Bremond Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Bremond Nursing and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF676Aug 16, 2025

  Based on interview, observation and record review the facility failed to provide the necessary care and services for 1 of 11 (Resident #8) residents reviewed for transfer status. The facility failed to ensure that Resident #8, who was a 2 person assist in May 2025 and was changed to a mechanical transfer on 8/14/2025, did not suffer a decline in mobility. An Immediate Jeopardy (IJ) was identified on 8/15/2025. The IJ template was provided to the facility on 8/15/2025 at 4:45PM. While the IJ was removed on 8/16/2025, the facility remained out of compliance at a scope of pattern and a severity level of no actual harm with potential for more than minimal harm that was not immediate jeopardy due to the facility's need to evaluate the effectiveness of the corrective systems. […]

• Immediate jeopardy, isolatedF689Mar 3, 2023

  Based on observation, interview, and record review the facility failed to provide adequate supervision and devices to prevent accidents for 1 of 5 residents (Resident #1) reviewed for accidents and supervision. The facility failed to ensure Resident #1 eloped from the facility on 2/28//2023 and fractured his right hip, that required surgery to treat. Resident #1 was found 2 1/2 blocks away from the facility on the ground, he had fallen and was unable to get up. This failure resulted in an identification of an (IJ) Immediate Jeopardy on 3/1/2023 at 6:06 p.m. The (IJ) Immediate Jeopardy template was provided to the ADM on 3/1/2023 at 6:06pm. […]

• Actual harm, isolatedF689Aug 22, 2026

  Based on observation, interview, and record review, the facility failed to provide necessary supervision for 1 of 3 residents (Resident #1) reviewed for accident hazards and supervision.The facility failed to protect Resident #1 from neglect when CNA A left the resident unsupervised despite the resident's identified need for supervision, resulting in Resident #1 sustaining a fall on 8/03/2026, which resulted in a left distal radial fracture.This failure could place residents at risk for physical and/or psychological harm or injury.Findings included:Record review of Resident #1's Face sheet printed 08/22/26 reflected, revealed she was a [AGE] year-old female admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, widespreadF801Apr 27, 2023

  Based on observation, interview, and record review, the facility failed to employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service for one of two kitchen staff (CK/DM) reviewed for sufficient staff. The dietary manager (CK/DM) at the facility did not have a dietary manager certificate. This failure placed residents at risk of unsatisfying food and food borne illness. Findings included: Observations on 04/25/23 at 9:30 AM, 04/25/23 at 11:04 AM, 04/26/23 at 12:40 PM, and 04/27/23 at 08:30 AM revealed CK/DM was working in the kitchen preparing the noon meal. DA D went in and out of the kitchen, retrieving and washing breakfast dishes. […]

• No harm, potential for more than minimal, widespreadF925Jun 18, 2021

  Based on observation, interview and record review the facility failed to maintain an effective pest control program to ensure the facility was free of pests for four of four halls in the facility and 26 of 26 resident rooms. The facility failed to ensure the facility was free from cockroaches and flies. This failure could place residents at risk for the potential spread of infection, cross-contamination, and decreased quality of life. Findings include: Record review of Resident #1's face sheet revealed resident is a [AGE] year-old female, admitted on [DATE]. […]