All citations for Peak Resources - Brookshire, Inc

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 Peak Resources - Brookshire, Inc

Last standard health inspection on record

April 16, 2026

Showing 1 to 25 of 27 citations

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

    Use approved construction type or materials.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0161, Construction Deficiencies. Inspection of October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 5, 2024).

  2. 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 October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2023).

  3. 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 October 27, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 30, 2023).

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

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

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

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 5, 2024).

  5. 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 October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 5, 2024).

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

    Meet Health Care Facilities Code mechanical requirements.

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

    Fire safety citation K-0900, Miscellaneous Deficiencies. Inspection of October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 5, 2024).

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

    Meet requirements for the installation and maintenance of electrical systems.

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

    Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 5, 2024).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of April 16, 2026. Found during a standard inspection.

    No follow-up visit needed (September 1, 2026).

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

    Properly install and monitor supervisory attachments on automatic sprinkler systems.

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

    Fire safety citation K-0352, Smoke Deficiencies. Inspection of April 16, 2026. Found during a standard inspection.

    No follow-up visit needed (September 1, 2026).

  10. 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 April 16, 2026. Found during a standard inspection.

    No follow-up visit needed (September 1, 2026).

  11. 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.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of February 28, 2025. Found during a standard inspection.

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

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

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of February 28, 2025. Found during a standard inspection.

    Past non-compliance: already corrected by the time of the inspection (January 28, 2025).

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

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

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

    Health citation F-0625, Resident Rights Deficiencies. Inspection of February 28, 2025. Found during a standard inspection.

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

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

    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

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

    Health citation F-0626, Resident Rights Deficiencies. Inspection of February 28, 2025. Found during a standard inspection.

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

  15. 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 February 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 24, 2025).

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

    Provide or obtain dental services for each resident.

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

    Health citation F-0791, Quality of Life and Care Deficiencies. Inspection of February 28, 2025. Found during a standard inspection.

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

  17. 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 February 28, 2025. Found during a standard inspection.

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

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

    Use approved construction type or materials.

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

    Fire safety citation K-0161, Construction Deficiencies. Inspection of February 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2025).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2025).

  20. 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 March 16, 2024. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (March 8, 2024).

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

    Allow residents to self-administer drugs if determined clinically appropriate.

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

    Health citation F-0554, Resident Rights Deficiencies. Inspection of October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2023).

  22. 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.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2023).

  23. 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.

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

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

    The home gave a date the problem would be corrected (January 5, 2024).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 5, 2024).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 5, 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.