All citations for Brookwood Skilled Nursing and Therapy

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 Skilled Nursing and Therapy

Last standard health inspection on record

September 17, 2025

Showing 1 to 25 of 35 citations

  1. Immediate jeopardy to resident health or safety

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of January 7, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 11, 2025).

  2. Immediate jeopardy to resident health or safety

    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

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

    Health citation F-0773, Administration Deficiencies. Inspection of January 7, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 11, 2025).

  3. Harm to a resident

    Provide safe, appropriate pain management for a resident who requires such services.

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

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of September 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 27, 2025).

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

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

    Widespread (many residents). CMS level F.

    Health citation F-0847, Administration Deficiencies. Inspection of September 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 27, 2025).

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

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of May 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 2, 2024).

  6. 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 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2025).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 2, 2026).

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

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of January 7, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 11, 2025).

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

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of May 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 19, 2024).

  10. 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 May 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 19, 2024).

  11. 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 May 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 19, 2024).

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

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

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of May 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 19, 2024).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of May 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 19, 2024).

  14. 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 May 7, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 19, 2024).

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

    Provide care and assistance to perform activities of daily living for any resident who is unable.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of March 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2023).

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

    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 E.

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

    The home gave a date the problem would be corrected (June 6, 2023).

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

    Have properly located and lighted "Exit" signs.

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

    Fire safety citation K-0293, Egress Deficiencies. Inspection of March 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2023).

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of March 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2023).

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

    Properly provide smoke detection systems in areas open to corridors.

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

    Fire safety citation K-0347, Smoke Deficiencies. Inspection of March 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2023).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

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

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of March 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2023).

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

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of November 21, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 25, 2025).

  22. 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.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of September 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 27, 2025).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of September 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 27, 2025).

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

    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 D.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 13, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 17, 2024).

  25. 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.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 13, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 17, 2024).

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.