All citations for Berlin Nursing and Rehabilitation Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Berlin Nursing and Rehabilitation Center

Last standard health inspection on record

July 23, 2025

Showing 1 to 25 of 71 citations

  1. Immediate jeopardy to resident health or safety

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of September 27, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 20, 2023).

  2. Harm to a resident

    Ensure that residents are free from significant medication errors.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of July 23, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 19, 2025).

  3. Harm to a resident

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of September 27, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 20, 2023).

  4. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of July 23, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 19, 2025).

  5. No harm, with potential for more than minimal harm

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Widespread (many residents). CMS level F.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of September 27, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 20, 2023).

  6. No harm, with potential for more than minimal harm

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Widespread (many residents). CMS level F.

    Health citation F-0835, Administration Deficiencies. Inspection of September 27, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 20, 2023).

  7. No harm, with potential for more than minimal harm

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    Widespread (many residents). CMS level F.

    Health citation F-0838, Administration Deficiencies. Inspection of September 27, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 20, 2023).

  8. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of July 23, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (August 19, 2025).

  9. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of July 23, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 19, 2025).

  10. No harm, with potential for more than minimal harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of July 23, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 19, 2025).

  11. No harm, with potential for more than minimal harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of September 27, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 20, 2023).

  12. No harm, with potential for more than minimal harm

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Pattern (more than a few residents). CMS level E.

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of September 27, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 20, 2023).

  13. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of September 27, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 20, 2023).

  14. No harm, with potential for more than minimal harm

    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0711, Nursing and Physician Services Deficiencies. Inspection of September 27, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 20, 2023).

  15. No harm, with potential for more than minimal harm

    Observe each nurse aide's job performance and give regular training.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of September 27, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 20, 2023).

  16. No harm, with potential for more than minimal harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of September 27, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 28, 2023).

  17. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of September 27, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 28, 2023).

  18. No harm, with potential for more than minimal harm

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0925, Environmental Deficiencies. Inspection of September 27, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 20, 2023).

  19. No harm, with potential for more than minimal harm

    Develop, implement, and/or maintain an effective training program for all new and existing staff members.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0940, Administration Deficiencies. Inspection of September 27, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 20, 2023).

  20. No harm, with potential for more than minimal harm

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0623, Resident Rights Deficiencies. Inspection of June 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2022).

  21. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of June 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2022).

  22. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of June 10, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2022).

  23. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of July 23, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 19, 2025).

  24. No harm, with potential for more than minimal harm

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0561, Resident Rights Deficiencies. Inspection of July 23, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 19, 2025).

  25. No harm, with potential for more than minimal harm

    Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0573, Resident Rights Deficiencies. Inspection of July 23, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 19, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.