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Inspection visit

Health inspection

AVENUE AT BROOKLYNCMS #3664951 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

This survey cited 1 deficiency. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

366495 12/26/2023 Avenue at Brooklyn 4700 Idlewood Drive Brooklyn, OH 44144
F 0561 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to provide showers as scheduled. This affected two residents (Resident #24 and Resident #47) of five residents reviewed for showers. Findings include: 1. Review of the medical record for Resident #24 revealed an admission date of 07/20/23. Diagnoses included complete traumatic metacarpophalangeal amputation of right middle finger, COVID-19 and need for personal care. Review of the quarterly Minimum Data Set (MDS) dated [DATE] revealed he was cognitively intact. Review of the shower sheets for November and December 2023 revealed he had showers on 11/18/23 and 12/05/23. Interviews on 12/26/23 from 8:47 A.M. through 9:10 A.M. with Resident #24 revealed they did not receive showers on a consistent basis. Interview on 12/26/23 at 3:11 P.M. with the Director of Nursing (DON) revealed showers should be documented in the shower book. The DON verified there were only shower sheets for the aforementioned dates for Resident #24. 2. Review of the medical record for Resident #47 revealed an admission date of 11/20/23. Diagnoses included Contusion on scalp, end stage renal disease and type 2 diabetes mellitus. Review of the 5-day MDS dated [DATE] revealed she was cognitively intact. Review of the shower sheets for Resident #47 for December 2023 revealed they had shower sheets for 12/02/23 and 12/06/23. Interviews on 12/26/23 from 8:47 A.M. through 9:10 A.M. with Resident #47 revealed they did not receive showers on a consistent basis. Interview on 12/26/23 at 3:11 P.M. with the DON revealed showers should be documented in the shower book. The DON verified there were only shower sheets for the aforementioned dates for Resident #47. Review of the facility policy titled Bathing-Personal Care, dated August 2022 revealed residents should be offered to be bathed twice a week and as needed. Page 1 of 2 366495 366495 12/26/2023 Avenue at Brooklyn 4700 Idlewood Drive Brooklyn, OH 44144
F 0561 This deficiency represents non-compliance investigated under Complaint Number OH00149171. Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few 366495 Page 2 of 2

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Citations

1 citation recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0561GeneralS&S Dpotential for harm

    F561 - Self-determination

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

FAQ · About this visit

Common questions about this visit

What happened during the December 26, 2023 survey of AVENUE AT BROOKLYN?

This was a inspection survey of AVENUE AT BROOKLYN on December 26, 2023. The surveyor cited 1 deficiency, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at AVENUE AT BROOKLYN on December 26, 2023?

Yes, 1 deficiency was cited, each with a CMS Scope and Severity grade. The first was: "Honor the resident's right to and the facility must promote and facilitate resident self-determination through support o..."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

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Next steps

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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.