Brookside Healthcare & Rehabilitation Center

In the surveyor’s words

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

• Actual harm, isolatedF600Dec 3, 2021

  Based on clinical record review, review of facility documentation and staff interviews, it was determined that the facility failed to prevent resident neglect that resulted in a serious injury (a large open cut to the back of the head and multiple areas of bleeding inside the brain) that was actual harm for one of 24 residents reviewed. (Resident 49). Findings include: Clinical record review revealed that Resident 49 was admitted to the facility on [DATE], and had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . According to the admission Minimum Data Set assessment (MDS - a periodic evaluation of resident care needs) dated November 5, 2021, the resident required total assistance from two staff to transfer to and from bed and chair. […]

• No harm, potential for more than minimal, widespreadF812Dec 3, 2025

  Based on policy review, observation, and staff interview, it was determined that the facility failed to properly store food and maintain sanitary conditions in the dietary department. Findings include:Review of the facility policy entitled, Food Storage: Cold Foods, dated May 21, 2025, revealed that all foods were to be dated.Observations during the tour of the dietary department on September 30, 2025, at 10:30 a.m., revealed the following:In the dry storage room, there was an unsealed bag of bran cereal that was exposed to air with a winged insect on the cereal. There were three winged insects flying around the dry storage room and landing on various food packages including an opened bag of rice cereal. […]

• No harm, potential for more than minimal, widespreadF812Nov 1, 2024

  Based on observation, it was determined that the facility failed to maintain sanitary conditions in the kitchen. Findings include: Observation of the kitchen on October 29, 2024, at 9:47 a.m., revealed the following: There was no soap in the dispenser at a hand wash sink. There were flies in the dish washing and tray line areas. There was a tray of clean adaptive cups that contained various debris that included crumbs, paper clips, and condiment packets. The lid on a container of cereal was broken; the contents were left open to air. There was debris that included cups, lids, baskets, and trash on the floor at the juice and ice machines. A roll of trash bags was stored on top of a rack of clean bowls. There were ear buds on a food preparation surface, alongside cooking utensils. […]

• No harm, potential for more than minimal, widespreadF812Nov 2, 2023

  Based on facility policy review, observation, and staff interview, it was determined that the facility failed to properly store food and maintain sanitary conditions in the dietary department and on one of two unit pantries. (Susquehanna) Findings include: Review of the policy entitled, Food: Preparation, last reviewed August 9, 2023, revealed that food was to be prepared with procedures that avoid contamination by potentially harmful physical, biological, and chemical contamination. Food contact equipment was to be cleaned after every use. The temperatures of hot and cold foods at meals were to be checked to ensure proper food holding temperatures were maintained. […]

• No harm, potential for more than minimal, widespreadF812Dec 3, 2021

  Based on observation, staff interview and review of facility documentation, it was determined that the facility failed to maintain sanitary conditions and store food properly in the kitchen. Findings include: Review of the facility's policy entitled, Dating and Labeling Policy, dated August 1, 2021, revealed that products in storage were to be labeled with the date the package was opened or an expiration date. Observation during the intitial tour of the kitchen on November 30, 2021, at 9:30 a.m. […]