Pierce Memorial Baptist Home, Inc.
PIERCE MEMORIAL BAPTIST HOME, INC. in BROOKLYN, CT — inspection on March 27, 2026.
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
functional mobility.
The plan was to request the maintenance department to place a cushion liner on
metal frame.The physician's initial wound consultation dated 11/25/25 at 10:56 AM identified the skin
width by 0.1 cm in depth, with a small amount of serosanguineous drainage.
The treatment plan directed to cleanse the wound with normal saline, apply silver hydrogel to the base of the wound, and cover it with a dry, clean dressing daily and as needed when soiled or dislodged.The weekly wound physician's progress notes from 12/2/25 through 12/23/25 identified Resident #17 had a skin tear to the left lower leg.
Documentation reflected that the wound physician continued to monitor the condition and provided an ongoing treatment plan for the skin tear throughout this period.The nurse's notes dated 12/30/25 at 10:35 AM identified that Resident #17's skin tear to the left lower leg was documented as healed.Interview with LPN #2 on 3/26/26 at 11:00 AM identified that NA #2 had reported a skin tear that had occurred during Resident #17's transfer.
She identified that NA #2 had reported Resident #17 did not have a skin tear prior to the transfer and that the skin tear to the left lower leg had been obtained after the resident was transferred from the wheelchair to the bed.
She identified that Resident #17 required assistance of one staff member for transfers.
She further identified that she could not recall whether Resident #17 had been agitated at the time of the transfer.
She also identified that Resident #17 had not been using a leg rest on his/her wheelchair because he/she could selfˆpropel while in the wheelchair.Interview with the DNS on 3/26/26 at 1:30 PM identified that Resident #17's skin tear had been noted after the resident was transferred from the wheelchair to the bed.
She reviewed the witness statements obtained from NA #2 and NA #8, which identified that the resident had been agitated and that staff should have waited prior to transferring the resident; however, she identified that Resident #17 had been agitated during the transfer.
She further identified that Resident #17 should have been free from any type of accident while care was being provided by her staff.Attempts to interview NA #2 and NA #8 were unsuccessful during the survey period.The facility's policy for Accidents and Supervision identified that the facility would maintain the resident environment free of accident hazards to the greatest extent possible and ensure that each resident received adequate supervision and appropriate assistive devices to prevent accidents.