Inspection Reports for
The Baptist Home at Brookmeade
46 Brookmeade Drive, Rhinebeck, NY, 12572
Back to Facility ProfileInspection Report — Mar 11, 2024
Complaint Investigation
Citations: 7
Date: Mar 11, 2024
Visit Reason
State-compiled facility profile showing 3 inspections from 2022 to 2026 with deficiency and complaint history.
Complaint Details
The state logged 18 complaints about this facility; 6 led to on-site inspections. Two citations resulted from those complaints.
Findings
Across 3 inspections, 7 citations were issued including 5 standard health and 2 life safety code citations. Most citations were Level 2 with minor potential harm and isolated scope; one citation from a COVID19 survey remains uncorrected.
Citations (7)
Standard Health Citation — quality of care: ADL Care Provided For Dependent Residents was deficient.
Standard Health Citation — quality of care: Develop/implement Comprehensive Care Plan was deficient.
Standard Health Citation — quality of care: Quality Of Care was deficient.
Standard Health Citation — quality of care: Reasonable Accommodations Needs/preferences was deficient.
Life Safety Code Citation — NFPA requirements: Discharge From Exits was deficient.
Life Safety Code Citation — NFPA requirements: Maintenance, Inspection & Testing - Doors was deficient.
Standard Health Citation — quality of care: Reporting - National Health Safety Network was deficient and not yet corrected.
Report Facts
Inspections on page: 3
Total violations/deficiencies cited: 7
Inspections with violations: 2
Inspections without violations: 1
Total complaints: 18
On-site complaint inspections: 6
Citations from complaints: 2
Total citations: 7
Enforcement actions: 0
Inspection Report — Mar 11, 2024
Annual Inspection
Citations: 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.
Citations (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 — Mar 11, 2024
Annual Inspection
Census: 27
Citations: 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.
Citations (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 — Sep 14, 2021
Citations: 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 — Apr 5, 2019
Annual Inspection
Citations: 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.
Citations (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 |
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