BROOKDALE HAMILTON WOLFE

2025 · 14 cited

1. The facility failed to have a complete fire safety plan for the protection of everyone in the facility in the event of a fire.

   Life Safety CodeCited Nov 5, 2025Corrected —

2. The facility failed to have a program to inspect, test, and maintain the fire sprinkler system and keep records of inspection, testing, and maintenance of the fire sprinkler system.

   Life Safety CodeCited Nov 5, 2025Corrected —

3. The facility failed to ensure means of egress met the referenced codes and standards.

   Life Safety CodeCited Nov 5, 2025Corrected —

4. The facility failed to conduct and document a risk assessment for potential emergencies or disasters.

   Life Safety CodeCited Nov 5, 2025Corrected —

5. The facility's plan failed to include the location of a current list of the facility's resident population.

   Life Safety CodeCited Nov 5, 2025Corrected —

6. The facility failed to review the plan at least annually to reflect changes in information, within 30 days following a disaster, within 30 days after a drill, and within 30 days after a change in rule or policy.

   Life Safety CodeCited Nov 5, 2025Corrected —

7. The facility failed to include a section addressing evacuation in the emergency preparedness and response plan.

   Life Safety CodeCited Nov 5, 2025Corrected —

8. The facility failed to include a section addressing transportation in the emergency preparedness and response plan.

   Life Safety CodeCited Nov 5, 2025Corrected —

9. The facility failed to provide required exit signs.

   Life Safety CodeCited Nov 5, 2025Corrected —

10. The facility failed to include a section addressing direction and control in the emergency preparedness and response plan.

    Life Safety CodeCited Nov 5, 2025Corrected —

11. The facility failed to provide portable fire extinguishers that met the referenced codes and standards.

    Health VisitCited Jul 11, 2025Corrected —

12. The provider failed to properly post or disclose to prospective residents the facility's normal 24-hour staffing pattern.

    Health VisitCited Jul 11, 2025Corrected —

13. The facility failed to post the telephone number of the managing local ombudsman and the Ombudsman Program.

    Health VisitCited Jul 11, 2025Corrected —

14. The facility failed to establish pre-admission procedures.

    Health VisitCited Jul 11, 2025Corrected —