Facility profile · CCN 375174
Brentwood Extended Care & Rehab
47 federal citations on record , including 1 at the Immediate Jeopardy level, and 9 federal enforcement actions totaling $97,625.
Record summary
Federal record · Q1 202647
Total citations
34
Last 3 years
1
Actual harm+
9
Federal penalties
$97,625
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
47 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jul 31, 2025 | F851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Complaint |
| Jul 31, 2025 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Jul 31, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Jul 31, 2025 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint |
| Jul 31, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Dec 27, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Dec 27, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Dec 27, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Dec 27, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| May 21, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Complaint |
| Mar 25, 2024 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard |
| Mar 25, 2024 | F908 | Keep all essential equipment working safely. | D | Standard |
| Mar 25, 2024 | F881 | Implement a program that monitors antibiotic use. | E | Standard |
| Mar 25, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Mar 25, 2024 | F760 | Ensure that residents are free from significant medication errors. | E | Standard |
| Mar 25, 2024 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Mar 25, 2024 | F732 | Post nurse staffing information every day. | D | Standard |
| Mar 25, 2024 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | E | Standard |
| Mar 25, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Mar 25, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Mar 25, 2024 | F688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard |
| Mar 25, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard |
| Mar 25, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard |
| Mar 25, 2024 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Mar 25, 2024 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard |
| Mar 25, 2024 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Mar 25, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Mar 25, 2024 | F638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard |
| Mar 25, 2024 | F637 | Assess the resident when there is a significant change in condition | D | Standard |
| Mar 25, 2024 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard |
| Mar 25, 2024 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| Nov 21, 2023 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint |
| Aug 1, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Aug 1, 2023 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Complaint |
| Feb 22, 2023 | F888 | Ensure staff are vaccinated for COVID-19 | D | Standard |
| Feb 22, 2023 | F851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | E | Standard |
| Feb 22, 2023 | F848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. | E | Standard |
| Feb 22, 2023 | F847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | E | Standard |
| Feb 22, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Feb 22, 2023 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | E | Standard |
| Feb 22, 2023 | F758 | 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. | E | Standard |
| Feb 22, 2023 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard |
| Feb 22, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Feb 22, 2023 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| Feb 22, 2023 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Feb 22, 2023 | F637 | Assess the resident when there is a significant change in condition | D | Standard |
| Feb 22, 2023 | F578 | 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. | D | Standard |
Federal enforcement history
Federal regulators have imposed 9 enforcement actions against this facility, including 9 civil money penalties totaling $97,625 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Mar 25, 2024 | Fine | $32,709 | — |
| Feb 12, 2024 | Fine | $4,938 | — |
| Jan 22, 2024 | Fine | $14,814 | — |
| Jan 8, 2024 | Fine | $4,938 | — |
| Jan 2, 2024 | Fine | $4,587 | — |
| Dec 11, 2023 | Fine | $13,762 | — |
| Nov 20, 2023 | Fine | $4,587 | — |
| Nov 13, 2023 | Fine | $4,587 | — |
| Oct 23, 2023 | Fine | $12,703 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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