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Facility profile · CCN 085004

Springs Rehabilitation At Brandywine

63 federal citations on record , including 1 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $99,184.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
63
Total citations
59
Last 3 years
4
Actual harm+
3
Federal penalties
$99,184
Total fines
2
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

63 on record
SurveyF-TagViolationSeveritySource
Dec 8, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Dec 8, 2025F610Respond appropriately to all alleged violations.DComplaint
Dec 8, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Dec 8, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Nov 15, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DComplaint
Nov 15, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint
Nov 15, 2024F641Ensure each resident receives an accurate assessment.DComplaint
Nov 15, 2024F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.EComplaint
Nov 15, 2024F610Respond appropriately to all alleged violations.DComplaint
Nov 15, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Nov 15, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DComplaint
Nov 15, 2024F881Implement a program that monitors antibiotic use.EComplaint
Nov 15, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
Nov 15, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint
Nov 15, 2024F809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.DComplaint
Nov 15, 2024F807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.EComplaint
Nov 15, 2024F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.FComplaint
Nov 15, 2024F697Provide safe, appropriate pain management for a resident who requires such services.GComplaint
Nov 15, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Nov 15, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.EComplaint
Nov 15, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint
Nov 15, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint
Nov 15, 2024F584Honor 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.EComplaint
Nov 15, 2024F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.DStandard
Nov 15, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard
Nov 15, 2024F880Provide and implement an infection prevention and control program.EStandard
Nov 15, 2024F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
Nov 15, 2024F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DStandard
Nov 15, 2024F700Try 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.EStandard
Nov 15, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Nov 15, 2024F679Provide activities to meet all resident's needs.DStandard
Nov 15, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Nov 15, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Nov 15, 2024F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.CStandard
Nov 15, 2024F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard
Nov 15, 2024F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DStandard
Nov 8, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Nov 8, 2023F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DComplaint
Nov 8, 2023F692Provide enough food/fluids to maintain a resident's health.GComplaint
Nov 8, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Nov 8, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Nov 8, 2023F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedBComplaint
Nov 8, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Nov 8, 2023F880Provide and implement an infection prevention and control program.EComplaint
Nov 8, 2023F761Ensure 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.FComplaint
Nov 8, 2023F760Ensure that residents are free from significant medication errors.EComplaint
Nov 8, 2023F695Provide safe and appropriate respiratory care for a resident when needed.EComplaint
Nov 8, 2023F693Ensure 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.DComplaint
Nov 8, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Nov 8, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Nov 8, 2023F584Honor 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.EComplaint
Nov 8, 2023F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DComplaint
Nov 8, 2023F908Keep all essential equipment working safely.DStandard
Nov 8, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Nov 8, 2023F729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.DStandard
Nov 8, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Nov 8, 2023F646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.DStandard
Nov 8, 2023F641Ensure each resident receives an accurate assessment.DStandard
Nov 8, 2023F578Honor 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.DStandard
May 6, 2021F880Provide and implement an infection prevention and control program.EStandard
May 6, 2021F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DStandard
May 6, 2021F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.EStandard
May 6, 2021F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 3 civil money penalties totaling $99,184 .

DateTypeFinePayment denial
Nov 15, 2024Fine$76,148
Nov 8, 2023Fine$7,443
Nov 8, 2023Fine$15,593
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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