Brookestone View

Inspectors wroteLicensure Reference Number 175 NAC 12-006.05(S) Based on observation, record reviews and interviews, the facility failed to ensure the resident environment was free of soiling and debris and cleaned consistently with facility practices for 1 resident (Resident 7) of 1 resident sampled. The facility census was 53.

Inspectors wroteBased on record review and interview, the facility failed to notify a resident's responsible party of bed hold at the time of the resident's transfer from the facility for 1 (Resident 1) of 2 sampled residents, and failed to notify the ombudsman in writing of a resident's transfer from the facility as required for 1 (Resident 57) of 2 sampled residents. The facility census was 53.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(H)(iv) Based on record review, observation, and interview the facility failed to perform catheter cares in a manner to prevent the potential of cross contamination and infection for 1 (Resident 48) of 1 sampled resident. The facility census was 53.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.18, 1-005.06 (D)(E)(F) The facility failed to ensure staff wore masks above the nose and below the chin, the laundry staff performed hand hygiene for at least 20 seconds, the CPAP (Continuous Positive Airway Pressure -a treatment that uses mild air pressure to keep your breathing airways open), mask was cleaned every day for Resident 109, failed to have a barrier on the counter outside of a Covid positive resident's room where laundry items were placed, provide peri care after incontinence for Resident 11, and staff failed to remove PPE (Personal Protective Equipment used to protect healthcare workers, patients, and others from potentially contacting and/or spreading potential infections) correctly when exiting a positive Covid 19 residents room to prevent the potential spread of Covid 19. [...]

Inspectors wroteLICENSURE REFERENCE NUMBER 175-12.006.09(H)(iv)(2) Based on observations, interviews and record review, the facility failed to provide toileting interventions for one (Resident 11) of two sampled residents, which had the potential to cause skin breakdown and bladder infection. The facility identified a census of 56.

Inspectors wroteLICENSURE REFERENCE NUMBER 175 12-006.09(H)(iii)(1) Based on observations, interviews, and record review, the facility failed to put interventions in place to prevent a pressure ulcer for one (Resident 20) of three sampled residents. The facility identified a census of 56. Record review of Resident 20's Census Data revealed resident admitted [DATE]. Record review of Resident 20's Face Sheet admitted with the following diagnosis: Pain in right hip, pain in right knee, Type 2 Diabetes Mellitus (DM II), Primary Hypertension (HTN), chronic kidney disease (CKD), Muscle weakness, Difficulty in walking, Chronic Pain, Lead Induced Gout. Record review of Resident 20's admission Minimum Data Set (MDS) (A federally mandated assessment that captures the resident physical and mental capabilities and care needs) dated 01/02/2025 revealed the following: [...]

Inspectors wroteLICENSURE REFERENCE NUMBER 175-12-.006.09(H)(v) Based on observations, interviews and record reviews the facility failed to provide therapy or restorative services for one (Resident 38) of one sampled resident to prevent decline of resident condition. The facility identified a census of 56.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(H)(vi)(3) Based on interview, observations and record reviews, the facility failed to obtain a physician's order for the settings of CPAP (Continuous Positive Airway Pressure -a treatment that uses mild air pressure to keep your breathing airways open), and ensure the machine has a filter for one (Resident 109) of one sampled residents. The facility had a census of 56. Record review of Resident 109's admission record dated [DATE] revealed Resident 109 admitted to the facility on [DATE]. Observation on [DATE] at 1:35 PM revealed Resident 109's CPAP machine has no filter in the machine. Record review of Resident 109's Physician orders dated [DATE] revealed: -CPAP per home settings, on at HS (hour of sleep) off in AM every day and night shift -start date [DATE]. [...]

Inspectors wroteLiscensure Reference Number 12-006.18C Liscensure Reference Number 12-006.17D The facility failed to ensure proper hand hygiene and gloving was performed during wound care for Resident 29, failed to ensure contaminated laundry was carried in a manner to prevent cross contmination and hand hygiene was performed after transportation, failed to ensure Resident 21's Neb kit was cleaned after each treatment. The facility census was 52. B. A record review of the facility's undated Medication Aide Procedure Checklist Topical (applied to skin) Medication revealed the facility staff was to apply gloves, apply the topical medication according to the five rights, remove gloves and discard into waste container, then wash and dry hands thoroughly when applying topical medication. [...]

Inspectors wroteLicensure Reference Number 175 NAC 12.006.09D Based on interview and record review; the facility failed to ensure parameters (a range) for 1 (Resident 17) of 5 sampled resident's Amlodipine (a blood pressure medication) were followed, and at least 8 ounces of fluid were given to 1 (Resident 17) of 5 sampled resident's four times a day per the physician's order. The facility census was 52.

Inspectors wroteLicensure Reference Number 175 NAC 12.006.09D6(5) Based on observation, interview, and record review, the facility failed to ensure a valid oxygen order was followed for 1 (Resident 30) of 2 sampled residents. The facility census was 52.