Brewer Center for Health & Rehabilitation, LLC

In the surveyor’s words

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

• Actual harm, isolatedF689Mar 7, 2023

  Based on review of the Facility Reported Incident report, facility's investigation, facility's Fall Prevention Program, record review (care plan and Kardex), and interviews, the facility failed to ensure that care plan interventions for the use of a gait belt during transfers were followed for 1 of 3 sampled residents (#1). This failure to use a Gait Belt resulted in Resident #1 falling and sustaining a distal femur fracture. Finding: During a review of the Facility's Reported Incident form, the report indicated that on 2/3/23 at 3:00 p.m., [Resident #1] was being transferred from his/her wheelchair back into bed with the assistance of a Certified Nursing Assistance (CNA). During this transfer the CNA did not use a gait belt during the transfer. […]

• Actual harm, isolatedF689Nov 3, 2022

  Based on record reviews and interviews the facility failed to follow patient lift Manufacturers User Manual while transferring a resident resulting in a resident fall, hitting head on the sink, and resulting in resident having increase anxiety with patient lift transfers for 1 of 2 residents reviewed for accidents. (Resident #24) Finding: On 10/24/22 the Department of Licensing and Certification received a Report a Medical Facility Incident form stating that on 10/21/22 while a resident was being transferred in a mechanical lift, the mechanical lift tipped while preparing to lower resident into the wheelchair. The lift tipped over and the aide tried to help brace the resident's fall. The resident fell to the floor and hit [his/her} head onto the sink On 10/31/22 at 2:00 p.m. […]

• No harm, potential for more than minimal, patternF684Apr 30, 2026

  Based on clinical record reviews and interviews, the facility failed to ensure physician orders were followed for 4 of 6 resident's reviewed for medications (Resident #45 [R45], R103, R125, and R74). Findings: 1. On 4/29/26, a review of R45's clinical record was completed. Documentation in the physician orders indicated that an order was written on 4/23/26 for Ceftriaxone Sodium (antibiotic) injection solution, reconstitute 1 gram (Ceftriaxone Sodium), inject 1 gram intramuscularly one time a day for a urinary tract infection for 5 days. A review of R45's Treatment Administration Record (TAR) indicated that the antibiotic was administered on 4/23/26, 4/24/26, 4/26/26 and 4/27/26. […]

• No harm, potential for more than minimal, patternF812Apr 30, 2026

  Based on observations and interviews, the facility failed to store, prepare, and serve food in accordance with professional standards for food service safety by not storing dishes and food in a sanitary manner. In addition, the facility failed to ensure that plumbing fixtures were properly installed to prevent backflow as required by the Maine State Plumbing Code for 2 of 4 days of survey (4/27/26 and 4/29/26).Findings:On 4/27/26 at 10:48 a.m., during the initial tour of the kitchen, a surveyor, the Food Service Director (FSD) and the Maintenance Director observed and confirmed that the ice machine had 3 draining pipelines, one drain pipeline extended several inches into the receiving vessel, and one was less than 1 inch from the receiving vessel, in violation of the 10-114 State of Maine… […]

• No harm, potential for more than minimal, patternF695Mar 6, 2025

  Based on observation, record review, and interview, the facility failed to maintain respiratory equipment in a sanitary manner to help prevent the development and transmission of disease and infection related to respiratory care for 5 of 8 residents reviewed on survey (Resident #14 [R14], [R40] [R29], [R32], and [R82]). Findings: 1. On 3/3/25 at 12:36 p.m., a surveyor observed R14's oxygen concentrator filters to be heavily soiled with dust/debris. Record review indicates R14 receives oxygen 2 liters (L) / minute (min) continuously for the diagnosis of Chronic Respiratory Failure with Hypoxia (inadequate oxygen to the body), and Chronic Obstructive Pulmonary Disease (COPD). 2. […]