All citations for Little Brook Nursing and Convalescent Home

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 Little Brook Nursing and Convalescent Home

Last standard health inspection on record

March 4, 2026

Showing 1 to 25 of 33 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.

    Widespread (many residents). CMS level L.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of June 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 25, 2023).

  2. Immediate jeopardy to resident health or safety

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

    Widespread (many residents). CMS level L.

    Health citation F-0835, Administration Deficiencies. Inspection of June 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 25, 2023).

  3. Immediate jeopardy to resident health or safety

    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

    Widespread (many residents). CMS level L.

    Health citation F-0836, Administration Deficiencies. Inspection of June 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 3, 2023).

  4. Immediate jeopardy to resident health or safety

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

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of June 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 25, 2023).

  5. Immediate jeopardy to resident health or safety

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of June 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 25, 2023).

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

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Widespread (many residents). CMS level F.

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of June 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 25, 2023).

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

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

    Widespread (many residents). CMS level F.

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of June 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 25, 2023).

  8. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of June 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 25, 2023).

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

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of June 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 26, 2023).

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

    Include a process for Emergency Preparedness collaboration.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0009, Emergency Preparedness Deficiencies. Inspection of June 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 26, 2023).

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

    Create arrangements with other facilities to receive patients.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0025, Emergency Preparedness Deficiencies. Inspection of June 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 26, 2023).

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

    Provide emergency officials' contact information.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0031, Emergency Preparedness Deficiencies. Inspection of June 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 26, 2023).

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

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of June 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 26, 2023).

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

    Provide at least two remote exits on each floor or fire section of the building.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0252, Egress Deficiencies. Inspection of June 15, 2023. Found during a standard inspection.

    A waiver was granted (August 21, 2023).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of June 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 25, 2023).

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

    Properly provide smoke detection systems in areas open to corridors.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0347, Smoke Deficiencies. Inspection of June 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 21, 2023).

  17. 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 June 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 17, 2023).

  18. 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 June 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 25, 2023).

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

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of June 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 16, 2023).

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

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 27, 2023).

  21. 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 December 12, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 31, 2024).

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

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 12, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 31, 2024).

  23. 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 December 12, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 31, 2024).

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

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

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

    Health citation F-0868, Administration Deficiencies. Inspection of June 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 25, 2023).

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

    Install emergency lighting that can last at least 1 1/2 hours.

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

    Fire safety citation K-0291, Egress Deficiencies. Inspection of June 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 25, 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.