Brookdale North Euclid

87468.1 Personal Rights of Residents in All Facilities: (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. Based on observation, the licensee did not comply with section cited above by not ensuring R1's urinal was kept clean, which poses a potential health, safety, or personal rights risk to to persons in care.

87507 Admission Agreements: (c) Admission agreements shall be signed and dated, acknowledging the contents of the document, by the resident or the resident’s representative, if any, and the licensee or the licensee’s designated representative... Based on record review, the licensee did not comply with section cited above by charging an additional fee to R1's monthly charge due to behaviors with no signature from R1 or representative, which poses a potential health, safety, or personal rights risk to persons in care.

87608 Postural Supports (a) Based on the individuals preadmission appraisal....(3) A written order from a physician indicating the need for the postural support shall be maintained in the residents record. The licensing agency... This requirement is not met as evidenced by: Based on observation, interview and record review, the licensee did not comply with the section cited above by having Resident #1 (R1) and Resident #5 (R5) half bed rail with no written order from R1 and R5 physician indicating the need for the postural support maintained in R1 and R5 facility record upon moving in at the facility on 01/31/2023 which poses a potential health, safety or personal rights risk to residents in care.The Licensee stated to submit written order from R3's physician indicating the need for the postural

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care...(6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility. This requirement is not met as evidenced by: Based on observation, interviews and records review, the Licensee did not comply with the section cited above by not giving R1 and R5 their medications as prescribed by their physician which pose immediate health, safety and personal rights risks to residents in care.

87507 Admission Agreements (f) The Licensee shall comply with all applicable terms and conditions set forth in the Admission Agreement, including all modifications and attachments. This requirement is not met as evidenced by: Based on observation, interview and records review, the Licensee did not comply with the section cited above by charging R1 for Escort and mobility services not rendered or provided to R1 on 04/2023, 05/2023 and 06/2023 which pose potential health, safety and personal rights risks to residents in care.

Plan of Operation: Each facility shall have and maintain a current, written definitive plan of operation. The facility staff did not maintain this regulatory requirement as evidenced by S1 violating facility Smoke-Free environment when video evidence revealed vaping in the kitchen. This poses a risk to the health and safety of others in the facility.