Facility profile · CCN 676045
Brentwood Terrace Healthcare And Rehabilitation
50 federal citations on record , including 8 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $234,447.
Record summary
Federal record · Q1 202650
Total citations
50
Last 3 years
8
Actual harm+
2
Federal penalties
$234,447
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
50 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Nov 21, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Nov 21, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Jun 4, 2025 | F760 | Ensure that residents are free from significant medication errors. | E | Complaint |
| Jun 4, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint |
| Jun 4, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Jun 4, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Jun 4, 2025 | F761 | 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. | E | Standard |
| Jun 4, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Jun 4, 2025 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Jun 4, 2025 | F553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Standard |
| Jan 8, 2025 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Complaint |
| Jan 8, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint |
| Jan 8, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Jan 8, 2025 | F807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D | Standard |
| Jan 8, 2025 | F761 | 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. | D | Standard |
| Jan 8, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Jan 8, 2025 | 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 |
| Mar 2, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Mar 2, 2024 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | L | Complaint |
| Mar 2, 2024 | F760 | Ensure that residents are free from significant medication errors. | K | Complaint |
| Mar 2, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | K | Complaint |
| Mar 2, 2024 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | L | Complaint |
| Mar 2, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Complaint |
| Mar 2, 2024 | F610 | Respond appropriately to all alleged violations. | J | Complaint |
| Mar 2, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint |
| Mar 2, 2024 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | K | Complaint |
| Mar 2, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint |
| Mar 2, 2024 | F940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | Standard |
| Mar 2, 2024 | F881 | Implement a program that monitors antibiotic use. | D | Standard |
| Mar 2, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Mar 2, 2024 | F802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | Standard |
| Mar 2, 2024 | F761 | 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. | D | Standard |
| Mar 2, 2024 | 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. | D | Standard |
| Mar 2, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Mar 2, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Mar 2, 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 2, 2024 | F679 | Provide activities to meet all resident's needs. | D | Standard |
| Mar 2, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard |
| Mar 2, 2024 | 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 |
| Mar 2, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Mar 2, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Mar 2, 2024 | F585 | 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. | D | Standard |
| Mar 2, 2024 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| Mar 2, 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 | Standard |
| Feb 7, 2024 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Complaint |
| Feb 7, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Feb 7, 2024 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint |
| Nov 20, 2023 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint |
| Aug 4, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint |
| Aug 4, 2023 | F558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $234,447 and 1 payment-denial actions spanning 20 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Mar 2, 2024 | Fine | $234,447 | — |
| Mar 2, 2024 | Payment Denial | — | Mar 30, 2024 · 20 days |
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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