Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Silver Cross Health & Rehab during CMS and state inspections, most recent first.
A resident with an ADL self-care performance deficit did not receive the necessary assistance with oral care as outlined in their comprehensive care plan. Despite the resident's dependence on staff for personal hygiene, interviews revealed that oral care was not provided on multiple occasions. A CNA confirmed the lack of assistance, and an RN emphasized the importance of the care plan in guiding personalized care. The resident's medical history includes lack of coordination, muscle weakness, and hemiplegia following a cerebral infarction.
A facility failed to update a resident's fall prevention care plan, leaving outdated interventions unaddressed. Despite a policy requiring regular review and revision, the resident's care plan included interventions from 2020 that were not implemented. Observations showed missing safety features in the resident's room and wheelchair. Interviews with staff confirmed the lack of updates and visual inspections. The resident, cognitively intact with a history of falls, had a diagnosis of unspecified lack of coordination.
A facility failed to provide necessary oral hygiene assistance to a resident with muscle weakness and lack of coordination, despite policy requirements. The resident, who was cognitively intact and required supervision for oral care, reported not receiving help with brushing her teeth. Interviews with staff confirmed the oversight, highlighting a deficiency in adhering to the facility's ADL care policy.
A facility failed to maintain proper infection control during wound care for a resident with a Stage 4 pressure ulcer. An LPN did not change gloves or perform hand hygiene before applying a clean dressing, which was confirmed as an infection control issue by both the LPN and the DON.
Failure to Implement Comprehensive Care Plan for Resident's ADL Needs
Penalty
Summary
The facility failed to implement the comprehensive care plan interventions for a resident who was dependent on staff for Activities of Daily Living (ADL) care. The facility's policy requires a comprehensive person-centered care plan that includes measurable objectives and timeframes to meet a resident's needs. However, the care plan for the resident, who has an ADL self-care performance deficit, indicated that the resident is totally dependent on 1-2 staff for personal hygiene and oral care. Despite this, the resident expressed a desire to brush her teeth and mentioned that she had previously informed the staff about it, but could not recall the last time she did so. Interviews with the resident and staff revealed that the resident had not received assistance with oral care on multiple occasions. A Certified Nursing Assistant (CNA) confirmed that she had not assisted the resident with oral care on the previous day and had not done so on the day of the interview. The CNA acknowledged that oral care should be performed daily before breakfast. Additionally, a Registered Nurse (RN) stated that the comprehensive care plan is intended to guide personalized care, including oral care as part of ADL care. The resident's admission record indicated diagnoses of unspecified lack of coordination, muscle weakness, and hemiplegia and hemiparesis following a cerebral infarction affecting the left non-dominant side.
Failure to Update Fall Prevention Care Plan
Penalty
Summary
The facility failed to revise the comprehensive care plan interventions for falls for a resident, despite having a policy that mandates the review and revision of care plans by the interdisciplinary team after each comprehensive and quarterly MDS assessment. The resident, who had a history of frequent falls, had several interventions listed in their care plan dating back to 2020, which were not updated or implemented. Observations revealed that many of these interventions, such as a cup holder attached to the bed rail, a TV remote attached to the bedside table, and a mirror mounted near the bed, were not present in the resident's room. Additionally, the resident's wheelchair lacked several safety features that were supposed to be in place, such as an anti-rollback device, colored tape for identification, a reacher, and dycem material on the cushion. Interviews with the RN responsible for care plans and the CNA assigned to the resident confirmed that the interventions were outdated and not reconciled with the resident's current needs. The RN admitted to not conducting visual inspections to ensure the interventions were being provided, and the CNA noted that some items had not been present for a long time. The Director of Nursing acknowledged that the care plan should have been revised to reflect the resident's current needs, especially after a fall that required a change in interventions. The resident was cognitively intact, as indicated by a BIMS score of 15, and had a diagnosis of unspecified lack of coordination.
Failure to Provide Oral Hygiene Assistance
Penalty
Summary
The facility failed to ensure that dependent residents received necessary services to maintain oral hygiene, specifically for one resident. The facility's policy on Activities of Daily Living (ADL), revised in September 2022, mandates that residents unable to perform ADLs independently should receive assistance to maintain personal and oral hygiene. However, interviews and record reviews revealed that Resident #44, who was admitted in May 2023 and diagnosed with muscle weakness and lack of coordination, did not receive assistance with oral care. Despite being cognitively intact and requiring supervision or assistance with oral hygiene, the resident reported not receiving help with brushing her teeth, which she had previously done twice daily. Interviews with staff, including a CNA and the Director of Nurses (DON), confirmed that oral care is part of ADL care and should be provided every shift. The CNA admitted to not assisting the resident with oral hygiene on the days in question, while the DON emphasized the importance of oral care in preventing oral infections. The Task List Report for the resident indicated that personal hygiene tasks were to be performed by a CNA every shift and as needed, yet the resident's oral care needs were not met, leading to the identified deficiency.
Infection Control Breach During Wound Care
Penalty
Summary
The facility failed to ensure proper infection prevention and control during wound care for a resident with a pressure ulcer. During an observation, an LPN did not remove her soiled gloves, perform hand hygiene, and apply clean gloves before applying alginate to the wound bed and covering it with a border dressing. The LPN confirmed in an interview that she forgot to change her gloves and perform hand hygiene, acknowledging that her actions could lead to contamination of the wound. The Director of Nurses also confirmed that the LPN should have changed gloves and performed hand hygiene, recognizing this as an infection control issue. The resident involved was admitted to the facility with a diagnosis of a Stage 4 pressure ulcer in the sacral region.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Brookhaven
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Diversicare Of Brookhaven | 0.2 mi | — | 9 | 0 |
| Trend Health And Rehab Of Brookhaven | 0.2 mi | — | 6 | 0 |
| Haven Hall Health Care Center | 1.1 mi | — | 7 | 0 |
| Pine Crest Guest Home Inc | 19.7 mi | — | 0 | 0 |
| Lawrence Co Nursing Center | 21.1 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.