Camelot Brookside

Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to have a system in place to ensure coffee was served at a safe temperature to prevent scalds/burns for 1 (#79) resident. 112 residents consumed meals and beverages prepared by the facility's kitchen.

Inspectors wroteBased on observations, interviews, and record review, the facility failed to honor and accommodate food preferences for 1 (#68) out of 9 residents reviewed for dining. This deficient practice had the potential to affect 112 residents who consumed meals from the kitchen. Review of Resident #68's medical record revealed she was admitted to the facility on [DATE] with diagnoses which included, but were not limited to, unspecified dementia and unspecified protein-calorie malnutrition. Review of the facility's policy titled Resident Food Preferences, with a last review date of 10/29/2025, read in part, Policy Statement: Individual food preferences will be assessed upon admission and communicated to the interdisciplinary team. Modifications to diet will only be ordered with the resident's or representative's consent. [...]

Inspectors wroteBased on record review, observations, and interviews, the facility failed to ensure dishware was clean and stored under sanitary conditions to prevent the likelihood of foodborne illness. This had the potential to affect the 112 residents who ate meals from the facility's kitchen.

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development of communicable diseases and infection by failing to ensure: 1. staff removed soiled gloves and performed hand hygiene before exiting a resident's room; and 2. staff did not use soiled gloves to open the door of Room A

Inspectors wroteBased on observations, interviews, and record review, the facility failed to maintain a clean and homelike environment for 1 (#10) out of 5 (#4, #10, #35, #66, and #77) investigated for environment.

Inspectors wroteBased on record reviews, observations, and interviews, the facility failed to ensure a resident's comprehensive person-centered care plan was implemented by failing to administer oxygen as ordered for 2 (#55, #102) of 2 (#55 and #102) residents reviewed for oxygen therapy. Review of the facility's policy titled Oxygen Administration, with a last revised date of February 2025, read in part: 3. Turn on the oxygen. Unless otherwise ordered, the flow of oxygen per Physician orders. Resident #55 Review of Resident #55's medical record revealed she was admitted to the facility on [DATE] with diagnoses including, but not limited to, chronic obstructive pulmonary disease, acute and chronic respiratory failure, and acute on chronic diastolic congestive heart failure. Review of Section C.: [...]

Inspectors wroteBased on interviews and record review, the facility failed to ensure that a resident and/or a resident's RP (Responsible Party) was invited to the resident's care planning meeting for 1 (Resident #111) out of a total sample of 32 residents. This deficient practice had the potential to affect a census of 112.

Inspectors wroteBased on record review, observations, and interviews, the facility failed to ensure an activity program was being conducted for 1 (#38) out of 1 (#38) residents investigated for activities. This had the potential to affect 112 residents.

Inspectors wroteBased on observation and interviews, the facility failed to ensure that medications were stored and labeled properly in accordance with current accepted professional standards by having loose medications in the bottom of 2 drawers for 1 medication cart (Cart A) of 2 (Cart A, Cart B) medication carts observed in a facility with a census of 112 residents.

Inspectors wroteBased on observations and interviews, the facility failed to provide a clean, comfortable, and homelike environment for 3 (#1, #2, #3) out of 3 (#1, #2, #3) sampled residents. The deficient practice had the potential to affect a total census of 108.

Inspectors wroteBased on record reviews, and interviews, the facility failed to implement the resident's comprehensive plan of care to provide the necessary care and services for 1 (#3) out of 3 (#1, #2, and #3) sampled residents as evidenced by the nursing staff failing to administer nine doses of a medication ordered by Resident #3's physician.

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure pureed menus and recipes were followed. This failure had the potential to contribute to an unpleasant dining experience, decreased intake, altered nutritional needs and weight loss.

Inspectors wroteBased on observations, record review or review of policy and procedure and interviews, the facility failed to store, distribute, and serve food in accordance with professional standards for food service safety by failing to follow appropriate food handling practices as evidenced by: 1. Failing to ensure foods stored in the freezer were labeled and dated and 2. Failing to ensure staff present in the kitchen wore hairnets at all times and covered facial hair. The total census was 113 residents.

Inspectors wroteBased on observation, record review and interview, the facility failed to maintain an infection prevention and control program designed to help prevent the development and transmission of communicable diseases and infections as evidenced by staff: 1. Failing to put on PPE (Personal Protective Equipment ) prior to entering Resident #94's room who was on contact isolation precautions; 2. Failing to sanitize hands upon exiting Resident #94's room and 3. Failing to ensure staff performed hand hygiene according to accepted standards of practice during wound care observation for 1 (Resident #98) out of 2 (Resident #33 and #98) residents sampled for wound care.

Inspectors wroteBased on observation, interviews and record reviews the facility failed to ensure a resident was treated with respect and dignity as evidenced by staff failing to intervene and replace Resident #43's meal tray after her food was touched by Resident #66.

Inspectors wroteBased on record review, review of the facility's policy and procedure, and interviews, the facility failed to develop a comprehensive person-centered care plan within 7 days of the completion of the required comprehensive assessment MDS (Minimum Data Set) for 1 (Resident #43) out of 1 (Resident #43). The final sample size was 49.

Inspectors wroteBased on observations and interviews, the facility failed to serve palatable food at an appetizing temperature for 1 (#115) of 49 sampled residents.

Inspectors wroteBased on record review, observation, review of the facility's policy and procedure, and interviews, the facility failed to ensure resident's medical record contained documentation of a newly identified skin concern for 1 (Resident #98) out of 2 (Resident #33 and #98) residents investigated for skin conditions. The facility same size was 49.