The Brook at High Falls Nursing Home and Rehabilit

In the surveyor’s words

From the most serious findings on record at The Brook at High Falls Nursing Home and Rehabilit, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Jan 16, 2026

  Based on observations, interviews, and record review, the facility did not ensure it established and maintained an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for seven (7) of nine (9) residents (Residents #1, #2, #12, #18, #21, #25, and #33) and one (1) of one (1) residential unit reviewed. Specifically, staff were observed performing wound care for Resident #1 and touching environmental surfaces without appropriate glove changes and hand hygiene. For Residents #2, #18, #21, #25, and #33 medications were prepared and handled by a licensed nurse with their bare hands. […]

• No harm, potential for more than minimal, patternF550Jan 16, 2026

  Based on interview and record review, the facility did not ensure residents exercised their rights without interference, coercion, discrimination, or reprisal from the facility for one (1) of five (5) residents reviewed (Resident #4). Specifically, the facility did not ensure changes in Resident #4's Medicare health coverage were initiated by the resident or the resident's authorized representative, and did not ensure the resident and/or responsible party received required oral and written explanations regarding the impact of changing Medicare coverage.The findings include: The Centers for Medicare and Medicaid Services (CMS) undated publication Your Rights and Protections as a Nursing Home Resident requires nursing homes to inform residents of their rights and explain those rights orally… […]

• No harm, potential for more than minimal, patternF584Jan 16, 2026

  Based on observation and interview, the facility did not ensure housekeeping and maintenance services were provided to maintain a sanitary, orderly, and comfortable interior for one (1) of one (1) resident use floor and one (1) of one (1) kitchen. Specifically, the facility did not ensure interior spaces were maintained free from unsanitary conditions and environmental hazards, as evidenced by damaged, jagged, or missing radiator covers; a dirty bathtub with a non-functioning lift chair; wall damage; a non-functional fan used for air drying dishes; cracked light lenses and missing end caps above the kitchen tray line; a damaged ice machine lid with exposed ice; and dirty floors and surfaces in resident rooms.The findings include: During observations in the main kitchen on 01/12/2026 from… […]

• No harm, potential for more than minimal, patternF689Jan 16, 2026

  Based on observation, interview, and record review, the facility did not ensure the resident environment remained free of accident hazards for one (1) of one (1) resident use floor. Specifically, hot water exceeding 120 degrees Fahrenheit ( F) was accessible to residents at point of use, creating a risk for scalding.The findings include: The undated facility policy Water Temperatures, Safety of included tap water in the facility shall be maintained within a temperature range to prevent scalding of residents. The policy specified water heaters servicing resident rooms, bathrooms, common areas, and tub/shower areas shall be set to maintain temperatures between 90 and 120 degrees Fahrenheit. […]

• No harm, potential for more than minimal, patternF584Nov 14, 2024

  Based on observations and interviews conducted during a Recertification Survey completed 11/07/2024 to 11/14/2024, the facility did not provide maintenance services necessary to maintain a sanitary, orderly, and comfortable homelike environment. Specifically, kitchen lighting was not protected or operable, a residential kitchen freezer and a staff bathroom were inoperable, bathrooms exhaust ventilation was not installed or was inoperable, there was no soap in resident bathrooms, a call bell was not installed in a resident bathroom, and a corridor exit sign was not affixed to the ceiling. The findings are: Observations on 11/07/24 from 9:05 AM to 11:08 AM included the following: 1. A Frigidaire residential stand-up freezer by the back kitchen entrance was empty and not operational. […]