Inspection Reports for Brookridge Heights

The inspection was conducted as a renewal inspection to determine compliance with applicable licensing statutes and rules for the home for the aged facility.

The facility was found to be in substantial compliance with the public health code and administrative rules regulating home for the aged facilities. The license renewal is recommended.

The investigation was initiated due to allegations that residents injured in the facility went hours without emergency medical attention and that the facility did not follow appropriate gluten free diets for residents.

The investigation found no violation regarding emergency medical care for injured residents, as medical attention was appropriately sought. However, a violation was established because the facility did not maintain documentation of gluten free meal substitutions for residents on gluten free diets.

The complaint alleged that injured residents went hours without emergency medical attention and that gluten free residents did not receive appropriate diets. The allegation regarding emergency medical care was not substantiated. The allegation regarding gluten free diet compliance was substantiated with an additional finding of undocumented meal substitutions.

The inspection was conducted in response to a complaint alleging residents were left soiled and had skin breakdown, insufficient staffing, lack of Depends supplies, and residents unable to eat meals in their rooms.

The investigation found no violation regarding residents being left soiled or having skin breakdown, no violation regarding lack of Depends supplies, and no violation regarding residents being unable to eat meals in their rooms. However, a violation was established for insufficient staffing, with evidence showing the facility operated below staffing levels on multiple occasions and medication administration delays.

Complaint received from Adult Protective Services alleging residents were left soiled and had skin breakdown, insufficient staff, residents lacking Depends, and residents unable to eat meals in their rooms. The allegation of insufficient staff was substantiated; other allegations were not substantiated.

The document serves as a renewal notification for the Home for the Aged license following an administrative review of licensing activity for the past year.

The administrative review revealed substantial compliance with the public health code and administrative rules regulating home for the aged facilities, resulting in license renewal.

The facility conducted an original licensing study with an addendum due to building two additions, increasing capacity and modifying facility spaces.

The facility added 7 single occupancy units to the assisted living side and 22 units to the memory care side allowing double occupancy, expanded dining and kitchen areas, and created secured outdoor spaces. All modifications received necessary approvals and the facility was found in compliance with applicable rules.

The inspection was conducted as an original licensing study for Brookridge Heights Assist due to a change in ownership and to determine compliance with applicable licensing statutes and administrative rules.

The facility was found to be in full compliance with all applicable rules and statutes. The licensing study determined substantial compliance, and a temporary license with a maximum capacity of 75 was issued.