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 26 to 50 of 55 citations

  1. 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).

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

    The home gave a date the problem would be corrected (September 19, 2025).

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

    The home gave a date the problem would be corrected (September 19, 2025).

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

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

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of August 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2025).

  5. 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 July 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 12, 2024).

  6. 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.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of July 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 12, 2024).

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

    Assist a resident in gaining access to vision and hearing services.

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

    Health citation F-0685, Quality of Life and Care Deficiencies. Inspection of July 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 12, 2024).

  8. 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 July 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 12, 2024).

  9. 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.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of July 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 12, 2024).

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of July 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 12, 2024).

  11. 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 July 17, 2024. Found during a standard inspection.

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

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

    List the names and contact information of those in the facility.

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

    Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of July 17, 2024. Found during a standard inspection.

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

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of July 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 20, 2024).

  14. 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).

  15. 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).

  16. 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).

  17. 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).

  18. 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).

  19. 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).

  20. 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).

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

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

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 2, 2023. Found during a standard inspection.

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

  22. No harm, with potential for minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of July 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 22, 2024).

  23. No harm, with potential for minimal harm

    Establish procedures for tracking staff and patients during an emergency.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0018, 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).

  24. No harm, with potential for minimal harm

    Establish policies and procedures for sheltering.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0022, 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).

  25. No harm, with potential for minimal harm

    Establish roles under a Waiver declared by secretary.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0026, 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.