Brunswick Health Care Center

In the surveyor’s words

From the most serious findings on record at Brunswick Health Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Apr 15, 2025

  Based on interview and record review, the facility failed to ensure one resident (Resident #1), of 11 sampled residents, remained free from sexual abuse, when another resident with inappropriate sexual behaviors (Resident #2), sexually abused the resident in Resident #1's room. The facility census was 21. On 4/15/25 at 5:05 P.M., the administrator was notified of the immediate jeopardy (IJ) past non-compliance that occurred on 3/29/25. Corrective measures and an investigation began immediately. Resident #1's family and physician were notified of the allegation of abuse and the resident was placed one on one for safety until emergency medical services arrived to transport the resident to the hospital for assessment and evaluation. […]

• Actual harm, patternF883Sep 29, 2022

  Based on interview and record review, the facility failed to maintain and follow policies and procedures for immunization of residents against pneumococcal disease as required. The facility failed to provide and document provision of pertinent information regarding the pneumococcal vaccine including the benefits and potential side effects of the pneumococcal vaccine for 14 of 16 sampled residents (Residents #1, #2, #4, #7, #11, #13, #17, #20, #21, #24, #27, #32, #34, and #142) and four additional residents (Residents #5, #8, #15, and #19) of which six residents (Residents #1, #4, #5, #8, #19, and #21) developed pneumonia. […]

• Actual harm, isolatedF925Apr 18, 2024

  Based on observation, interview, and record review, the facility failed to implement effective pest control measures to eliminate pests, including flies from areas throughout the facility and in resident rooms. This effected multiple residents of the facility, including Resident #31, who had an open cancerous wound, that required medication to treat for infestation of maggots, Resident #5 who could not sleep due to flies and other residents during their meal service to the extent that they had to use fly swatters to deter the flies during their meal. The facility census was 35. […]

• Actual harm, isolatedF925Apr 18, 2024

  Based on observation, interview, and record review, the facility failed to implement effective pest control measures to eliminate pests, including flies from areas throughout the facility and in resident rooms. This effected multiple residents of the facility, including Resident #31, who had an open cancerous wound, that required medication to treat for infestation of maggots, Resident #5 who could not sleep due to flies and other residents during their meal service to the extent that they had to use fly swatters to deter the flies during their meal. The facility census was 35. […]

• No harm, potential for more than minimal, widespreadF727Jul 31, 2025

  Based on interview and record review, the facility failed to provide a Registered Nurse (RN) eight consecutive hours a day, seven days a week and did not have a full-time director of nursing. The facility census was 36. Review of the facility's Registered Nurse (RN) Policy, revised on 4/30/24, showed the following:- Full time is defined as working 40 or more hours a week;-The facility will utilize the services of a registered nurse for at least eight consecutive hours per day, seven days per week;-The facility will designate a registered nurse to serve as the director of nursing on a full time basis. 1. Review of the nursing staff schedule, dated 7/1/25 through 7/5/25, showed no documentation of RN coverage on 7/1/25, 7/4/25, and 7/5/25. […]