Brighton Post Acute
BRIGHTON POST ACUTE in HANFORD, CA — inspection on April 1, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During a review of Residents 1 ' s Minimum Data Set (MDS- a resident assessment tool used to identify resident cognitive and physical function) assessment dated [DATE], indicated Resident 1 ' s Brief Interview of Mental status assessment (BIMS - assessment of cognitive status for memory and judgement) scored 11 of 15 (a score of 13-15 indicates cognitively intact, 08-12 indicates moderately impaired, and 00-07 indicates severe impairment).
The BIMS assessment indicated Resident 11 ' s cognition was moderately impaired.
During a concurrent observation and interview on 4/1/25 at 9:30 a.m., with Resident 1, Resident 1 was lying in bed, dressed and groomed.
There was a wheelchair and four-wheeled walker observed near his bed. Resident 1 complained of pain to bilateral hips and stated he had fallen, and his left hip was swollen and painful. Resident 1 stated he fell about a week ago (on 3/15/25) when he rushed to the bathroom without an assistive device and the resident from the adjoining room pushed the bathroom door open hitting him in the head and causing him to fall on the ground. Resident 1 stated he was hit on his forehead, back of his head on the left side and landed on his left hip. Resident 1 stated, It hurt really bad. Resident 1 stated he had a portable X-ray done at the facility which did not show any fractures but was sent to the emergency room the next day where he was told he had a hip fracture. Resident 1 stated the fracture was not severe enough to require surgery, so he was sent from the ED back to the facility. Resident 1 stated he was independent to go to the bathroom and back, so he did not use his call light or walker.
During an interview on 4/1/25 at 9:41 a.m. with Certified Nursing Assistant (CNA) 1, CNA 1 stated Resident 1 would not use his call light to call for help. CNA 1 stated Resident 1 would take himself to the bathroom without assistance.
During an interview on 4/1/25 at 10:12 a.m. with CNA 2, CNA 2 stated Resident 1 would get out of bed and walk to the bathroom independently. CNA 2 stated Resident 1 used the call light when he needed pain medication but otherwise did not call for help. CNA 2 stated Resident 2 would hold onto items to walk to the bathroom such as the bedside table, footboard and walls to get to the bathroom. CNA 2 stated Resident 1 needed to have supervision and use his walker to ambulate safely.
During a review of Resident 1 ' s fall care plan, dated 3/16/25, the care plan indicated, . unwitnessed fall on 3/15/25 and 3/16/25 . be free of complications r/t [related to] unwitnessed fall .
Assess pain .
Educate [Resident 1] to utilize call light and to wait for assistance .
Medication adjustment/review .
Notify MD for any significant changes . X-ray to hip bilateral with pelvis .
During a review of Resident 1 ' s fall care plan dated 3/17/25, the care plan indicated, . witnessed fall 3/17/25, no injury . will not have any delayed trauma .
Monitor for any s/s [signs/symptoms] delayed trauma . Q [every] shift monitoring .
Refer to [Name of Behavioral Health] .
055410
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 055410 B.
Wing 04/01/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Brighton Post Acute 361 E.
Grangeville Blvd Hanford, CA 93230