing wanderguard and resident elopement

Inspection Report

Census: 26 Deficiencies: 1 Date: Oct 18, 2022

Visit Reason
The inspection was conducted to evaluate the facility's provision of activities to meet residents' needs, specifically focusing on the timing of evening activities in relation to dinner.

Findings
The facility failed to provide evening activities at reasonable times for residents, as activities were scheduled at 5:00 P.M. which conflicted with dinner time. Observations and interviews confirmed that residents were eating dinner during the scheduled activity times and no activities were held on the second floor.

Deficiencies (1)
F 0679: The facility failed to provide evening activities at reasonable times for residents, with activities scheduled during dinner time. Observations showed residents eating dinner at 5:00 P.M. and no activities occurring on the second floor.
Report Facts
Facility census: 26

Employees mentioned
NameTitleContext
Activity Assistant #303Interviewed about evening activities schedule
Registered Nurse (RN) #215Interviewed about dinner timing
State Tested Nurse Aide (STNA) #200Interviewed about assisting residents with dinner
State Tested Nurse Aide (STNA) #201Interviewed about tray delivery and meal timing
Dietary Manager #300Interviewed about dinner service timing
Director of Resident Programs #301Interviewed about oversight of activities scheduling

Inspection Report

Routine
Census: 44 Deficiencies: 2 Date: Nov 15, 2019

Visit Reason
The inspection was conducted to assess the facility's compliance with infection prevention and control protocols during dining service.

Findings
The facility failed to ensure appropriate hand washing and proper food handling during meal service, affecting multiple residents and posing potential harm.

Deficiencies (2)
F 0880: The facility failed to implement proper hand hygiene during dining service, including a staff member handling a resident's food with contaminated hands without washing after sneezing.
F 0880: A dietary aide was observed holding a sandwich with a non-gloved hand while cutting it with a gloved hand, potentially exposing residents to contamination.
Report Facts
Facility census: 44

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