Inspection Reports for Brookestone Village

The document is a Nursing Home Licensure Renewal Application and related certification materials for Brookestone Village, indicating the facility's license renewal process and compliance with statutory requirements.

The documents confirm that Brookestone Village meets statutory requirements for licensure renewal as a skilled nursing facility with specialized services including Alzheimer's care, physical therapy, occupational therapy, and speech therapy. The renewal application includes detailed information about facility capacity, ownership, and care programs.

This document is a Nursing Home Licensure Renewal Application and related certification documents for Brookestone Village, verifying the renewal of the facility's license and certifications.

The documents confirm that Brookestone Village meets statutory requirements for licensure renewal as a Skilled Nursing Facility with special care units including Alzheimer's and speech therapy. The renewal application includes facility ownership, capacity, and certification details.

An unannounced offsite focused infection control survey was conducted to investigate a complaint alleging the facility failed to implement CMS directives related to COVID-19.

The facility was found to have implemented CMS directives related to COVID-19, with staff education completed and protocols in place, resulting in compliance with relevant regulatory requirements.

The complaint alleged failure to implement CMS directives related to COVID-19. The facility was found compliant and no deficiencies were cited.

The document is a nursing home licensure renewal application and Alzheimer's Special Care Unit Disclosure for Brookestone Village, including facility and ownership information, care philosophy, staffing, and family support details.

The document outlines the facility's Alzheimer's Special Care Unit philosophy, admission and discharge criteria, staffing patterns, staff training, environmental considerations, life enrichment programs, family support, and cost of care. It certifies compliance with statutory requirements for licensure renewal.

An unannounced visit was conducted to investigate a complaint at Brookestone Village regarding infection control, staffing sufficiency, and staff health status.

The facility was found to be in compliance with infection control guidelines, staffing sufficiency, and staff health status requirements, with no violations identified during the investigation.

The complaint alleged failure to follow infection control guidelines for illnesses, insufficient staffing to care for residents, and inappropriate staff health status. All allegations were found to be unsubstantiated.

Annual inspection of Brookestone Village nursing facility to assess compliance with regulatory requirements including resident care, safety, and facility conditions.

The facility was found deficient in several areas including failure to evaluate and implement a toileting program for a resident, improper exit signage, inadequate emergency lighting, failure to maintain hazardous area doors, improper use of power strips and extension cords, incomplete emergency generator inspections, and failure to follow up on a dental visit for a resident. The facility submitted plans of correction and some deficiencies were later dismissed after informal dispute resolution.

An unannounced visit was conducted to investigate a complaint regarding the facility's failure to follow the plan of care for residents identified at risk for falls.

The investigation found that the facility did follow the plan of care for residents at risk for falls, and there was no violation related to this issue at the time of the investigation.

The complaint alleged that the facility failed to follow the plan of care for residents identified at risk for falls. The allegation was not substantiated as the facility was found to be in compliance.

An unannounced visit was conducted to investigate a complaint and annual survey at Brookestone Village from January 8 to January 11, 2018, by representatives of the Department of Health and Human Services Division of Public Health.

The facility was found compliant with protecting residents from injury but failed to ensure allegations of abuse were reported immediately within the required 2-hour timeframe. Multiple deficiencies were identified including failure to maintain cleanliness of ventilation covers, inadequate hand hygiene during wound care and feeding, life safety code violations including obstructed exits and fire door issues, inadequate infection control practices, and improper electrical equipment use.

The visit was complaint-related to allegations that the facility failed to protect residents from injuries and failed to immediately report allegations of abuse. The facility was found compliant with injury protection but non-compliant with timely reporting of abuse allegations.

This document package relates to the renewal of the Skilled Nursing Facility license for Brookestone Village following a change of ownership and facility name change effective July 1, 2017.

The documents include the license issuance, change of ownership application, Alzheimer's Special Care Unit Disclosure, occupancy permit, facility floor plan, and lease agreement. The facility is licensed for 140 beds and includes a specialized Memory Support Household for residents with dementia. The renewal confirms compliance with state regulations and outlines facility services, staffing, and care philosophies.

An unannounced visit was conducted to investigate a complaint alleging that the facility fails to change fall interventions after residents have been identified at risk for falls.

The facility was found to have changed fall interventions appropriately after residents were identified at risk for falls, with observations and record reviews confirming that new interventions were implemented based on causal factors and resident status. The facility was found to be in compliance with regulatory requirements.

The complaint alleged failure to change fall interventions after residents were identified at risk for falls. The facility was found to be in compliance, and the allegation was not substantiated.

The document is related to the renewal of the nursing home license for Brookestone Village Rehabilitation and Care Center, including certification and endorsement for Alzheimer's/Special Care Unit.

The facility meets statutory requirements for Skilled Nursing Facility/Nursing Facility dual certification and includes a detailed Alzheimer's/Special Care Unit disclosure describing the philosophy, staffing, environment, resident activities, family support, and training related to dementia care.

An unannounced visit was conducted to investigate a complaint at Brookestone Village Rehabilitation And Care Center regarding allegations of failure to protect residents from injury, failure to provide care as identified on the plan of care, and failure to follow the plan of care for residents at risk for falls.

The facility was found to have protected residents from injury and provided care as identified on the plan of care, including for residents at risk for falls. No violations were found related to the allegations after review of records, observations, and interviews.

The complaint alleged failure to protect residents from injury, failure to provide care as identified on the plan of care, and failure to follow the plan of care for residents at risk for falls. The facility was found not to be in violation of these allegations.

An unannounced visit was conducted to investigate a complaint and annual survey at Brookestone Village Rehabilitation And Care Center from October 3, 2016 to October 6, 2016.

The facility was found to be in compliance with abuse protection regulations. However, deficiencies were identified including failure to provide adequate care for a post-surgical site, unsafe gas fireplace temperatures, and multiple life safety code violations including fire safety and maintenance issues.

The complaint alleged the facility failed to protect residents from abuse. The investigation found no violation related to abuse; the facility protected residents from abuse and followed regulations for investigations.

An unannounced visit was conducted to investigate a complaint alleging that the facility fails to provide care and services according to practitioner's orders.

The investigation found that the facility did provide care and services according to practitioner's orders. Observations, record reviews, and interviews confirmed that residents were receiving ordered services and staff were knowledgeable of needed care.

The complaint alleged failure to provide care and services according to practitioner's orders. The allegation was found to be unsubstantiated as the facility was in compliance with regulatory guidelines.

An unannounced visit was conducted to investigate a complaint that the facility fails to protect residents from injuries.

The facility was found to protect residents from injuries. Observations and reviews showed that interventions were in place and updated as needed, and all falls and injuries were reviewed by the interdisciplinary team to determine causal factors.

The allegation was that the facility fails to protect residents from injuries. The complaint was investigated and found to be unsubstantiated as the facility was in compliance with regulatory requirements.

An unannounced visit was conducted to investigate a complaint at Brookestone Village Rehabilitation And Care Center regarding multiple allegations including overmedication, evaluation of changes in condition, staffing sufficiency, care and treatment issues, discharge planning, and equipment maintenance.

The facility was found to be in compliance with all related regulatory requirements for all allegations investigated, including medication administration, evaluation of changes in condition, staffing, bladder elimination care, skin breakdown prevention, pain control, discharge planning, and maintenance of essential equipment.

The investigation was complaint-driven, addressing multiple allegations such as overmedication, failure to evaluate changes in condition, insufficient staffing, inadequate care for bladder elimination and skin breakdown, pain control issues, medication administration errors, inappropriate involuntary discharge reasons, lack of family involvement in discharge planning, and failure to maintain essential equipment. All allegations were found to be unsubstantiated with the facility in compliance.

This letter informs the facility administrator about Medicaid room changes scheduled to take effect on March 1, 2016, specifically converting all 140 beds to dually-certified beds.

The Medicaid certified bed count for Brookestone Village is amended to reflect 140 dually-certified beds effective March 1, 2016.

An unannounced visit was conducted to investigate a complaint and annual survey at Brookestone Village Rehabilitation And Care Center from October 5, 2015 to October 8, 2015.

The facility was found to be in compliance regarding fall interventions and resident transfers according to the plan of care, with one substantiated allegation of a past transfer issue that was immediately corrected. Additional findings included deficiencies related to catheter care, drug regimen review, and multiple life safety code violations.

The complaint alleged failure to change fall interventions after residents were identified at risk for falls and failure to transfer residents according to the plan of care. The fall intervention allegation was not substantiated; the transfer allegation was substantiated for a past resident but no deficiency was written as the facility self-corrected immediately.

An unannounced visit was conducted to investigate multiple complaints regarding fall interventions, investigation submission timeliness, fall prevention, resident property safety, and fecal impaction at Brookestone Village Rehabilitation And Care Center.

The facility was found to be in compliance with all related regulatory requirements for all allegations investigated, including fall interventions, timely submission of investigations, fall prevention, resident property safety, and prevention of fecal impactions. Staff were knowledgeable and appropriate interventions and policies were in place.

The investigation addressed allegations that the facility failed to change fall interventions after residents were identified at risk for falls, failed to submit investigations within 5 working days, failed to prevent falls for residents at risk, failed to ensure residents' property was safe, and failed to ensure residents were free from fecal impaction. All allegations were found to be unsubstantiated.

An unannounced visit was conducted to investigate a complaint survey regarding the facility's failure to submit investigations within 5 working days and allegations of staff abuse.

The facility failed to submit investigations within the required 5 working days and failed to protect residents from potential abuse by a nurse, resulting in disciplinary action. The facility also delayed reporting a fall with injury to Adult Protective Services beyond the required timeframe.

The complaint investigation was triggered by allegations that the facility failed to submit investigations within 5 working days and that a night nurse made a resident feel uncomfortable and did not administer medications as preferred. The nurse was suspended pending investigation. The facility also delayed reporting a fall with injury to APS by 28 hours.

Annual inspection to assess compliance with Life Safety Code and other regulatory requirements for Brookestone Village Rehabilitation and Care Center.

The facility was cited for multiple Life Safety Code deficiencies including failure to maintain door latches, lack of NO EXIT signage on courtyard doors, improper storage of oxygen cylinders with combustibles, electrical cords run through doorways, and failure to conduct fire drills at varied times on all shifts. The facility submitted plans of correction addressing these issues.

Annual survey of Brookestone Village Rehabilitation and Care Center to assess compliance with health, safety, and regulatory standards including investigation of allegations, care planning, medication management, infection control, and life safety code adherence.

The facility was found deficient in multiple areas including failure to report injuries of unknown origin, incomplete care plans for dialysis and fall prevention, inadequate monitoring of dialysis access sites, lack of specific target behaviors for residents on psychoactive medications, improper sanitizer levels in dishwashers, failure to provide dental services, medication labeling errors, improper infection control practices, and multiple life safety code violations such as use of non-rated plastic for construction containment, malfunctioning fire doors, inadequate exit lighting and signage, improper fire drill scheduling, unsecured oxygen cylinders, and unsafe electrical wiring.

Annual inspection of Brookestone Village Rehabilitation and Care Center to assess compliance with state and federal regulations including resident rights, food safety, pharmaceutical services, and life safety code standards.

The facility was found deficient in multiple areas including failure to notify a resident prior to roommate change, unsanitary kitchen equipment, inaccurate medication labels, fire safety code violations such as doors not latching properly, obstructed fire extinguishers, improper fire drill timing, and electrical safety issues. Corrective actions and monitoring plans were provided for each deficiency.

The inspection was conducted due to complaints and allegations involving failure to investigate and report an unexpected death and staff-to-resident mistreatment, as well as concerns about fall prevention interventions.

The facility failed to investigate and report an unexpected death of Resident 1 and failed to report an allegation of staff-to-resident mistreatment involving Resident 6 to the state agencies. Additionally, the facility failed to implement fall prevention interventions for Resident 3, who experienced multiple falls including one resulting in a hip fracture.

The complaint investigation revealed that the facility did not report an unexpected death of Resident 1 and an allegation of staff mistreatment toward Resident 6 to the state agencies as required. Resident 6's complaint was investigated and the employee was terminated, but the incident was not reported to APS or DHHS. The facility census was 109 at the time.

The inspection was conducted as an annual survey to assess compliance with state regulations governing licensure of skilled nursing facilities, nursing facilities, and intermediate care facilities.

The facility failed to review and revise the comprehensive care plan for Resident 1 to reflect increased care needs, pain management, behavioral interventions, and skin condition. The facility also failed to re-evaluate and implement additional interventions to manage Resident 1's pain and monitor skin issues. Additionally, the facility did not ensure adequate supervision to prevent resident-to-resident altercations involving Resident 1.

Annual inspection of Brookestone Village, Inc. to assess compliance with health, safety, and regulatory standards including treatment of pressure sores, infection control, medication administration, and life safety code.

The facility was found deficient in multiple areas including failure to prevent and treat pressure sores, inadequate personal hygiene care, unsecured medication carts, improper infection control practices, and multiple life safety code violations such as doors held open with objects, lack of proper fire safety door latches, missing exit signage, and electrical hazards.

The documents pertain to the renewal of the nursing home license for Brookestone Village, including certification of licensure, occupancy permit, and Alzheimer's special care unit disclosure.

No inspection findings or deficiencies are reported. The documents provide administrative, licensing, and programmatic information related to facility operations and care services.

This document set includes a Nursing Home Licensure Renewal Application for Brookestone Village Rehabilitation and Care Center, renewal fee schedule, occupancy permit, corporate officers listing, and detailed program and service descriptions for the Memory Support Household.

No inspection findings or deficiencies are reported. The documents provide administrative, licensing, and programmatic information including facility capacity, services offered, team member development, care principles, and room rates.

This document serves to verify the renewal of the SNF/NF dual certification license for Brookestone Village through the date indicated on the renewal card.

The document confirms that Brookestone Village meets statutory requirements for licensure as a skilled nursing facility and nursing facility, with a licensed capacity of 140 beds.

This document serves to verify that Brookestone Village's SNF/NF dual certification license is renewed and valid through the indicated expiration date. It includes the renewal application and related ownership and facility information.

The document confirms the facility meets statutory requirements for licensure as a skilled nursing facility/nursing facility with a maximum capacity of 140 beds. It includes ownership details, facility services, and a detailed description of the Memory Support Household program.

This document is a Nursing Home Licensure Renewal Application for Brookestone Village, submitted to renew the facility's license.

The document certifies that Brookestone Village meets statutory requirements for licensure as a Skilled Nursing Facility/Nursing Facility with dual certification. It includes details on services offered, ownership, and special care units.

The document serves as a renewal application for the nursing home license of Brookestone Village, verifying licensure and certification status, and includes related administrative and certification information.

The documents confirm that Brookestone Village meets statutory requirements for licensure and certification, including special care services such as Alzheimer's unit and therapy services. The occupancy permit indicates a maximum capacity of 140 beds.