Brookview Healthcare Center

Review of the facility's removal plan and verification of implementation determined the facility had corrected their own deficiency, related to the IJ being identified as Past-noncompliance.

An extended survey was completed on 01/31/2025 due to the failure constituting substandard quality of care.

Findings include:

Review of the facility's policy titled, Elopement Response Guidelines, effective date 05/01/2006 stated, It is the responsibility of all staff to provide a safe environment for all residents.

Review of R1's Face Sheet revealed R1 was admitted to the facility on [DATE], with diagnoses including but not limited to: generalized anxiety disorder, vascular dementia, and unspecified dementia with other behavioral disturbance.

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.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

425062

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 425062 B.

Wing 01/31/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Brookview Healthcare Center 510 Thompson Street Gaffney, SC 29340