Emerald Nursing & Rehab Brookside Llc
Emerald Nursing & Rehab Brookside LLC in Lincoln, NE — inspection on November 18, 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
Summary dated 10/06/2025 reveals a wound care order for bilateral toe wounds.
The order is to apply Medi Honey and Band-Aid daily, with a start date of 09/20/2025.An observation on 10/02/2025 at 8:30 AM revealed LPN (Licensed Practical Nurse) performing wound care on Resident 1.
The LPN first gathered supplies including gauze, Medi Honey, and Band-Aids.
The LPN placed gloves in scrubs (uniform) pocket, next performed hand hygiene with hand sanitizer and entered the resident's room.
The LPN greeted the resident, applied gloves, removed old Band-Aids from the toes on the resident's right foot.
The LPN then removed the dirty gloves and replaced them with new gloves.
The LPN cleaned off the open wounds with the gauze and applied the Medi-Honey to each of the open wounds.
The LPN then covered each wound with a clean Band-Aid.
The LPN disposed of soiled bandages and performed hand hygiene.At no time during this wound care process did the LPN don (to put on) a gown as required for Enhanced Barrier Precautions (EBP, an infection control intervention designed to reduce transmission of multidrug-resistant organisms (MDROs) in nursing homes.
Enhanced Barrier Precautions involve gown and glove use during high-contact resident care activities for residents known to be colonized or infected with a MDRO as well as those at increased risk of MDRO acquisition (e.g., residents with wounds or indwelling medical devices).A record review of the facility's Infection Control MDRP PPE (Personal Protective Equipment) Enhanced Barrier Precautions policy dated 03/20/2024 revealed that EBP is to be used during routine cares of residents with chronic wounds including but not limited to those with diabetic foot ulcers. An interview with the LPN on 10/02/2025 at 8:40 AM revealed that the LPN was under the impression that EBP was only used during catheter cares and tube feedings and not for wound cares. An interview with Director of Nursing on 10/02/2025 at 2:00 PM confirmed Resident 1 was in Enhanced Barrier Precautions and it is the facility's expectation for staff to use EBP, including applying a gown before performing wound cares and that hand hygiene should be performed before donning (applying) or after doffing (removing) gloves.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
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