Brunswick Health & Rehab Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF684Feb 18, 2025

  Based on record review and responsible party (RP), staff, Medical Director, and Nurse Practitioner (NP) interviews, the facility failed to assess, diagnose and medically treat a resident who was presenting with signs of Clostridium Difficile (C. difficile) (According to the Centers for Disease Control and Prevention: C. difficile-is a highly contagious bacteria that causes diarrhea and inflammation of the colon, can be life-threatening and present with symptoms which include loose stools, abdominal cramping, loss of appetite and stools may have a foul odor). The facility failed to identify the seriousness of the symptoms of abdominal discomfort, frequent loose stools with foul odor, tiredness, loss of appetite, and inability to get out of bed and implement effective interventions. […]

• Immediate jeopardy, isolatedF714Feb 18, 2025

  Based on record review and interviews with staff, the resident's Responsible Party (RP), Medical Director, and Nurse Practitioner (NP), the NP failed to communicate and collaborate with the Medical Director for a resident (Resident #290) who was presenting with signs of Clostridium Difficile (C. difficile or C. diff) According to the Centers for Disease Control and Prevention: C. diff-is a highly contagious bacteria that causes diarrhea and inflammation of the colon, can be life-threatening and present with symptoms which include loose stools, abdominal cramping, loss of appetite and stools may have a foul odor. For the period of [DATE], date of admission, through [DATE], the first date the NP had a progress note for Resident #290, the resident was recorded as having 42 stools in 24 days. […]

• Immediate jeopardy, isolatedF689Sep 2, 2022

  Based on record review, observations, resident, staff, and Nurse Practitioner (NP) interviews, and review of the restraint manufacturer's training video, the facility failed to properly secure a resident in her wheelchair during transport in the van by not utilizing the shoulder strap for 1 of 2 residents reviewed for supervision to prevent accidents (Resident #51). During a facility van transport Resident #51's wheelchair fell over to the right resulting in a head contusion and skin lacerations to her right arm, elbow, and pinky finger, this occurred while the transport driver was in heavy traffic and making a left turn. […]

• Actual harm, isolatedF684Apr 9, 2026

  Based on record review and staff, Nurse Practitioner (NP) and Medical Director interviews, the facility failed to complete and document comprehensive assessments and failed to identify or recognize the significance of severe pain and changes in mobility, transfers and ambulation after the resident reported an unwitnessed fall. The NP was notified of the resident's hip pain on 7/15/25 and evaluated the resident but was not informed of the unwitnessed fall on 7/14/25. The NP indicated had he known Resident #61 had fallen and was reporting pain, he would have ordered x rays immediately. The NP was notified again on 7/18/25 the resident was reporting hip pain and an x-ray of the resident's bilateral hips was ordered. […]

• Actual harm, isolatedF697Apr 9, 2026

  Based on record review and interviews with staff, Nurse Practitioner (NP) and Physician, the facility failed to ensure pain management was provided to Resident #61, who had severe cognitive impairment and was unable to verbalize the need for pain medication, following an unwitnessed fall on 7/14/25 that resulted in changes in the level of transfer assistance she needed for toileting and moving from chair to bed. Communication from the nursing staff to the Nurse Practitioner on 7/15/25 failed to include Resident #61 had an unwitnessed fall. The NP did not assess the lower extremities for pain and concluded that the source of the hip pain was nerve pain. […]