Inspection Reports for
The Baptist Home at Brookmeade
46 Brookmeade Drive, Rhinebeck, NY, 12572
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
5.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
4% worse than New York average
New York average: 5.1 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Mar 11, 2024
Visit Reason
The inspection was a recertification survey conducted from 3/5/24 to 3/11/24 to assess compliance with care plan development and medication administration regulations.
Findings
The facility failed to develop a comprehensive person-centered care plan for a resident's eye infection and administered antibiotic eye drops beyond the prescribed duration for the same resident.
Deficiencies (2)
F 0656: The facility did not develop a comprehensive care plan addressing Resident #92's eye infection needs, lacking goals and interventions for monitoring treatment effectiveness.
F 0684: Resident #92 was given 8 extra doses of prescribed antibiotic eye drops beyond the 3-day order, indicating medication administration errors.
Report Facts
Medication doses administered: 17
Prescribed medication doses: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Assistant Director of Nursing | Interviewed regarding care plan development and medication administration errors | |
| Staff #5 (Licensed Practical Nurse) | Interviewed about medication administration including eye drops |
Inspection Report
Annual Inspection
Census: 27
Deficiencies: 4
Date: Mar 11, 2024
Visit Reason
The inspection was a recertification survey conducted from March 5 to March 11, 2024, to assess compliance with regulatory requirements for nursing home care.
Findings
The facility was found deficient in ensuring call bell accessibility for one resident, developing comprehensive care plans for residents with specific medical needs, providing timely assistance with activities of daily living, and administering medications according to physician orders. All deficiencies were cited with minimal harm and affected few residents.
Deficiencies (4)
F 0558: The facility did not ensure the call bell system was accessible for Resident #4, who was observed with the call bell out of reach on two occasions.
F 0656: The facility failed to develop a comprehensive person-centered care plan for Resident #92's eye infection, lacking goals and interventions for monitoring treatment effectiveness.
F 0677: Resident #261 was not provided timely toileting assistance or continent care from March 4 evening until March 5 late morning despite requesting help and using the call bell.
F 0684: Resident #92 was administered 8 extra doses of prescribed antibiotic eye drops beyond the ordered 3-day treatment period.
Report Facts
Residents reviewed for call bell accessibility: 27
Residents reviewed for eye infections: 1
Residents reviewed for dignity/ADL assistance: 2
Residents reviewed for medication administration: 5
Extra antibiotic eye drop doses administered: 8
Prescribed antibiotic eye drop doses: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff #1 | Certified Nurse Aide | Interviewed regarding call bell accessibility for Resident #4 |
| Staff #2 | Licensed Practical Nurse Unit Manager | Interviewed regarding call bell accessibility for Resident #4 |
| Assistant Director of Nursing | Interviewed about care plan development and documentation issues | |
| Staff #6 | Certified Nurse Aide | Involved in incontinent care and documentation for Resident #261 |
| Staff #10 | Registered Nurse Supervisor | Interviewed about monitoring certified nurse aide documentation |
| Staff #5 | Licensed Practical Nurse | Administered medications including eye drops to Resident #92 |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 6
Date: Mar 11, 2024
Visit Reason
Complaint Survey identified 4 standard health citations and 2 life safety code citations, all Level 2 severity and corrected by April 16, 2024.
Findings
Complaint Survey identified 4 standard health citations and 2 life safety code citations, all Level 2 severity and corrected by April 16, 2024.
Deficiencies (6)
ADL care provided for dependent residents
Develop/implement comprehensive care plan
Quality of care
Reasonable accommodations needs/preferences
Discharge from exits
Maintenance, inspection & testing - doors
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Jan 8, 2024
Visit Reason
Covid-19 Survey identified one standard health citation related to reporting to the national health safety network, Level 2 severity, not corrected as of report date.
Findings
Covid-19 Survey identified one standard health citation related to reporting to the national health safety network, Level 2 severity, not corrected as of report date.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Deficiencies: 0
Date: Sep 14, 2021
Visit Reason
The document is a statement of deficiencies and plan of correction for The Baptist Home at Brookmeade, related to a regulatory survey completed on 09/14/2021.
Findings
No health deficiencies were found during the survey.
Inspection Report
Annual Inspection
Deficiencies: 3
Date: Apr 5, 2019
Visit Reason
The inspection was conducted as a recertification survey to assess compliance with regulatory standards for nursing home operations.
Findings
The facility was found deficient in medication administration protocols, food service sanitation, and infection prevention and control practices. Specific issues included unsupervised medication self-administration, unsanitary kitchen equipment, and improper wound care techniques.
Deficiencies (3)
F 0554: The facility did not ensure staff followed protocols for safe medication delivery. A resident was allowed to self-administer medication without direct supervision or assessment of ability by the interdisciplinary team.
F 0812: Food contact and non-food contact equipment in the kitchen were not maintained in sanitary condition, including soiled refrigerators, microwave table, and cooling rack.
F 0880: Staff did not follow proper infection prevention practices during wound care, including improper gloving, handwashing, and contamination of treatment supplies.
Report Facts
Medications in cup: 6
Cleaned serving utensils: 15
Wound care observation date: Apr 4, 2019
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN # 1 | Licensed Practical Nurse | Left medications for resident to self-administer and performed improper wound care |
| LPN # 2 | LPN-Charge Nurse | Counseled LPN # 1 for leaving medications unattended and noted lack of resident assessment |
| Cook | Responsible for monitoring kitchen cleaning; reported cleaning tasks were not scheduled |
Inspection Report
Capacity: 60
Deficiencies: 0
Visit Reason
One inspection resulted in no citations.
Findings
One inspection resulted in no citations.
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