All citations for Brookwood Gardens Rehabilitation and Nursing Cente

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 Brookwood Gardens Rehabilitation and Nursing Cente

Last standard health inspection on record

August 28, 2025

Showing 1 to 25 of 39 citations

  1. Harm to a resident

    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 G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of June 10, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 9, 2026).

  2. Harm to a resident

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 10, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 30, 2024).

  3. Harm to a resident

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of April 10, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 30, 2024).

  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 August 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2025).

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

    Keep all essential equipment working safely.

    Widespread (many residents). CMS level F.

    Health citation F-0908, Environmental Deficiencies. Inspection of August 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2025).

  6. 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 April 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2024).

  7. 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 December 15, 2022. Found during a standard inspection.

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

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

    Have a plan that describes the process for conducting QAPI and QAA activities.

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

    Health citation F-0865, Administration Deficiencies. Inspection of August 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2025).

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

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

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

    Health citation F-0867, Administration Deficiencies. Inspection of August 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2025).

  10. 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.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of April 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2024).

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

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

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

    Health citation F-0867, Administration Deficiencies. Inspection of April 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2024).

  12. 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 April 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2024).

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

    Keep all essential equipment working safely.

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

    Health citation F-0908, Environmental Deficiencies. Inspection of April 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2024).

  14. 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.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of December 15, 2022. Found during a standard inspection.

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

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

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of December 15, 2022. Found during a standard inspection.

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

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

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

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

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of December 15, 2022. Found during a standard inspection.

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

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

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

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

    Health citation F-0805, Nutrition and Dietary Deficiencies. Inspection of December 15, 2022. Found during a standard inspection.

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

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

    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

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

    Health citation F-0808, Nutrition and Dietary Deficiencies. Inspection of December 15, 2022. Found during a standard inspection.

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

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

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

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

    Health citation F-0867, Administration Deficiencies. Inspection of December 15, 2022. Found during a standard inspection.

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

  20. 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 December 15, 2022. Found during a standard inspection.

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

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

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of June 10, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 9, 2026).

  22. 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 August 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2025).

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

    Honor the resident's right to organize and participate in resident/family groups in the facility.

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

    Health citation F-0565, Resident Rights Deficiencies. Inspection of August 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2025).

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

    Keep residents' personal and medical records private and confidential.

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

    Health citation F-0583, Resident Rights Deficiencies. Inspection of August 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2025).

  25. 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 August 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.