Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around October 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 Brookside Multicare Nursing Center during CMS and state inspections, most recent first.
Expired medications were found in the storage rooms of three units during a survey. On the Carnation Unit, four bottles of expired Aspirin were observed, with staff unsure of removal responsibilities. On the Broadway Unit, nine bottles of expired Aspirin and three bottles of Vitamin B12 were found, despite daily checks and monthly pharmacist reviews. On the Azaelia Unit, two bottles of expired Aspirin were discovered, with staff unaware of their presence. The facility's policy requires outdated drugs to be returned or destroyed, with nursing staff responsible for storage maintenance.
A facility failed to update a resident's comprehensive care plan to reflect a change from Do Not Resuscitate (DNR) to full code status, as requested by the resident's representative. Despite the facility's policy requiring timely updates, the care plan continued to include DNR interventions. The resident had diagnoses including Diabetes Mellitus and Major Depressive Disorder, with moderately impaired cognition.
A resident was found with a tube of Premarin vaginal cream on their overbed table, which they were applying without a physician's order to self-administer. Facility policy required medications to be administered by licensed staff unless otherwise ordered, and the cream should have been secured. Staff interviews confirmed the resident should not have had medications in their room, and the pharmacist noted potential hazards of the medication.
A facility failed to document a physician's review and action plan for a medication irregularity identified by a consultant pharmacist. A resident receiving Rozerem for insomnia was recommended for a trial taper by the pharmacist, which the physician agreed to but did not document in the medical record. The resident had diagnoses of insomnia, acute respiratory failure, and diabetes, and was cognitively intact. Despite agreement, the physician did not sign or date the medication review form or include a plan in the progress notes.
Expired Medications Found in Storage Rooms
Penalty
Summary
The facility failed to ensure that all drugs were stored in accordance with professional standards, as identified during a Recertification Survey. Specifically, expired medications were found in the medication storage rooms of three units: Carnation, Broadway, and Azaelia. On the Carnation Unit, four bottles of Aspirin with an expiration date of April 2024 were observed. Licensed Practical Nurse #4 was unaware of who was responsible for removing expired medications, and Unit Manager #10 admitted to an oversight in not identifying the expired medications. On the Broadway Unit, nine bottles of Aspirin and three bottles of Vitamin B12, all expired in April 2024, were found. Licensed Practical Nurse #5 stated that the day shift Unit Managers were responsible for checking expiration dates, while Unit Manager #11 was unsure how the expired medications remained despite daily checks and monthly pharmacist reviews. On the Azaelia Unit, two bottles of expired Aspirin were found. Licensed Practical Nurse #6 was unaware of the expired medications, and Unit Manager #3, who checks for expired medications daily, did not know how they were overlooked. The facility's policy requires that outdated drugs be returned or destroyed, with nursing staff responsible for maintaining medication storage. The pharmacist, who assists with monthly reviews, was also unsure why expired medications were still present. The Director of Nursing Services confirmed that the pharmacist is expected to discard expired medications monthly and acknowledged that having expired medications in storage areas is unacceptable.
Failure to Update Advance Directive in Care Plan
Penalty
Summary
The facility failed to ensure that a person-centered comprehensive care plan was reviewed and revised to address the needs of a resident with an Advance Directive. Specifically, a resident had a Do Not Resuscitate (DNR) order in place, which was rescinded in February 2022 by the resident's representative, changing the status to full code. However, the resident's comprehensive care plan was not updated to reflect this change, and it continued to include interventions for a DNR status. This oversight was identified during a recertification survey. The resident involved had diagnoses including Diabetes Mellitus, Seizure Disorder, and Major Depressive Disorder, with moderately impaired cognition as indicated by a Brief Interview for Mental Status score of 11. The facility's policy required care plans to be revised within seven days of the Minimum Data Set Assessment completion, but this was not adhered to. Interviews with the Social Worker and the Minimum Data Set Director revealed that the Social Work department was responsible for updating Advance Directives care plans, and the failure to update the resident's care plan was acknowledged, though the reason for the oversight was unknown.
Medication Mismanagement and Hazardous Environment
Penalty
Summary
The facility failed to ensure that a resident's environment was free from accident hazards, as evidenced by the presence of a tube of Premarin vaginal cream on a resident's overbed table. The resident, who had intact cognition, was observed applying the cream to their abdominal folds and groin area without a physician's order to self-administer medications. The facility's policy required that only physicians or licensed nurses administer medications unless a resident is permitted to self-administer by a physician's order. However, the resident did not have such an order, and the cream was not secured as required by the facility's policy. Interviews with facility staff, including a registered nurse and a licensed practical nurse, confirmed that the resident was not supposed to have medications in their room and that the Premarin cream should have been stored in a locked treatment cart. The pharmacist highlighted the potential hazards of the medication, noting that it contains estrogen and can cause various side effects. The Director of Nursing Services reiterated that medications should not be left unattended in resident rooms and that staff should notify the unit nurse if they observe such occurrences.
Failure to Document Medication Irregularity Review
Penalty
Summary
The facility failed to ensure that the attending physician documented in the resident's medical record that an identified medication irregularity had been reviewed and what actions, if any, were taken to address it. This deficiency was identified during a recertification survey for a resident who was receiving Rozerem, a sedative for insomnia. The consultant pharmacist recommended evaluating the necessity of the medication and suggested a trial taper to as needed (PRN) for one week, then discontinuation if appropriate. Although the physician agreed with the recommendation, they did not document the plan in the resident's medical record. The resident involved was admitted with diagnoses including insomnia, acute respiratory failure, and diabetes, and was cognitively intact according to the Quarterly Minimum Data Set assessment. Despite the pharmacist's recommendation and the physician's agreement, the medication regimen review form was not signed or dated by the physician, and the physician's progress note did not include a plan to address the recommendation. Interviews with nursing staff and the director of nursing services confirmed that the physician should have documented their plan for the Rozerem dose reduction in the progress notes.
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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 Smithtown
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| St Catherine Of Siena Nrsg And Rehab Care Center | 0.1 mi | — | 0 | 0 |
| Smithtown Center For Rehabilitation & Nursing Care | 1.7 mi | — | 3 | 0 |
| The Hamlet Rehabilitation And Healthcare Center At | 1.9 mi | — | 0 | 0 |
| St James Rehabilitation & Healthcare Center | 3.2 mi | — | 10 | 0 |
| Luxor Nursing And Rehabilitation At Mills Pond | 3.2 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.