All citations for Mill Brook Rehabilitation and Healthcare Center

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 Mill Brook Rehabilitation and Healthcare Center

Last standard health inspection on record

August 28, 2025

Showing 1 to 25 of 33 citations

  1. Harm to a resident

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

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of March 2, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2023).

  2. Harm to a resident

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

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of March 2, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2023).

  3. 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 March 2, 2023. Found during a standard inspection.

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

  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 March 2, 2023. Found during a standard inspection.

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

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

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

    Widespread (many residents). CMS level F.

    Health citation F-0835, Administration Deficiencies. Inspection of March 2, 2023. Found during a standard inspection.

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

  6. 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

    Widespread (many residents). CMS level F.

    Health citation F-0868, Administration Deficiencies. Inspection of March 2, 2023. Found during a standard inspection.

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

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

    Perform COVID19 testing on residents and staff.

    Widespread (many residents). CMS level F.

    Health citation F-0886, Infection Control Deficiencies. Inspection of March 2, 2023. Found during a standard inspection.

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

  8. 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.

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

    Health citation F-0565, Resident Rights Deficiencies. Inspection of March 2, 2023. Found during a standard inspection.

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

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

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

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

    Health citation F-0585, Resident Rights Deficiencies. Inspection of March 2, 2023. Found during a standard inspection.

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

  10. 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 March 2, 2023. Found during a standard inspection.

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

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

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

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of March 2, 2023. Found during a standard inspection.

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

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

    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

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

    Health citation F-0711, Nursing and Physician Services Deficiencies. Inspection of March 2, 2023. Found during a standard inspection.

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

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

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

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

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of March 2, 2023. Found during a standard inspection.

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

  14. 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.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of March 2, 2023. Found during a standard inspection.

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

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

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

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

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of March 2, 2023. Found during a standard inspection.

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

  16. 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 March 2, 2023. Found during a standard inspection.

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

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

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

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of March 2, 2023. Found during a standard inspection.

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

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

    Use approved construction type or materials.

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

    Fire safety citation K-0161, Construction Deficiencies. Inspection of March 2, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2023).

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

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

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

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of September 11, 2023. Found during a complaint inspection.

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

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of March 2, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 21, 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 March 2, 2023. Found during a standard inspection.

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

  22. 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 March 2, 2023. Found during a standard inspection.

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

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

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

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

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of March 2, 2023. Found during a standard inspection.

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

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

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

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

    Health citation F-0849, Administration Deficiencies. Inspection of March 2, 2023. Found during a standard inspection.

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

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

    Develop and maintain an Emergency Preparedness Program (EP).

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

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of March 2, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 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.