Brooken Hill Health And Rehab, Llc

In the surveyor’s words

From the most serious findings on record at Brooken Hill Health And Rehab, Llc, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF677Apr 23, 2026

  Number of residents sampled: Number of residents cited: Based on observation, record review and interview, the facility failed to ensure shaving and nail care services were regularly provided to promote good personal hygiene and grooming for one (Resident #91) resident reviewed for shaving and one (Resident #107) resident reviewed for nail care services. The findings include: 1. On 04/21/2026 at 9:14 AM, Resident #91 was observed lying in bed with eyes closed and both arms were above the bed linen, exposing both the resident's arms and hands. There was nothing covering either of the residents' arms. The fingernails on both of the resident's hands extended over the tips of the fingers. On 04/22/2026 at 9:04 AM. […]

• No harm, potential for more than minimal, isolatedF554Apr 23, 2026

  Number of residents sampled: Number of residents cited: Based on observations, record review, and interviews, the facility failed to ensure a resident with self-administration rights had the ability to follow instructions to ensure medications were not left at the bedside on three different observations for one (Resident #125) of one resident with self-administration rights reviewed. The findings include: Review of Resident #125's Medical Diagnosis report revealed the resident had diagnoses which included respiratory failure, heart failure, and type 2 diabetes. Review of an admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 04/20/2026 indicated the status of the assessment to be in progress. […]

• No harm, potential for more than minimal, isolatedF609Apr 23, 2026

  Number of residents sampled: Number of residents cited: Based on record review, interview, and facility policy review, the facility failed to report an allegation of mistreatment to the proper state agency for one (Resident #74) of two residents reviewed for an allegation of abuse. The findings include: A review of the abuse policy, dated as revised 10/18/2022, revealed the facility will endeavor to protect residents from maltreatment, which means adult abuse, sexual abuse, neglect, misappropriation of resident property, and exploitation of residents. […]

• No harm, potential for more than minimal, isolatedF610Apr 23, 2026

  Number of residents sampled: Number of residents cited: Based on record review, interview, and facility policy review, the facility failed to maintain evidence an allegation of mistreatment was thoroughly investigated for one (Resident #74) two residents reviewed for an allegation of abuse. The findings are: A review of the abuse policy, dated as revised 10/18/2022, revealed the facility will endeavor to protect residents from maltreatment, which means adult abuse, sexual abuse, neglect, misappropriation of resident property, and exploitation of residents. The abuse policy revealed the Administrator or Administrative Designee will conduct an immediate investigation of all alleged, witnessed or suspected resident maltreatment, including abuse. […]

• No harm, potential for more than minimal, isolatedF637Apr 23, 2026

  Number of residents sampled: Number of residents cited: Based on record review and interview, the facility failed to ensure a significant change Minimum Data Set (MDS) was completed within 14 days from the effective date of the hospice service election for one (Resident #91) of two residents reviewed for Hospice services. The findings include: Review of the Centers for Medicare and Medicaid Services' (CMS's) Resident Assessment Instrument (RAI) Version 3.0 Manual, version 1.20.1 and dated October 2025, revealed a Significant Change in Status Assessment (SCSA) is required when a terminally ill resident enrolls in a hospice program, or changes hospice providers and remains a resident at the nursing home. […]