All citations for Brentwood Extended Care & Rehab

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 Brentwood Extended Care & Rehab

Last standard health inspection on record

July 31, 2025

Showing 1 to 19 of 19 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.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of May 21, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 10, 2024).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of July 19, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 30, 2021).

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

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

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

    Health citation F-0921, Environmental Deficiencies. Inspection of November 21, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 3, 2024).

  4. 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 February 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 5, 2023).

  5. 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 February 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 5, 2023).

  6. 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 February 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 5, 2023).

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

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of February 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 5, 2023).

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

    Provide timely, quality laboratory services/tests to meet the needs of residents.

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

    Health citation F-0770, Administration Deficiencies. Inspection of February 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 5, 2023).

  9. 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of February 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 5, 2023).

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

    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

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

    Health citation F-0847, Administration Deficiencies. Inspection of February 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 5, 2023).

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

    Provide a neutral and fair arbitration process and agree to arbitrator and venue.

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

    Health citation F-0848, Administration Deficiencies. Inspection of February 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 5, 2023).

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

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

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

    Health citation F-0851, Administration Deficiencies. Inspection of February 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 5, 2023).

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of July 19, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 30, 2021).

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

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

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

    Fire safety citation K-0362, Smoke Deficiencies. Inspection of July 19, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 30, 2021).

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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

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

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of July 19, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 30, 2021).

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

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of February 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 5, 2023).

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

    Assess the resident when there is a significant change in condition

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

    Health citation F-0637, Resident Assessment and Care Planning Deficiencies. Inspection of February 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 5, 2023).

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

    PASARR screening for Mental disorders or Intellectual Disabilities

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

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of February 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 5, 2023).

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

    Ensure staff are vaccinated for COVID-19

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

    Health citation F-0888, Infection Control Deficiencies. Inspection of February 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 5, 2023).

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.