Brookmont Healthcare and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Brookmont Healthcare and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jan 27, 2023

  Based on observation and staff interview, it was determined that the facility failed to maintain acceptable practices for the storage and service of food to prevent the potential for contamination and microbial growth in food, which increased the risk of food-borne illness. Findings include: Food safety and inspection standards for safe food handling indicate that everything that comes in contact with food must be kept clean and food that is mishandled can lead to foodborne illness. Safe steps in food handling, cooking, and storage are essential in preventing foodborne illness. You cannot always see, smell, or taste harmful bacteria that may cause illness according to the USDA (The United States Department of Agriculture, also known as the Agriculture Department, is the U.S. […]

• No harm, potential for more than minimal, widespreadF880Jun 24, 2022

  Based on a review of select facility policy and clinical records, observations, and staff and resident interviews, it was determined that the facility failed to implement infection control practices to deter the spread of COVID-19, failed to maintain infection control measures planned for one resident on contact precautions (Resident 68) and failed to maintain an ongoing system of surveillance designed to identify infections and possible communicable diseases to prevent the spread within the facility. […]

• No harm, potential for more than minimal, widespreadF885Jun 24, 2022

  Based on review of information provided by the facility and staff interview, it was determined that the facility failed to ensure that residents representatives and families were timely informed of cumulative, confirmed and suspected COVID-19 infections in the facility. Findings include: Interview with the Director of Nursing and Nursing Home Administrator, on June 22, 2022, at 9:04 AM revealed that the facility notifies residents representatives and families of confirmed of suspected COVID-19 within the facility via a telephone call from facility staff and will be documented in the residents' clinical records that the residents and families are made aware. […]

• No harm, potential for more than minimal, widespreadF812Jul 23, 2021

  Based on a review of select facility policy, observation and staff interview, it was determined that the facility failed to maintain acceptable practices for the storage and service of food to prevent the potential for contamination and microbial growth in food, which increased the risk of food-borne illness. Findings include: Food safety and inspection standards for safe food handling indicate that everything that comes in contact with food must be kept clean and food that is mishandled can lead to foodborne illness. Safe steps in food handling, cooking, and storage are essential in preventing foodborne illness. […]

• No harm, potential for more than minimal, patternF757Dec 19, 2025

  Based on review of selected facility policies, clinical records, and staff interviews, the facility failed to show documented clinical justification for the administration of psychoactive medications for two residents out of five sampled residents for unnecessary medication prescribing practices (Residents 5 and 18).Findings included: A review of a facility policy entitled Psychotropic Medication Use last reviewed by the facility August 6, 2025, indicated that residents do not receive psychotropic medications that are not clinically indicated (a written explanation of why a medication is needed) and necessary to treat a specific condition documented in the medical record. […]