Brantwood Nh & Retirement Center

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews with staff, and physician, the facility failed to protect residents' rights to be free from misappropriation of controlled medications (Morphine) for 1 of 1 resident reviewed for misappropriation of residents' property (Resident #76). This resulted in 3.75 milliliters (mL) of liquid Morphine missing.Findings included:The facility's Abuse and Neglect Prohibition policy last revised 12/12/25 indicated that each resident had the right to be free from abuse which included misappropriation of property which was defined as deliberate misplacement, exploitation, or wrongful, temporary, or permanent use of a resident's belongings or money without the resident's consent.Resident was initially admitted on [DATE].Physician orders dated 3/12/25 directed Morphine Sulfate (Morphine) concentrate 20 milligrams/ milliliter (mg/mL), give 0.5 mL by mouth every hour as needed for shortness of breath or pain. The order was discontinued on 3/22/25. A new order dated 3/22/25 was directed at 0.25…

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.

Based on record review and staff interviews, the facility failed to report an allegation of misappropriation of resident property to Adult Protective Services for 1 of 1 resident reviewed for misappropriation of property (Resident #76).Findings included:The facility's Abuse, Neglect, or Misappropriation of Resident Property policy, last revised 12/12/25, stated that each resident had the right to be free from abuse, including misappropriation of property. The policy defined misappropriation as the deliberate misplacement, exploitation, or wrongful use of a resident's belongings or money without the resident's consent. The policy required the facility to report allegations immediately but no later than 2 hours if the allegation involved abuse or resulted in serious injury, and no later than 24 hours if the allegations do not involve abuse or result in serious injury. Reports were required to be submitted to other officials, including the State Survey Agency and Adult Protective Services (APS). The Administrator or designee was responsible for ensuring that all required agencies were…

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.

Based on observations and staff interviews, the facility failed to keep food preparation areas and food service equipment clean, free from debris, grease buildup, and/or dried spills during two observations. The facility failed to clean the floor and ceiling vents located over the food preparation and food service areas. This practice had the potential to affect food served to residents. The findings included: During the initial kitchen tour on 12/15/24 from 9:30 AM to11:50 AM, the following observations were made with the dietary aides: a. The 6-compartment steam table had floating food particles in standing water; the lids of the steam table had large volumes of dried food and greasy build up around edges. The pans were heavily encrusted with brown matter and burnt food items. b. The 2 reach-in refrigerators had leftover food and dried liquids on the walls inside and outside from previous meals. There was dried milk, tea, spilled cheese, left over food on the walls and bottom of the refrigerators. c. The 6 meal carts with dry food crumbs, meat products and dried liquids and…

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.

Based on the observations and staff interviews, the facility failed to remove an expired multi-dose vial of insulin and expired blister card of antihypertensive medication from 1 of 5 medication administration carts (200 hall medication cart) and failed to remove the expired medications from the refrigerator in 1 of 2 medication storage rooms. Findings Included: 1. On 12/16/24 at 8:45 AM, an observation of the 200 hall medication cart with Nurse #1 revealed one multi-dose vial of Insulin Novolog, opened on 11/5/24. A review of the manufacturer's literature indicated to discard Novolog multi-dose vial 28 days after opening (which would be on 12/3/24). In addition, there was one blister card of Apresoline 25 mg (milligrams) 5 tablets, expired on 11/29/24. On 12/16/24 at 8:50 AM, during an interview, Nurse #1 indicated that the nurses, who worked on the medication carts, were responsible for discarding expired multi-dose vials and expired medications. The nurse stated that she had not checked the date the insulin vials were opened in her medication administration cart at the beginning…

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 record review, resident and staff interviews, the facility failed to invite the resident or resident's responsible party to participate in the care planning process for 1 of 16 residents whose care plans were reviewed (Resident #42). Findings included: Resident #42 was originally admitted on [DATE] and readmitted on [DATE]. Resident #42's comprehensive care plan was completed on 8/23/23, however there was no indication that the resident or a resident's representative had participated in the care plan meeting or in development of his care plan. Review of the admission Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #42 had been assessed as cognitively intact. There was no documentation that indicated the plan of care was discussed with the resident or resident's representative or that they were invited to a care plan meeting. During an interview on 11/06/23 at 9:22 AM, Resident #42 stated he had not been invited to attend a care plan meeting and did not recall participating in developing…

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 record review and staff interviews the facility failed to maintain accurate advanced directive (code status) information throughout the medical record for 1 of 26 residents reviewed for advanced directives (Resident #26). Findings included: Resident #26 was admitted on [DATE]. Review of Resident #26's paper medical record revealed a signed physician's order and a Do Not Resuscitate (DNR) form both dated 4/28/22 indicating Resident #26's DNR status. Resident #26's electronic medical record indicated DNR. Resident #26's most recent Minimum Data Set assessment dated [DATE] indicated she was cognitively intact. Review of Resident #26's care plans initiated on 8/1/21 and most recently noted as reviewed on 9/28/23 included: Resident's Advanced Directives. Goal: Wishes Will Be Known. Interventions included in part; Residents code status is: FULL CODE. An interview with the Minimum Data Set (MDS) Coordinator was conducted on 11/08/23 at 11:18 AM. She stated care plans were reviewed with every MDS assessment and…

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.