Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around January 2027
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 Trend Health And Rehab Of Brookhaven during CMS and state inspections, most recent first.
A resident with paroxysmal atrial fibrillation and intact cognition was transferred using a mechanical lift by a single CNA, contrary to facility policy requiring two staff for all mechanical lift transfers. During the transfer, the lift pad shifted and the resident slipped from the sling, falling to the floor and sustaining a broken fingernail. The CNA reported she was alone because other staff were unavailable and described a facility change in strap placement method that had been in effect at the time. The DON confirmed that the incident involved a solo mechanical lift transfer, that policy requires two staff with one acting as a spotter, and that the CNA had not received follow-up lift training since hire.
The facility failed to follow infection control practices for two residents on Enhanced Barrier Precautions (EBP). An LPN did not perform hand hygiene before providing PEG tube care, and a CNA did not wear the required gown during peri care. Both residents had active orders for EBP due to their medical conditions, and staff acknowledged the lapses in infection control procedures.
A resident's room was found to have a strong smell of urine and mildew, flies, missing paint, and a soiled privacy curtain, compromising the homelike environment. The resident, with moderate cognitive impairment and an Overactive Bladder diagnosis, expressed concerns about these conditions, which were confirmed by facility staff.
The facility failed to implement care plan interventions for two residents on Enhanced Barrier Precautions due to PEG tubes. An LPN did not perform hand hygiene before providing PEG tube care, and a CNA did not wear the required gown during perineal care. Both staff members acknowledged their actions posed infection control risks. The Director of Nursing confirmed that the care plans required hand washing and PPE use, which were not followed.
A resident with Hyperlipidemia and Type 2 Diabetes did not receive a physician-ordered daily side salad with ranch dressing at lunch. Despite the order being communicated to the Dietary Department, the Dietary Manager was unaware and had stopped purchasing salads due to cost concerns. The resident and her sister expressed dissatisfaction, and the issue was confirmed through observations and interviews.
Failure to Follow Two-Person Mechanical Lift Policy Resulting in Resident Fall
Penalty
Summary
The facility failed to ensure safe transfer practices by not following its policy requiring two staff members for all mechanical lift transfers. Facility policy dated 3/16 stated that use of a mechanical lift requires two nursing assistants or nurses each time it is used. Record review of a Facility Reported Incident showed that on 01/07/2026, a CNA used a mechanical lift alone to transfer Resident #30. During this transfer, the lift pad moved and the resident slipped from the lift, falling to the floor. No malfunctions were identified with the lift or lift pad. Resident #30, who had a diagnosis including paroxysmal atrial fibrillation and a BIMS score of 15 indicating intact cognition, confirmed in interview that only one CNA was present and that she was lifted high in the air when the lift strap slipped, causing her to fall straight to the ground. She reported no bruising or fractures but did sustain a broken fingernail. In a subsequent interview, CNA #1 confirmed she was alone in the room during the mechanical lift transfer when the resident began to slip and slid out of the lift pad, falling to the floor. She stated that the facility had changed the lifting method, directing staff to place lift pad straps underneath the legs instead of between the legs, and that she had attended an in-service within the last year related to this change. She also stated she was alone because other staff were unavailable at the time. The DON confirmed that an investigation found CNA #1 transferred the resident alone using a mechanical lift and reiterated that facility policy requires two staff members during mechanical lift use so that one staff member can act as a spotter if the lift begins to slip or fall. The DON also stated that CNA #1 had not completed follow-up lift training since her hire date in 2021 due to working on an as-needed basis, while confirming that staff are expected to follow the lifting policy at all times.
Infection Control Lapses in EBP Care
Penalty
Summary
The facility failed to ensure proper infection control practices during care for residents on Enhanced Barrier Precautions (EBP). During an observation, an LPN did not perform hand hygiene before applying gloves while providing PEG tube care to a resident. The LPN also failed to perform hand hygiene after handling contaminated supplies that fell on the floor. The resident had active orders for PEG tube care due to a gastrostomy infection and was on EBP. The resident's cognitive skills were severely impaired, and they had a feeding tube. In another instance, a CNA provided peri care to a resident without wearing the required gown, which is part of the EBP. The CNA acknowledged the failure to wear proper PPE, which could lead to the transmission of germs. The resident had active orders for EBP related to their PEG tube. Interviews with the DON and the Infection Preventionist confirmed the importance of hand hygiene and wearing appropriate PPE to prevent cross-contamination and infection transmission.
Failure to Maintain a Homelike Environment
Penalty
Summary
The facility failed to ensure a resident's right to a clean, comfortable, and homelike environment, as evidenced by several deficiencies in the living conditions of a resident's room. Observations revealed a strong smell of urine and mildew, the presence of flies, missing paint on the walls, and a soiled privacy curtain with visible food and other stains. These conditions were noted during multiple observations and were confirmed by both the Facility Administrator and Housekeeping Staff. The resident involved, who was admitted with a diagnosis of Overactive Bladder, expressed significant concerns about the living conditions, stating that the persistent odor led her to spend most of her time outside her room. The resident's cognitive status was moderately impaired, as indicated by a BIMS score of 9. Despite the facility's policy to maintain a safe and homelike environment, the cleanliness and maintenance of the resident's room were not upheld according to the facility's standards.
Failure to Implement Care Plan Interventions for Enhanced Barrier Precautions
Penalty
Summary
The facility failed to implement care plan interventions for two residents who were on Enhanced Barrier Precautions due to having PEG tubes. For Resident #24, a Licensed Practical Nurse (LPN) did not perform hand hygiene before applying gloves and providing PEG tube care. This occurred both when initially entering the room and after re-entering the room during the procedure. The LPN admitted to forgetting to wash her hands, acknowledging the infection control risks posed by her actions. For Resident #40, a Certified Nursing Assistant (CNA) was observed providing perineal care without wearing the required gown as part of the PPE for residents on Enhanced Barrier Precautions. The CNA confirmed not wearing the gown and admitted that this could spread germs to the resident. The Director of Nursing and the care plan nurse confirmed that the comprehensive care plans for both residents required hand washing and the use of PPE, including gowns and gloves, during high-contact care activities, which were not followed by the staff.
Failure to Provide Physician-Ordered Diet
Penalty
Summary
The facility failed to provide a resident with a physician-ordered salad during lunch meals, as observed in the case of one resident. The resident, who was admitted with diagnoses including Hyperlipidemia and Type 2 Diabetes, had a physician's order for a daily side salad with ranch dressing on her lunch tray. Despite this order, the resident reported not receiving salads for several months and expressed her dissatisfaction with the kitchen's failure to meet her food preferences. The resident's sister also voiced frustration over the facility's inability to honor the resident's dietary requests. The Dietary Manager admitted to not updating the resident's food preferences and had stopped purchasing salads due to cost concerns. She was unaware of the physician's order for the salad, despite the Director of Nursing confirming that the Dietary Department had been notified. The Registered Dietician also stated that she communicated dietary assessments and recommendations to the relevant staff, including the Dietary Manager. The failure to provide the ordered salad was documented through observations and interviews, highlighting a breakdown in communication and adherence to dietary orders within the facility.
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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 mi | — | 9 | 0 |
| Silver Cross Health & Rehab | 0.2 mi | — | 11 | 0 |
| Haven Hall Health Care Center | 0.9 mi | — | 7 | 0 |
| Pine Crest Guest Home Inc | 19.6 mi | — | 0 | 0 |
| Lawrence Co Nursing Center | 21 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.