Inspection Reports for Hampton Manor of Brighton

The inspection was conducted in response to a complaint alleging that Resident A's care needs were not met, the family was not notified of incidents and accidents, Resident A was not receiving medication as ordered, and the facility was understaffed.

The investigation substantiated violations related to unmet care needs of Resident A and failure to notify family of incidents, as well as medication administration issues including missed doses and delayed access to hospice medications. The allegation of understaffing was not substantiated, with staffing levels meeting facility goals and residents observed to be well cared for.

The complaint alleged that Resident A’s care needs were unmet, family was not notified of incidents and accidents, Resident A was not receiving medications as ordered, and the facility was understaffed. The investigation substantiated the first two allegations and the medication issue, but did not substantiate the understaffing claim.

The inspection was conducted as a Renewal Licensing Study to evaluate compliance with licensing requirements and to determine if the facility meets the standards for license renewal.

The facility was found to be in non-compliance with multiple rules including inadequate service plan details for assistive devices, missing tuberculosis screening prior to admission, incomplete medication administration and documentation, failure to maintain meal census records, and deficiencies in kitchen and dietary practices such as lack of routine dishwasher testing, unsealed and undated food items, and absence of a freezer thermometer.

The inspection was conducted in response to a complaint alleging improper bed rail use, multiple medication errors, spoiled food in the kitchen, and a malfunctioning dish machine at Hampton Manor of Brighton.

The investigation found violations related to improper bed rail use without physician orders or proper documentation, multiple medication errors including missed doses and medications administered outside scheduled times, and lack of monitoring of the dish machine's sanitizing temperatures. No violation was found regarding spoiled food in the kitchen.

The complaint alleged improper bed rail use, multiple medication errors, spoiled food in the kitchen, and a malfunctioning dish machine. The complaint was anonymous and lacked specific details such as names, dates, or examples for some allegations. APS denied the referral and did not investigate.

The investigation was initiated due to a complaint received from Adult Protective Services alleging bruises on residents from night shift staff, neglect in care such as residents sitting in urine-covered rooms without care, and forced unsupervised eating.

The investigation found no violations regarding bruises or neglect in care related to residents sitting in urine or forced unsupervised eating. However, a violation was established for failure to update Resident D's service plan to reflect housekeeping services and incontinence care accurately.

Complaint involved allegations that Resident A and Resident B had bruises from night shift grabbing them too hard, Resident C and Resident D sat in urine-covered rooms with no care, and Resident C was forced to eat unsupervised. None of these allegations were substantiated except for additional findings related to Resident D's service plan.

The inspection was conducted in response to a complaint alleging that residents at Hampton Manor of Brighton were not receiving appropriate and adequate care, including concerns about bathing practices and use of incontinence supplies.

The investigation established a violation regarding inadequate care, specifically that Resident B was not receiving proper nail care as outlined in the service plan. However, the allegation that facility caregivers were misusing incontinence supplies intended for specific hospice residents was not substantiated.

The complaint alleged that residents were not receiving adequate bathing care, with staff using wipes instead of soap and water, causing hygiene issues. It also alleged improper use of incontinence supplies intended for specific hospice residents. The complaint was substantiated for inadequate care but not for misuse of supplies.

The inspection was conducted in response to a complaint alleging items were stolen from Resident A's room, the facility does not offer outings, the facility is not serving healthy meals, and food is not hot.

The investigation found no violation regarding stolen items, outings, or healthy meals. However, violations were established for food not being served hot due to lack of temperature documentation and for menus for regular and therapeutic diets not being posted.

Complaint alleged items stolen from Resident A's room, facility does not offer outings, facility is not serving healthy meals, and food is not hot. Only the allegation regarding food temperature and menu posting resulted in violations.

The investigation was initiated due to a complaint alleging that staff did not provide medication administration in accordance with the service plan.

Interviews, on-site investigation, and documentation review found no evidence that medications were left unattended or that Resident A received incorrect medication. However, multiple blank entries in Resident A's medication administration record indicated it could not be determined if several medications were administered or refused, establishing a violation.

Complaint alleged staff did not provide medication administration in accordance with the service plan. Violation was established based on medication administration record review.

The inspection was conducted in response to a complaint alleging late medication administration, an associate living at the facility, uncontrolled pests in the memory care area, and the facility being filthy.

The investigation established a violation for medications being administered late or early beyond the scheduled times. No violations were found regarding an associate living at the facility, uncontrolled pests, or the facility being filthy. Pest control services were documented and the facility was observed to be clean.

The complaint alleged medications were administered late on 5/13/2024, an associate lived at the facility, there were uncontrolled pests in the memory care area, and the facility was filthy. Only the medication timing violation was substantiated.

The inspection was conducted in response to anonymous complaints alleging short staffing, lack of background checks, inadequate incontinence care, resident confidential information left in public areas, and staff leaving the building unattended and lacking training.

The investigation found that the allegations of staff lacking background checks, residents lacking incontinence care, and staff leaving the building unattended and lacking training were not substantiated. However, the allegation that resident confidential information was left in public areas was substantiated due to an open binder displaying a resident's shower skin assessment at an assisted living nurse station.

The complaint was anonymous and alleged short staffing, staff lacking background checks, residents lacking incontinence care, resident confidential information left in public areas, and staff leaving the building unattended and lacking training. The allegation regarding confidential information was substantiated; others were not.

The inspection was conducted in response to an anonymous complaint alleging the facility was short staffed with no staff in the building, and that Resident A was left on the floor resulting in neglect.

The investigation substantiated that the facility was short staffed on certain shifts, Resident A was left on the floor without adequate supervision, and the facility lacked an organized program to ensure Resident A's service plan needs were met. Additionally, the staff schedule lacked designation of a supervisor of resident care during each shift.

The complaint alleged no staff were present in the building on 4/2/2024 and from 5:00 AM to 7:00 AM on 4/3/2024. It also alleged Resident A was found on the floor for an unknown number of hours on 4/3/2024, with concerns of neglect and inadequate incontinence care. The complaint was substantiated based on investigation findings.

The inspection was conducted in response to anonymous and Adult Protective Services (APS) allegations regarding short staffing, lack of proper equipment, employees working with COVID-19, and an untrained employee residing in the facility.

The investigation substantiated multiple violations including short staffing in February 2024, insufficient staff on duty to meet resident needs, lack of a proper background check for an employee residing in the facility, and that the employee was not trained under the specific licensed home for the aged program. Residents had proper medical equipment and used call pendant systems for assistance. There was a COVID-19 outbreak but no evidence staff worked while positive.

The complaint investigation was initiated based on anonymous allegations dated 2/14/2024 and APS forwarded allegations regarding short staffing, lack of proper equipment, employees working with COVID-19, and an untrained employee residing in the facility. The investigation substantiated these allegations with repeat violations noted.

The inspection was conducted as a Renewal Licensing Study to evaluate compliance with licensing requirements and to determine if the facility meets standards for license renewal.

The facility was found to be non-compliant with multiple rules including employee criminal background checks, tuberculosis screening, staffing levels, staff training, medication administration documentation, menu maintenance, ventilation, waste management, and food safety. Several repeat violations were noted, and corrective action plans are required.

The inspection was conducted in response to a complaint alleging the facility was short staffed on the evening of 7/28/2023.

The investigation confirmed the facility was short staffed for approximately two and a half hours on 7/28/2023, with only two staff members caring for 44 residents. Additionally, the facility failed to update the work schedule to reflect actual staff who worked that evening.

The complaint alleged the facility was short staffed on the evening of 7/28/2023. The investigation substantiated the complaint, confirming the facility was short staffed for approximately two and a half hours with only two staff members present.

The inspection was conducted in response to a complaint alleging that the facility was short staffed on 5/13/2023.

The investigation confirmed that on the evening of 5/13/2023, from 7pm until approximately 10:15pm, the facility had only one staff member working while caring for 34 residents, which is insufficient to maintain the required level of care.

The complaint alleged that the facility was short staffed on 5/13/2023. The allegation was substantiated based on the finding that only one staff member was working during the evening shift for 34 residents.

The inspection was conducted as part of the original licensing study for Brighton Comfort Care, LLC, to determine compliance with applicable licensing statutes and administrative rules for a home for the aged.

The inspection identified several items out of compliance including heating issues, fire safety concerns, ventilation problems, water temperature irregularities, meal census record deficiencies, and unsecured medications. Subsequent documentation and evidence submitted by the authorized representative demonstrated that these issues were brought into compliance, resulting in a determination of substantial compliance.