Brookline Nursing and Rehab

In the surveyor’s words

From the most serious findings on record at Brookline Nursing and Rehab, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Feb 27, 2026

  Based on observation and staff interview, it was determined that the facility failed to store food items in a safe and sanitary manner and maintain equipment in a sanitary condition in the facility's main kitchen. Findings include: Initial tour of the facility's main kitchen with Employee 5, dietary manager, on February 24, 2026, at 10:20 AM revealed the following: Shelves in a cupboard that held drink pitchers adjacent to the food preparation sink were flaking and/or peeling. A large white pipe going into the ceiling near a corner of the kitchen had an accumulation of black-colored dust around it. The wall behind the refrigerators that held tray carts had an accumulation of dust on it. A baseball sized area of peeling paint on the ceiling above a food prep area. […]

• No harm, potential for more than minimal, patternF880Feb 27, 2026

  Based on clinical record review, observation, and resident and staff interview, it was determined that the facility failed to store indwelling urinary catheter equipment in a manner to prevent the potential for infection for one of one resident reviewed for catheter concerns (Resident 9).Findings include: Clinical record review for Resident 9 revealed that his diagnoses included urinary retention (inability of the bladder to empty completely after urination). Review of Resident 9's active physician orders revealed instructions for staff to change a Foley catheter (flexible tubing inserted through the penis into the bladder to drain urine) as needed for obstruction or dislodgement, and every thirty days for routine care of the indwelling urinary catheter. […]

• No harm, potential for more than minimal, patternF744Mar 21, 2025

  Based on clinical record review and staff interview, it was determined that the facility failed to develop and implement individualized person-centered care plans to address dementia and cognitive loss displayed by three of three residents reviewed (Residents 18, 55, and 61). Findings include: Clinical record review for Resident 18 revealed the facility admitted him on July 13, 2018. A diagnosis of dementia (loss of memory, language, problem-solving, and other thinking abilities that interfere with daily life) was added on October 3, 2022. A review of Resident 18's most recent annual Minimum Data Set Assessment (MDS, a form completed at specific intervals to determine care needs) dated February 9, 2025, indicated that the facility assessed Resident 18 as having a diagnosis of dementia. […]

• No harm, potential for more than minimal, patternF812Mar 21, 2025

  Based on observation and staff interview, it was determined that the facility failed to store food items in a safe and sanitary manner, maintain equipment in a sanitary condition, and prepare food items in accordance with professional standards in the facility's main kitchen. Findings include: Initial tour of the facility's main kitchen with Employee 4, Dietary Manager, on [DATE], at 10:00 AM revealed the following: There was a large hole observed in the wall of the dishwashing area. Two wall tiles adjacent to the hole had fallen off the wall onto the ground. There was an extensive build-up of dust on the appliance that Employee 4 referred to as the air handler. A wall-mounted first aid kit held burn spray that expired in 2021 and eye wash that expired in 2023. […]

• No harm, potential for more than minimal, patternF947Mar 21, 2025

  Based on review of employee education records and staff interview, it was determined that the facility failed to ensure that nurse aides received 12 hours of in-service training annually for three of three nurse aides reviewed (Employees 1, 2, and 3). Findings include: During a meeting with the Nursing Home Administrator and Director of Nursing on March 20, 2025, at 2:00 PM the surveyor asked for training records to indicate that nurse aides had received at least 12 hours of in-service training in the last year for Employees 1, 2, and 3 (nurse aides). Interview with the Nursing Home Administrator and Director of Nursing on March 21, 2025, at 10:55 AM confirmed there was no documented evidence that the above employees received the required 12 hours of annual in-service training. 28 Pa. […]