Brookhaven Nursing & Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Nov 21, 2024

  Based on observation, record review, and interview, the facility failed to maintain a clean and sanitary kitchen area. This had the potential to affect 91 residents who received meals in the facility. The facility identified Resident #13, #39 and #74 as receiving no food and drink from the kitchen. The facility census was 94. Findings include: Observation on 11/18/24 at 8:58 A.M. and 11/20/24 at 11:19 A.M. revealed a tacky substance on the hoses and a dark substance on the nozzles that connect to juice boxes. Interview on 11/20/24 at 11:19 A.M. with Dietary Director #172 confirmed a tacky substance on the hoses and the presence of a dark substance on the nozzles that connect to the juice boxes. Interview on 11/20/24 at 11:19 A.M. […]

• No harm, potential for more than minimal, widespreadF812Sep 2, 2021

  Based on observation, record review and interview, the facility failed to store and serve food in accordance with professional standards for food safety. This had the potential to affect 78 residents who received meals in the facility. The facility census was 78. Findings include: Observation of the kitchen on 08/30/21 at 08:28 A.M. revealed a tray of chocolate pudding and vanilla pudding dated 08/23/21. Seven gallons of drinks marked tea, prune juice, and lemonade were not dated. The next cooler contained eight glasses of poured dinks. The drinks were not labeled or dated. Review of the facility food temperature log revealed on 08/02/21, 08/19/21, and 08/20/21 the facility did not record any food temperatures for the meals served on that day. […]

• No harm, potential for more than minimal, patternF657Mar 9, 2026

  Based on medical record review, staff, resident and family interviews and policy review, the facility failed to ensure care conferences were scheduled and conducted quarterly. This affected four (#36, #37, #61 and #85) out of four residents reviewed for care plans. The facility census was 84. Findings include: 1. Medical record review for Resident #36 revealed an admission on [DATE] with diagnosis including but not limited to cerebral atherosclerosis, stage four kidney disease, hypertension. Review of the annual Minimum Data Set for Resident #36 dated 12/29/25 revealed an impaired cognition. Resident #36 was independent for eating, supervision for toileting, transfers and bed mobility. Resident #36 was coded with application of ointments and medication other than to feet. […]

• No harm, potential for more than minimal, isolatedF755Jul 14, 2026

  Based on medical record review, staff interview, and review of facility, the facility failed to ensure a resident's narcotic medication administration was accurately documented. This affected one (#4) of three residents reviewed for medication administration. The facility census was 87. Findings include: Review of Resident #4's closed medical record revealed an admission date of 06/27/26. Diagnoses listed include fibromyalgia, chronic kidney disease, and joint replacement. Resident #4 was discharged from the facility on 07/01/26. Review of physician orders revealed an order dated 06/27/26 for oxycodone hydrochloride (narcotic pain medication) five milligram (mg) tablet. Give one tablet by mouth every four hours as needed for moderate pain. […]

• No harm, potential for more than minimal, isolatedF679Mar 9, 2026

  Based on medical record review, observations, staff interview and policy review, the facility failed to ensure activities were provided and documented in the medical record for evening hours. This affected three (#61, #43, #85) of three residents reviewed for activities. The facility census was 84. Findings include 1. Review of the medical record for Resident #61 revealed an admission on [DATE] with diagnoses including but not limited to Alzheimer's' disease, dementia and psychotic disturbances. Review of the quarterly Minimum Data Set (MDS) assessment for Resident #61 dated 01/27/26 revealed an impaired cognition. Resident #61 was independent for eating. Resident #61 was dependent on staff for toileting, bed mobility and transfers. […]