Lb Broen Home

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and document review, the facility failed to provide services in a dignified manner for 1 of 1 residents (R31), reviewed for dignity.Findings include: R31's quarterly Minimum Data Set, dated [DATE], identified R31 was cognitively intact and had diagnosis which included renal insufficiency, diabetes mellitus (DM), and hypertension (elevated blood pressure). MDS further identified R31 was continent of bowel and bladder and required staff assistance with activities of daily living (ADL's) which includes bed mobility, transfers, and toileting. Review of a bowel and bladder assessment dated [DATE], identified R31 was continent (has control of ) bowel and bladder. Review of R31's care plan revised 1/30/26, identified R31 was aware of the need to void or defecate and would request to use the toilet as needed. During an interview on 5/17/26 at 11:54 a.m., R31 stated staff put diapers on me, I know when I need to use the bathroom and I am not incontinent. R31 stated I have told staff it…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and document review, the facility failed to ensure staff were using personal protective equipment (PPE) according to the Centers for Disease Control for 2 of 2 residents R35, R13 who tested positive for COVID -19.Findings include:The CDC Interim Infection Prevention and Control Recommendations for Healthcare Personal During the Coronavirus Disease 2019 (COVID-19) Pandemic, dated May 8, 2023, identified when using a NIOSH approved respirator or facemask is indicated for personal protective equipment (PPE) (e.g., NIOSH Approved particulate respirators with N95 filters or higher during the care of a patient with SARS-CoV-2 infection, facemask during a surgical procedure or during care of a patient on droplet precautions), they should be removed and disgarded after the patient care encounter and a new one should be donned. FACILITYInfection ControlLaundry tour 07/08/25 10:02 AM [NAME] Supervisor - laundry comes down in carts. we wear yellow gowns and gloves and goggles when sorting…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and document review, the facility failed to notify the resident representative promptly following provider order changes for 1 of 1 residents (R5) who received an order for antibiotics for a urinary tract infection (UTI). Findings include: R5's quarterly Minimum Data Set (MDS) dated [DATE], indicated R5's cognition was severely impaired. R5 had diagnoses that included cancer, Alzheimer's disease (cause of dementia), and arthritis. R5 needed maximal assistance for transferring, personal hygiene, and dressing. R5's care plan, last revised on 7/8/25, indicated R5 had an activities of daily living (ADL) self-care performance deficit related to Alzheimer's dementia, and a right hip fracture. Interventions included: Toileting schedule every two hours and check on nights, continent and incontinent of both bowel and bladder. R5's signed physician order dated 6/20/25, indicated Cipro (antibiotic for bacterial infections) 500 milligrams (mg) twice a day (BID) for five days. R5's medication…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and document review, the facility failed to accurately code the Minimum Data Set (MDS) correctly for 2 of 2 residents (R17, R ) reviewed for resident assessment.Findings include:The Centers for Medicare and Medicaid (CMS) Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual dated 10/2023, identified Section N, record the number of days during the 7-day look-back period that the resident received any type of medication, antigen, vaccine, etc., by subcutaneous, intramuscular, or intradermal injection. Check B, antianxiety: if anxiolytic medication was received by the resident at any time during the 7-day look-back period (or since admission/entry or reentry if less than 7 days). Section O Hospice care: Code residents identified as being in a hospice program for terminally ill persons where an array of services is provided for the palliation and management of terminal illness and related conditions. The hospice must be licenses by the state as a hospice provider and/or…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and document review, the facility failed to ensure a pressure relieving device was implemented to prevent skin breakdown for 1 of 3 residents (R25) reviewed for pressure ulcers.Findings include:R25's quarterly Minimum Data Set (MDS) dated [DATE], identified R22 had severe cognitive impairment and diagnoses which included stroke, dementia, and arthritis. Identified R25 required extensive assistance with activities of daily living (ADL's) which included bed mobility, transfers, and toileting. Identified R25 was at risk for pressure ulcers. R25's annual Care Area Assessment (CAA) dated 7/5/24, identified R25 required total assistance from staff with repositioning and was at risk for skin breakdown. Identified R22 was incontinent of bowel and bladder. R25's care plan dated 4/29/22, identified R22 had self care deficits and was at risk for skin breakdown related to stroke, history of pressure ulcers and need for staff assistance with repositioning in bed and wheelchair. Identified R25…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and document review, the facility failed to comprehensively assess, attempt alternatives, ensure dimensions were appropriate and follow manufacturer's recommendations for installing prior to use of bed rails for 1 of 2 residents (R41 ) reviewed who were observed to have bed rails.Findings Include: R41's quarterly Minimum Data Set (MDS) dated [DATE], identified R41 was cognitively intact and had diagnoses which included: diabetes mellitus, arthritis and anxiety. R41's MDS further identified R41 was independent to roll left and right, and required supervision or touching assistance for lying to sitting, sit to stand and chair and bed transfers. R41's care plan dated 7/9/25, identified R41 had an activities of daily living (ADL) self-care performance deficit and indicated R41 was able to turn self and sit up in bed on own. R41's care plan interventions included to assist with transfers with gait belt and front wheeled walker. R41's care plan identified R41 had positioning rails…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and document review, the facility failed to ensure a resident's call light was within reach from the bathroom floor in a resident bathroom for 1 of 1 residents (R7) reviewed for call light accessibility.Findings include:R7's quarterly Minimum Data Set (MDS) dated [DATE], identified R7 was cognitively intact and had diagnoses which included: diabetes mellitus, arthritis and anxiety. R7's MDS further identified R7 used a walker and was independent with walking, transferring and toilet hygiene. R7's care plan dated 7/8/25, identified R7 had an activities of daily living (ADL) self-care performance deficit with interventions that included, ensure call light was within reach. R7 was independent with toileting. During observation on 7/7/25 at 11:27 a.m., R7's bathroom call light box was on the wall approximately three feet off the floor. It had a short blue string attached with a knot on the end. The string hung approximately three to four inches below the call light box. R7 indicated…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and document review, the facility failed to implement appropriate donning/doffing of personal protective equipment (PPE) practices to prevent the spread of infection for 3 of 5 residents (R2, R16, R34) observed for enhanced barrier precautions (EBP) (an infection control intervention designed to reduce transmission of multidrug-resistant organisms that employs targeted gown and glove use during high contact resident care activities). In addition, the facility failed to ensure equipment was sanitized between 2 of 2 residents (R24, R34) observed during transfers by nursing staff. Further, the facility failed to implement hand hygiene for 5 of 5 residents (R1, R29, R32, R37, R43) observed during medication administration. Findings include: Review of Centers for Disease Control (CDC) guidance dated 4/1/24, Implementation of Personal Protective Equipment (PPE) Use in Nursing Homes to Prevent Spread of Multidrug-resistant Organisms (MDROs) indicated examples of high-contact resident…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and document review, the facility failed to immediately report, no later than 2 hours, an allegation of abuse to the State Agency (SA) for 1 of 3 residents (R2) reviewed for abuse. Findings include: R2's quarterly Minimum Data Set (MDS) dated [DATE], identified R2 had moderate cognitive impairments and had diagnosis which included hypertension (elevated blood pressure), depression and bipolar. Indicated R2 required extensive assistance with activities of daily living (ADL's) which included bed mobility, transfers and toileting. R2's care plan dated 5/10/21, revealed R2 was vulnerable related to placement in a nursing home. Care plan stated any employee who observed an interaction that placed any resident at risk for abuse would record it in the resident's progress notes under a behavior note and staff would also notify a charge nurse to follow up. The facility State Agency (SA) report dated 8/22/23, identified a lady or man came into her room and slapped her on the arm, lip, or eye. The report…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and document review, the facility failed to ensure a thorough investigation of an allegation of potential abuse was completed for 1 of 3 residents (R1) reviewed for abuse. In addition, the facility failed to protect residents after an allegation of abuse occurred by allowing the alleged perpetrator (AP) to continue to have access to other vulnerable adults for 1 of 3 residents (R2) reviewed for abuse. Findings include: R1 R1's annual Minimum Data set (MDS) dated [DATE], indicated R1 had moderately impaired cognition and had diagnoses which included heart failure, renal insufficiency and non Alzheimers dementia. Indicated R1 required staff supervision with activities of daily living which included bed mobility and transfers and required extensive staff assistance with toileting. R1's care plan revised 8/18/23, revealed R1 was vulnerable related to placement in a nursing home with a goal that R1 would not experience any abuse. The facility report to the State Agency (SA) dated 8/27/23 at 6:49…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.