Trend Health and Rehab of Brookhaven

Inspectors wroteBased on record review, facility policy review, and staff and resident interviews, the facility failed to ensure safe transfer practices as evidenced by the facility failed to ensure two (2) staff members were present during a mechanical lift transfer per facility policy for one (1) of (16) sampled residents. (Resident #30).

Inspectors wroteBased on record review, facility policy review, and interviews, the facility failed to ensure staff followed the resident's comprehensive care plan and facility mechanical lift policy for safe transfers for one (1) of (1) residents reviewed for accidents involving mechanical lifts. Resident #30.

Inspectors wroteBased on observation, interviews, and record reviews the facility failed to ensure medications were available for administration as ordered for two (2) of (29) medication administration opportunities resulting in a medication error rate of 6.9% that affected Resident #3 and Resident #62. Findings Include:Resident #3On 02/11/26 at 10:46 AM, an observation was made of Licensed Practical Nurse (LPN) #4 preparing medications for Resident #3. During preparation, Flonase 0.05 mg/actuation nasal spray was not available. LPN #4 searched the medication room and was unable to locate the medication. On 02/11/26 at 10:50 AM during an interview, LPN #4 stated the pharmacy delivers medications nightly. She stated the nurse assigned to the medication cart on previous shifts is responsible for reordering medications before depletion. [...]

Inspectors wroteBased on observation, interviews, record review and facility policy review the facility failed to ensure the emergency medication kit was secured and locked to prevent unauthorized access and to ensure availability of medications for emergency use for one (1) of two (2) medication storage rooms observations. Findings Include:Record review of the facility's Medication Ordering and Receiving from Pharmacy Provider undated revealed, .4. EMERGENCY PHARMACY SERVICE AND EMERGENCY KITS.g. When an emergency or starer dose of medications is needed the nurse breaks the container seal and removes the required medication .On 02/10/2026 at 11:41 AM, during an observation of the medication storage room with Licensed Practical Nurse (LPN) #5 revealed that the Emergency kit was missing a zip lock tie. There were numerous medications in the unlocked kit. LPN #5 confirmed the Emergency kit was not locked. [...]

Inspectors wroteBased on observation, interview, and facility policy review, the facility failed to ensure food items were properly dated and labeled in accordance with food storage guidelines for one (1) of four (4) days of survey, which had the potential to result in the use of food beyond recommended time frames.

Inspectors wroteBased on observation, interview, facility policy review and record review, the facility failed to ensure staff performed hand hygiene in accordance with infection prevention standards before donning (putting on) gloves, after glove removal, and after contact with contaminated surfaces during medication administration and enteral feeding for three (3) of (16) sampled residents. Resident #3, Resident #56 and Resident #62.

Inspectors wroteBased on observation, interviews, record reviews, and facility policy review, the facility failed to ensure proper infection control practices during the provision of care for residents on Enhanced Barrier Precautions (EBP) for two (2) of five (5) care observations. Residents #24 and #40. Findings Include: A review of the facility's procedure titled Procedure for Handwashing, revised 04/15, revealed .When to Wash Hands (at a minimum) . Before and after each resident content After handling any contaminated items (linens, soiled diapers, garbage, etc.) A review of the facility's policy titled, Enhanced Barrier Precautions revised 08/07/24, revealed It is the policy of this facility to implement enhanced barrier precautions for the prevention of transmission of multidrug-resistant organism. Definitions: [...]

Inspectors wroteBased on observation, interviews, record review, and facility policy review, the facility failed to ensure a resident's right to a clean, comfortable, and homelike environment as evidenced by a soiled privacy curtain, missing paint on the walls, strong odors, and flies present in the resident's room for one (1) of fourteen (18) sampled residents. Resident #14 Findings Include: A review of the facility's policy titled Safe and Homelike Environment, undated, revealed, .In accordance with residents' rights, the facility will provide a safe, clean, comfortable and homelike environment . A review of the facility's Residents' Rights document, undated, revealed, .You have the right to live and receive care in a residential setting that is homelike, safe, clean, and comfortable. [...]

Inspectors wroteBased on observation, staff interview, record review, and facility policy review, the facility failed to implement care plans interventions regarding wearing all Personal Protective Equipment (PPE) during perineal care and hand hygiene during Percutaneous Endoscopic Gastrostomy (PEG) tube care for two (2) of five (5) residents reviewed for care. Resident #24 and Resident #40. Findings Include: A review of the facility's policy titled Care Plan - Comprehensive, revised October 2016, revealed, An individualized (person-centered) comprehensive care plan that includes measurable objectives and timetables to meet the resident's medical, nursing, mental, and psychological needs is developed for each resident . Policy Interpretation and Implementation . 3. Each resident's comprehensive care plan is designed to: . f. [...]

Inspectors wroteBased on observation, interviews, record review, and facility policy review, the facility failed to ensure a resident received a physician-ordered salad during the lunch meal for one (1) of eighteen (18) sampled residents. Resident #44 Findings Include: A review of the facility's policy titled Dining and Food Preferences, revised 10/2022, revealed: Individual dining, food, and beverage preferences are identified for all residents/patients. During an interview on 10/07/24 at 10:43 AM, Resident #44 stated that the kitchen does not provide her with food to her liking. She mentioned that she enjoys eating salads daily but has not received them in several months, despite requesting them through the nurses and Certified Nursing Assistants (CNAs). She added that she stopped asking because she became tired of repeating her request. [...]

Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to resolve repeated group dietary complaints voiced by residents during Resident Council Meetings for five (5) of six (6) months of resident council meeting minutes reviewed.

Inspectors wroteBased on observation, interviews, and facility policy review, the facility failed to prevent the possible spread of infection by leaving an unattended ice chest in the hallway for one (1) of four (4) days of observation.

Inspectors wroteBased on observation, interviews, and facility policy review, the facility failed to remove expired, refrigerated medications from the medication storage room for one (1) of two (2) observations.