Willowbrooke Ct Skilled Care Ctr At Bayleigh Chase
WILLOWBROOKE CT SKILLED CARE CTR AT BAYLEIGH CHASE in EASTON, MD — inspection on January 17, 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 interview on 1/9/25 at 4:30 PM the DON was asked to clarify when GNA#7 was suspended after the incident.
She indicated that when she came in to work the next day 4/26/22, she was made aware of the incident, she informed the nurse on duty to obtain a statement from GNA#7 and send her home pending the outcome of the investigation.
She confirmed that GNA#7 was not sent off duty on 4/25/22 immediately after the incident.
When asked why, she indicated that GNA#6 did not report the incident and LPN#3 was an agency staff member and did not report it immediately.
The facility failed to protect the residents by failing to ensure that GNA#7 was removed from the facility pending the outcome of the abuse allegation.
Cross reference F 600.
43050
Review of a policy provided by the facility titled Abuse, Neglect, Involuntary Seclusion, Exploitation, and Misappropriation of Property Prevention, dated 07/2023 indicated .
The investigative summary report must include sufficient detail to document the facility conducted a thorough investigation and shall include: Date and time of the alleged incident; Resident's full name and room number; Details of the allegation and any injury; Name(s) of the accused and any witnesses; Name of the facility staff member(s) who investigated the allegation; Any corrective action taken by the facility (i.e., disciplinary actions, staff training, etc.); The results of the investigation (i.e., was the allegation substantiated or unsubstantiated). 1.
Review of the undated Admission Record in the electronic medical record (EMR) under the Profile tab revealed R24 was admitted to the facility on [DATE] with diagnoses which included dementia and major depressive disorder.
6.
Review of the quarterly Minimum Data Set (MDS) with an assessment reference date (ARD) of 11/13/24 in the EMR under the MDS tab revealed R24 was severely cognitively impaired with a Brief Interview for Mental Status (BIMS) score of zero out of 15.
Review of the facility investigation provided by the facility for an injury of unknown origin, revealed R24 had a bruise on the face with no known fall.
Progress note dated 08/22/24 at 7:34 AM stated, Resident noted to have bruise 6x4 on left side of face by eye which was noted at shift change.
Left eye puffy.
Resident in no distress.
215137
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 215137 B.
Wing 01/17/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Willowbrooke CT Skilled Care Ctr at Bayleigh Chase 501 Dutchman's Lane Easton, MD 21601
Review of R45's Face Sheet located in resident's electronic medical record (EMR) under the Profile tab, revealed the resident was admitted to the facility on [DATE] with diagnoses which included Major Depressive Disorder, Mild Cognitive Impairment, Hallucinations, Unspecified Dementia, and anxiety disorder.
Review of R45's annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 11/18/24 and located in the resident's EMR under the MDS tab, revealed the facility assessed the resident to have a Brief Interview for Mental Status (BIMS) score of 15 out of 15, which indicated no cognitive impairment.
Further review revealed no behaviors were indicated.
During an interview on 01/07/25 at 11:25 AM, R45 said Geriatric Nurse Assistant (GNA)1 hated him/her just because s/he is him/her. R45 said GNA1 mouths off to him/her and when s/he reports something about GNA1 to administration GNA1 gets even with him/her by reporting something false about R45. R45 said s/he believed she killed his/her dog, and that GNA1 ignores her job duties. R45 said GNA1 called him/her an (expletive). S/he said s/he reported it to the Director of Nursing (DON) who told R45 that it was unacceptable behavior. S/he said GNA1 was still currently employed. S/he said the last time she gave R45 a shower s/he was afraid that GNA1 did not wash his/her body well or dry him/her off properly. R45 said GNA1 did not care about the care she provided to him/her. R45 said GNA1 and GNA2 would gang up on him/her and talk about him/her in the hall because s/he could hear them. S/he said they said they were not going to do the right thing.
215137
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 215137 B.
Wing 01/17/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Willowbrooke CT Skilled Care Ctr at Bayleigh Chase 501 Dutchman's Lane Easton, MD 21601