Brookside Multicare Nursing Center

Inspectors wroteBased on observation, record review, and interviews during the Recertification Survey initiated on 11/19/2025 and completed on 11/25/2025 the facility did not ensure that each resident was treated with respect and dignity and cared for in a manner that promoted maintenance or enhancement of their quality of life. This was identified for two (2) (Resident #116 and Resident #140) of seven (7) residents reviewed for Dignity. Specifically, during a lunch meal observation on 11/20/2025, Certified Nursing Assistant #2 and Registered Nurse #2 were observed standing over the residents while they fed the residents the lunch meal. The finding is: The facility policy titled Assisting with Feeding dated 01/21/2025 documented residents who cannot feed themselves will be fed with attention to safety, comfort and dignity. Staff should not stand over residents while assisting them with meals. [...]

Inspectors wroteBased on observations, record review and interviews during the Recertification Survey initiated on 11/19/2025 and completed on 11/25/2025, the facility did not ensure that it provided a safe, clean, comfortable, and homelike environment. This was identified for one (1) (Broadway Unit) of seven (7) nursing units reviewed for Environment. Specifically, the ceiling in Resident #56's room had a hole that measured approximately one and half (1.5) feet by one and a half (1.5) feet. The hole had water stains along the edges and had draping plaster hanging on each side. Additionally, the wall above the window in Resident #56's room was poorly spackled and had water stains. The finding is: The facility policy titled Maintenance Requests Internal Work Orders, last revised on 01/2025, documented that anyone requesting a maintenance repair must fill out a maintenance request form. [...]

Inspectors wroteBased on observations, record review, interviews during the Recertification Survey initiated on 11/19/2025 and completed on 11/25/2025, the facility did not ensure that it implemented a comprehensive person-centered care plan to meet each resident's medical, nursing, and mental and psychosocial needs identified in the comprehensive assessment. This was identified for one (1) (Resident #67) of four (4) residents reviewed for Pressure Ulcers. Specifically, Resident #67 had physician's orders for bilateral elbow pads to be worn at all times and padded side rails while in bed. The resident was observed on multiple occasions wearing either one elbow pad or no elbow pads. Additionally, the side rail pads were on the floor while the resident was in bed on one occasion. The finding is: [...]

Inspectors wroteBased on observations, record review, and interviews during the Recertification Survey initiated on 6/17/2024 and completed on 6/26/2024, the facility did not ensure that all drugs were stored in accordance with professional standards. This was identified for three (Carnation, Broadway, and Azaelia) of seven units reviewed for the medication storage task. Specifically, 1) The Carnation unit medication storage Room was observed on 6/21/2024 with four bottles of Aspirin (blood thinner) 325 milligrams with an expiration date of 4/2024; 2) The Broadway Unit medication storage room was observed on 6/21/2024 with nine bottles of Aspirin 325 milligrams and three bottles of Vitamin B12 (a vitamin supplement) with an expiration date of 4/2024; and 3) The Azaelia Unit medication storage room was observed on 6/21/2024 with three bottles of Aspirin 325 milligrams with an expiration date of 4/2024.

Inspectors wroteBased on record review, and interviews during the Recertification Survey initiated on [DATE] and completed on [DATE] the facility did not ensure a person-centered comprehensive care plan was reviewed and revised to address each resident's needs. This was identified for one (Resident #73) of one resident reviewed for Advanced Directives. Specifically, Resident #73 had a Do Not Resuscitate (the resident does not want cardiopulmonary resuscitation (CPR) the person has no heartbeat and is not breathing) Advance Directive in place in [DATE], which was later rescinded in February 2022 by the resident's representative; [...]

Inspectors wroteBased on observation, record review, and interviews during the Recertification Survey initiated on 6/17/2024 and completed on 6/26/2024, the facility did not ensure that each resident's environment remained as free of accident hazards as possible. This was identified for one (Resident #301) of two residents reviewed for Accident Hazards. Specifically, Resident # 301 had a physician's order for Premarin (a cream containing a mixture of estrogen hormones to treat menopause symptoms) vaginal cream to be applied to the vaginal area by the facility staff. During an observation on 6/17/2024, a tube of conjugated (joined together) Premarin vaginal cream was observed on the resident's overbed table. The resident was using the Premarin vaginal cream daily and was applying the cream to their abdominal folds and groin areas themselves. [...]

Inspectors wroteBased on record review and staff interviews during the Recertification Survey initiated on 6/17/2024 and completed on 6/26/2024, the facility did not ensure that the attending physician documented in the resident's medical record that the identified irregularity has been reviewed and what, if any, action has been taken to address it. This was identified for one (Resident #136) of five residents reviewed for Unnecessary Medications. Specifically, the Medication Regimen Review for Resident #136 dated 5/15/2024 documented a recommendation from the consultant Pharmacist to evaluate Rozerem (a sedative to treat sleeplessness) and to consider trial taper to as needed (PRN) for one week then discontinue, if appropriate. The Physician agreed with the recommendation; however, did not address the recommendation and did not document the plan in Resident #136's medical record. The finding is: [...]

Inspectors wrote2) During an initial tour conducted on 10/25/2022 at 11:38 AM on the Broadway nursing unit, a resident who resided in room [ROOM NUMBER] complained that the floor in their room was not mopped frequently. On observation, a dry dirt-like substance was observed on the floor and in the grout at the resident's bedside, in the corners of the room, and in front of the sink area. Housekeeper #3 was interviewed on 11/2/2022 at 11:13 AM. Housekeeper #3 stated the rooms are swept daily and mopped every other day. Housekeeper #3 stated they were not aware of the condition of the floor in room [ROOM NUMBER]. The Housekeeping Director was interviewed on 11/2/2022 at 3:16 PM. The Housekeeping Director stated that the rooms are mopped every other day and upon request. The Housekeeping Director stated that they were never informed that room [ROOM NUMBER] was not being mopped every other day. [...]

Inspectors wroteBased on observations, record review, and staff interviews during the Recertification Survey initiated on 10/25/2022 and completed on 11/2/2022, the facility did not ensure that the resident environment remains as free of accident hazards as possible. This was identified for 2 (Resident #307 and Resident #159) of 7 residents reviewed for accidents and in the Carnation/Broadway unit dining room. [...]

Inspectors wroteBased on observations, record review, and staff interviews during the Recertification Survey initiated on 10/25/2022 and completed on 11/2/2022, the facility did not ensure that residents are adequately equipped to call for staff assistance through a communication system directly to a staff member or centralized staff work area from each resident's bedside. This was identified for 3 (Resident #137 #240 and #252) of 11 residents in the initial pool reviewed for Environmental Task. Specifically, 1) Resident #137 was observed in bed on 10/25/2022 and the call bell was observed on the floor out of the resident's reach; 2) Resident #240 was observed in bed on 10/25/2022 and 10/26/2022 with the call device out of the resident's reach; 3) Resident #252 was observed in their room on 10/25/2022 with the call device out of the resident's reach.

Inspectors wroteBased on observation, record review, and interviews during the Recertification Survey initiated on 10/25/2022 and completed on 11/2/2022, the facility did not ensure each resident has the right to receive services in the facility with reasonable accommodation of resident needs and preferences. This was identified for one (Resident #307) of four residents reviewed for choices. Specifically, Resident #307 requested an extended shower hose to facilitate and maintain independence during the shower activity. Resident #307's request was not addressed by the facility. The finding is: Resident # 307 has diagnoses of Multiple Sclerosis, and Femur Fracture. The Minimum Data Set (MDS) assessment dated [DATE] documented the resident's Brief Interview for Mental Status (BIMS) score was 15 which indicated intact cognition. [...]

Inspectors wroteBased on record review and staff interviews during the Recertification Survey and Abbreviated survey (NY 00301536) initiated on 10/25/2022 and completed on 11/2/2022, the facility did not ensure that Comprehensive Care Plans (CCP) were reviewed and revised by the interdisciplinary team after each assessment. This was identified for one (Resident #712) of seven residents reviewed for accidents. Specifically, Resident #712 fell on 8/9/2022 and sustained a hip fracture. The resident was hospitalized and re-admitted back to the facility on 8/16/2022. The CCP for falls was not reviewed and revised to address the resident's hip fracture after the resident's return from the hospital. The finding is: [...]

Inspectors wroteBased on record review and interviews during the Recertification Survey and Abbreviated survey (NY 00301536) initiated on 10/25/2022 and completed on 11/2/2022, the facility did not ensure that each resident's drug regimen remained free from unnecessary drugs and residents who use psychotropic drugs receive behavioral interventions, unless clinically contraindicated, in an effort to discontinue these drugs. This was identified for one (Resident #712) of six residents reviewed for unnecessary medications. Specifically, Resident #712 was prescribed Ativan (antianxiety medication) 0.5 milligrams (mg) and Ambien (hypnotic medication) 10 mg as needed (PRN). There was no documented evidence that the facility staff provided non- pharmacological interventions to the resident prior to administering Ativan 0.5 mg or Ambien 10 mg. The finding is: [...]

Inspectors wroteBased on observation, interviews, and record review during the Recertification Survey initiated on 10/25/2022 and completed on 11/2/2022, the facility did not ensure that drugs and biologicals used in the facility were labeled in accordance with currently accepted professional principles. This was identified on one of seven nursing units during the medication storage task. Specifically, on the [NAME] unit, Resident #302's Lantus insulin pen was erroneously stored in a plastic bag that was labeled for Resident #60's Lantus insulin pen. The finding is: The facility's policy titled Storage of Medications, dated 8/2021, documented the facility shall store all drugs and biologicals in a safe, secure, and orderly manner. Each resident's medications shall be assigned to an individual cubicle, drawer, or other holding areas to prevent the possibility of mixing medications of several residents. [...]

Inspectors wroteBased on observation, record review, and staff interviews during the Recertification Survey initiated on 10/25/2022 and completed on 11/2/2022 the facility did not ensure an infection prevention and control program was established to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. This was identified on one of seven nursing units. Specifically, 1) a training toilet room currently used by residents on the Carnation unit did not have a means for residents to sanitize their hands before leaving the room; and 2) on the Carnation unit two Certified Nursing Assistants (CNA)s were not wearing appropriate Personal Protective Equipment (PPE) while providing care to Resident #47, who was placed on contact and droplet precautions as per their Physician's order.