All citations for Complete Care at Brakeley Park

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 Complete Care at Brakeley Park

Last standard health inspection on record

May 16, 2025

Showing 26 to 37 of 37 citations

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

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of May 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2025).

  2. 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 May 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2025).

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

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of May 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2025).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of May 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2025).

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

    Provide special eating equipment and utensils for residents who need them and appropriate assistance.

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

    Health citation F-0810, Nutrition and Dietary Deficiencies. Inspection of September 25, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 18, 2024).

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

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

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

    Health citation F-0557, Resident Rights Deficiencies. Inspection of January 5, 2024. Found during a standard inspection.

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

  7. 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 January 5, 2024. Found during a standard inspection.

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

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of January 5, 2024. Found during a standard inspection.

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

  9. 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 January 5, 2024. Found during a standard inspection.

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

  10. 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of January 5, 2024. Found during a standard inspection.

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

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of October 21, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 10, 2021).

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

    Install a fire alarm system that can be heard throughout the facility.

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

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of October 21, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 5, 2021).

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.