Inspection Reports for
Brookestone Meadows Rehabilitation and

600 Brookestone Meadows Plaza, ELKHORN, NE, 68022

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3 Reports

2023–2025

Inspection Report — Apr 1, 2025

Routine
Date: Apr 1, 2025

Visit Reason
The inspection was conducted to assess compliance with food safety and hand hygiene practices during meal service at the facility.

Findings
The facility failed to implement proper hand hygiene practices between glove changes during meal service, potentially exposing 31 residents to food borne illness. Observations and interviews confirmed that hand hygiene was not performed as required by facility policy and Nebraska Food Code.

Deficiencies (1)
Failure to implement hand hygiene practices between glove changes during meal service, risking food borne illness.
Report Facts
Residents affected: 31

Employees mentioned
NameTitleContext
CA-ECulinary AssistantObserved failing to perform hand hygiene between glove changes during meal service
Registered DietitianRegistered DietitianInterviewed regarding facility hand hygiene policy

Inspection Report — Mar 12, 2024

Routine
Date: Mar 12, 2024

Visit Reason
The inspection was conducted to assess compliance with safe administration of IV fluids and hygienic practices in food preparation at Brookestone Meadows Rehabilitation and Care Center.

Findings
The facility failed to aspirate to determine patency of a PICC line before flushing for one resident, and failed to ensure beard restraints were used by food service employees during meal preparation and service, potentially affecting most residents.

Deficiencies (2)
Failed to aspirate to determine patency of a peripherally inserted central catheter (PICC) before flushing for Resident 178.
Failed to ensure beard restraints were used during meal preparation and service to prevent food borne illness, affecting 127 of 129 residents.
Report Facts
Residents affected: 1 Residents affected: 127

Inspection Report — Feb 27, 2023

Date: Feb 27, 2023

Visit Reason
The inspection was conducted as a regulatory survey of Brookestone Meadows Rehabilitation and Care Center to assess compliance with health and safety standards.

Findings
No health deficiencies were found during the inspection.

3 CMS Surveys

CMS Survey — Feb 27, 2023

Feb 27, 2023

CMS Survey — Mar 12, 2024

Mar 12, 2024

CMS Survey — Apr 1, 2025

Apr 1, 2025

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