All citations for Stonebrook Health and Rehabilitation

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 Stonebrook Health and Rehabilitation

Last standard health inspection on record

August 1, 2025

Showing 1 to 25 of 49 citations

  1. 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 August 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 15, 2025).

  2. 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 August 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 18, 2025).

  3. 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 August 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 8, 2025).

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

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2024).

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

    Post nurse staffing information every day.

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

    Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of December 29, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 19, 2026).

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

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

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

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of August 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 15, 2025).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of August 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 15, 2025).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of May 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2024).

  9. 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 August 6, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 27, 2021).

  10. 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 August 6, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 27, 2021).

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

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of August 6, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 27, 2021).

  12. 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of August 6, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2021).

  13. 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 5, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 11, 2026).

  14. 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 August 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 15, 2025).

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

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of August 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 15, 2025).

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

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

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

    Health citation F-0693, Quality of Life and Care Deficiencies. Inspection of August 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 15, 2025).

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

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

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

    Health citation F-0694, Quality of Life and Care Deficiencies. Inspection of August 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 15, 2025).

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

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

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

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of August 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 15, 2025).

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

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of August 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 15, 2025).

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

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

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

    Health citation F-0802, Nutrition and Dietary Deficiencies. Inspection of August 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 15, 2025).

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

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

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

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of August 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 15, 2025).

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

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

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

    Health citation F-0883, Infection Control Deficiencies. Inspection of August 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 15, 2025).

  23. 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 August 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 7, 2025).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of August 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 7, 2025).

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

    Meet requirements for the use of electrical equipment.

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

    Fire safety citation K-0919, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 7, 2025).

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.