Brookview Healthcare Center
Brookview Healthcare Center in Gaffney, SC — inspection on February 28, 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
Review of R2's Face Sheet revealed R2 was admitted to the facility on [DATE], with diagnoses including, but not limited to: restlessness and agitation, psychotic disorder with hallucinations due to known physiological condition, Schizoaffective disorder, and Parkinsonism.
Review of R2's Quarterly MDS with ARD of 01/17/25, revealed a BIMS score of 10 out of 15, indicating R2 had moderate cognitive impairment.
Review of R2's Quarterly Elopement Evaluation dated 01/13/25 at 9:05 AM, documented R2 is ambulatory and/or Independent in wheelchair locomotion. R2 is cognitively impaired, has poor decision-making skills, and/or pertinent diagnosis. R2 has a history of wandering.
Resident is at risk for elopement.
Review of R2's Progress Note dated 02/04/25 at 1:07 AM, documented, Resident noted being physically aggressive with staff and other residents.
Resident noted going into resident's room, pulling off the covers from resident, and screaming at different resident.
Resident became physically and verbally combative with staff with staff was attempting to redirect resident. DON notified. EMS called for transport to ER for psych eval.
Nursing
Review of R1's Progress Note dated 02/05/25 at 11:23 AM, documented, LOA: Per daughter's (RP) request, res transported to CMC ER for exam.
Res awake and alert. No s/sx of pain or distress noted.
Nursing
During a phone interview with R1's Representative (RP) on 02/27/25 at 10:28 AM, revealed that on 02/05/25, between 10:30 AM and 11:00 AM, the Director of Nursing (DON) contacted R1's RP via phone and said on Monday night 02/03/24, going into 02/04/25, a male resident went missing and staff couldn't find him.
When facility staff started looking for him, they heard water running from R1's room, and staff went in the room, and found the male resident. R2 was completely naked, and was actively trying to get R1's brief off.
The facility staff intervened and removed him from her room. R1's RP stated the DON told her staff assessed the female resident that night, and the next morning, and she didn't have any trauma related to the event. R1's RP stated R1 has severe dementia, and will say yes as her only form of communication, and is non-ambulatory.
Staff told her (R1's RP) they didn't think that it was a big enough deal and since they didn't find anything, it was not a reportable offense.
The DON told the RP the male resident was sent to the psych ward. R1's RP stated, It killed me when I got the call, I requested them to send my mom to the hospital, because their assessments were not thorough enough in my opinion. R1's RP further stated that R1 went out to the hospital, no abrasions to the body or vaginal area.
Police told her that R2 was interviewed and admitted to the police that R2 put it in but not all the way, not enough to make babies. I called the ombudsman, and she gave me the department's information to file a complaint.
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 02/28/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Brookview Healthcare Center 510 Thompson Street Gaffney, SC 29340