Brentwood Center For Health & Rehabilitation, LLC

In the surveyor’s words

From the most serious findings on record at Brentwood Center For Health & Rehabilitation, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812May 18, 2022

  Based on observations, interviews, review of the facility's Dishwasher Temperature Log, and the facility's Dish Machine Use policy, the facility failed to ensure dishwasher temperatures were monitored and maintained according to the U.S. Department of Health and Human Services, Public Health Services, Food and Drug Administration Food Code, for 1 of 2 kitchen observation days of survey, and 3 of 4 months of dishwasher temperature logs reviewed. Findings: On 5/16/22 from 9:00 a.m. to 9:30 a.m., during the initial kitchen tour, a surveyor observed the facility's high temperature dishwasher reached a maximum of 150 degrees Fahrenheit (F) during the wash cycle. The rinse cycle reached a maximum temperature of 144 degrees F. […]

• No harm, potential for more than minimal, patternF584Mar 4, 2026

  Based on observations and interviews, the facility failed to adequately maintain the facility in good repair and sanitary condition for 4 of 4 Units. (Passport, LTC both Long Hall and Short Hall, Eagle, and Sebago). Findings:1.On 3/2/26 between 9:00 a.m. - 9:10 a.m., a surveyor observed missing tiles in Whirlpool room near Sebago and Eagle units. Observed multiple areas of frayed carpet and dirty carpet all throughout the facility. Eagle Unit Dining Room has marred walls. 2. On 3/2/26 at approximately 2:00 p.m., a surveyor observed the following: room [ROOM NUMBER]A - The wall is marredroom [ROOM NUMBER]- Hand Sanitizer on wall is missing cover. room [ROOM NUMBER]A - The heater on wall is missing the cover and is exposed, and the sheet rock is unpainted. 3. On 3/4/26 - 12:10 p.m. […]

• No harm, potential for more than minimal, patternF628Mar 4, 2026

  Based on record reviews and interviews, the facility failed to ensure written bed hold and transfer/discharge notices were provided to the resident or their legal representative for a facility-initiated transfer/discharge for 2 of 3 sampled residents transferred/discharged to an acute care facility (Residents #8, #9). In addition, the facility failed to ensure residents had a discharge summary which included recapitulation of the resident's stay, diagnoses, course of illness/treatment or therapy, and reconciliation of all pre-discharge medications with the resident's post-discharge medications (both prescribed and over-the-counter) for 2 of 6 residents reviewed for transfer discharge. (Residents #96 and #97)Findings: 1. […]

• No harm, potential for more than minimal, patternF657Mar 4, 2026

  Based on interviews and record reviews, the facility failed to review and revise the care plans by an interdisciplinary team (IDT), that included, to the extent possible, participation of the residents and/or his/her representative after each assessment for 3 of 24 residents reviewed for care planning (Residents #7, #66, and #68).Findings: 1. Review of Resident #7's medical record contained a Quarterly Minimum Data Set (MDS) version 3.0 dated 1/14/26. The clinical record lacked evidence of his/her IDT meeting being held within 7 days of the Quarterly MDS assessment. On 3/4/26 at 1:40 p.m., the Regional Director of Operations confirmed Resident #7's IDT meeting was not held within 7 days of completion of his/her Quarterly MDS. 2. […]

• No harm, potential for more than minimal, patternF689Mar 4, 2026

  Based on observations and interviews, the facility failed to ensure that the resident's environment was free of accident hazards related to broken floor heaters for 2 of 3 days of survey.Findings:1. On 3/2/26 at 10:15 a.m., observations of floor radiators missing the coverings exposing piping and sharp metal fins in rooms [ROOM NUMBER].On 3/2/26 at 10:37 a.m., the above information was confirmed with the Maintenance Director.2. On 3/3/26 at 7:02 a.m., observation of a broken radiator exposing piping and sharp metal fins in the TV room on the Passport Unit. At this time, it was observed with the Director of Clinical Operations.