Brighton Place San Diego
BRIGHTON PLACE SAN DIEGO in SAN DIEGO, CA — inspection on January 15, 2025.
Found 2 citations. 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 an observation on 1/12/25 at 12:45 P.M. A lunch time meal tray was delivered to Resident 27.
The Meal ticket stated chopped meat.
The Plate had one quarter inch slice of meat.
During an interview on 1/12/25 at 12:45 P.M. with Resident 27, Resident 27 stated he has limited use of hands and used adaptive devices for utensils. Resident 27 stated he is unable to use a knife and fork in combination to cut meat or vegetables. Resident 27 stated he will be unable to eat the meat in its current form and that is why he has asked for chopped meat.
During an interview on 1/15/25 at 8:35 A.M. with Certified Nursing Assistant 25 (CNA 25), CNA 25 stated when we get the trays, the nurses check the slips and make sure that they match the trays. I can kind of read slips. CNA 25 further stated when we get our 4 day training, we get training on the different consistencies.
Speech therapists sometimes come and talk to us as well, if they are going to upgrade diets. CNA. 25 concluded A resident could choke if they didn't have the correct diet.
During an interview on 1/15/25 at 9:49 A.M. with Licensed Vocational Nurse 2 (LVN 2), LVN 2 stated When meals are passed out, we have two licensed nurses at the tray cart.
One confirms with the meal orders, and the other confirms with the meal ticket. We look at the food to make sure it matches with the order and the ticket. if it doesn't match then we send it back to the kitchen.
Because of the two checks a wrong meal should not get to the resident. If it does, the resident might choke, or the resident might be allergic to something in the meal.
During an interview on 1/15/24 at 10:55 A. M. with the Director of Nursing (DON), the DON stated we compare the diet order to the meal tag. We go by the diet order and have the kitchen update the tag.
The DON further stated That tag says chopped meat and it is not, that's on me I checked that. If they had dysphasia, it could cause choking. It's not acceptable.
055795
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 055795 B.
Wing 01/15/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Brighton Place San Diego 1350 N.
Euclid Avenue San Diego, CA 92105
During an observation on 1/12/25 at 9:25 A.M., Resident 9 was observed in bed, responsive to voice with low single word answers.
During an interview on 1/14/25 at 10:19 A.M., with Licensed Vocational Nurse 2 (LVN 2), LVN 2 stated a Care plan is a patient centered record where other staff can learn about the patient.
Care plans come from the doctor.
You can generate a new plan of care, but it is based on a doctor's order. LVN 2 stated All changes in resident status or goals of care need to have a care plan.
During an interview and record review on 1/15/25 at 10:55 A.M., with the Director of Nursing (DON), in the DON's office.
The DON stated Yes, [Resident 9] was admitted to hospice on 1/4/25.
Following a review of Resident 9's care plans, the DON stated, There is no care plan for [Resident 9] to be on hospice.
The DON further stated [Resident 9] would not have a comprehensive resident centered care plan since hospice is missing.
A review of the facility's policy and procedure titled COMPREHENSIVE PERSON-CENTERED CARE PLANNING dated November 2018, indicated .Additional changes or updates to the resident's comprehensive care plan will be made based on the assessed needs of the resident .the comprehensive care plan will also be reviewed and revised at the following times: i. onset of new problems; ii. change of condition; iii. in preparation for discharge; iv. To address changes in behavior and care .
3. A review of Resident 198's admission record indicated Resident 198 was admitted on [DATE] with a diagnosis of Alzheimer's Disease (a disease characterized by a progressive decline in mental abilities).
During an observation on 1/12/25 at 10:50 A.M., Resident 198 was observed ambulating through facility and outside to the smoking area without the use of assistive devices.
During an interview on 1/13/25 at 8:50 A.M., with the Administrator (ADM).
The ADM stated on 1/2/25, Resident 198 came out of the door, set off the alarm, went past two residents, climbed over the fence, and went toward the church.
The staff followed and Resident 198 was caught at the church and returned to the facility.
055795
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 055795 B.
Wing 01/15/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Brighton Place San Diego 1350 N.
Euclid Avenue San Diego, CA 92105