Deerbrook Skilled Nursing And Rehab Center

Penalties

• May 16, 2026 — Fine ($103,390)
• Oct 27, 2025 — Fine ($10,361)
• Feb 28, 2025 — Fine ($17,345)
• Feb 20, 2025 — Fine ($13,822)
• Feb 14, 2025 — Fine ($31,304)

Inspection findings

1. May 16, 2026 Health · 8 findings
   • Serious Scope/severity K Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected May 17, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected May 17, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected May 17, 2026 · CMS health inspection

   • Serious Scope/severity K Complaint

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected May 17, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0690 Quality of Life and Care Deficiencies

     Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

     Corrected May 17, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected May 17, 2026 · CMS health inspection

   • Not serious Scope/severity F

     K0351 Smoke Deficiencies

     Install an approved automatic sprinkler system.

     Corrected Jun 5, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Jun 5, 2026 · CMS fire safety

2. Nov 20, 2025 Health · 7 findings
   • Not serious Scope/severity D Complaint

     F0627 Resident Rights Deficiencies

     Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

     Corrected Nov 21, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Nov 21, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Nov 21, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0810 Nutrition and Dietary Deficiencies

     Provide special eating equipment and utensils for residents who need them and appropriate assistance.

     Corrected Nov 21, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Nov 21, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0908 Environmental Deficiencies

     Keep all essential equipment working safely.

     Corrected Nov 21, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0919 Environmental Deficiencies

     Make sure that a working call system is available in each resident's bathroom and bathing area.

     Corrected Nov 21, 2025 · CMS health inspection

3. Oct 27, 2025 Health · 5 findings
   • Not serious Scope/severity D Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Oct 28, 2025 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Oct 28, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0690 Quality of Life and Care Deficiencies

     Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

     Corrected Oct 28, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Oct 28, 2025 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Nov 21, 2025 · CMS health inspection

4. Jul 31, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Aug 1, 2025 · CMS health inspection

5. Feb 28, 2025 Health · 5 findings
   • Not serious Scope/severity D Complaint

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Mar 1, 2025 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Mar 1, 2025 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Mar 1, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Mar 1, 2025 · CMS health inspection

   • Not serious Scope/severity E

     K0929 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

     Corrected Feb 27, 2025 · CMS fire safety

6. Feb 20, 2025 Health · 1 finding
   • Serious Scope/severity J Complaint

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Jun 13, 2024 · CMS health inspection

7. Feb 14, 2025 Health · 1 finding
   • Serious Scope/severity K Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Feb 15, 2025 · CMS health inspection

8. Nov 16, 2023 Health · 11 findings
   • Not serious Scope/severity E Complaint

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Nov 28, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0657 Resident Assessment and Care Planning Deficiencies

     Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

     Corrected Dec 8, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0658 Resident Assessment and Care Planning Deficiencies

     Ensure services provided by the nursing facility meet professional standards of quality.

     Corrected Nov 28, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Nov 28, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Nov 28, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Nov 28, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected Nov 28, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Nov 28, 2023 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0919 Environmental Deficiencies

     Make sure that a working call system is available in each resident's bathroom and bathing area.

     Corrected Nov 28, 2023 · CMS health inspection

   • Not serious Scope/severity E

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Nov 28, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0352 Smoke Deficiencies

     Properly install and monitor supervisory attachments on automatic sprinkler systems.

     Corrected Nov 28, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• BALSAMO, KRYSTAL — adp of the snf, NOT APPLICABLE, since 04/01/2021
• BALSAMO, KRYSTAL — operational/managerial control, NOT APPLICABLE, since 04/01/2021
• CULP, ROLAND — adp of the snf, NOT APPLICABLE, since 04/01/2021
• CULP, ROLAND — operational/managerial control, NOT APPLICABLE, since 04/01/2021
• DASPIT, LAURENCE — adp of the snf, NOT APPLICABLE, since 04/01/2021
• DASPIT, LAURENCE — operational/managerial control, NOT APPLICABLE, since 04/01/2021
• DOHN, WILLIAM — adp of the snf, NOT APPLICABLE, since 04/01/2021
• DOHN, WILLIAM — operational/managerial control, NOT APPLICABLE, since 04/01/2021
• MURRELL, EDWARD — corporate officer, NOT APPLICABLE, since 11/01/2012
• MURRELL, EDWARD — operational/managerial control, NOT APPLICABLE, since 04/01/2018
• PICO, ANA — adp of the snf, NOT APPLICABLE, since 04/01/2021
• PICO, ANA — operational/managerial control, NOT APPLICABLE, since 04/01/2021
• PRINCE, DEREK — adp of the snf, NOT APPLICABLE, since 04/01/2021
• PRINCE, DEREK — operational/managerial control, NOT APPLICABLE, since 04/01/2021
• REINARZ, CHRISTIAN — operational/managerial control, NOT APPLICABLE, since 04/01/2021
• REINARZ, CHRISTIAN — adp of the snf, NOT APPLICABLE, since 04/01/2021
• ROLLO, JEFFERY — operational/managerial control, NOT APPLICABLE, since 04/01/2021
• ROLLO, JEFFERY — corporate officer, NOT APPLICABLE, since 11/01/2012
• STANBRIDGE, NORMA — adp of the snf, NOT APPLICABLE, since 04/01/2021
• STRAMECKI, ANTHONY — operational/managerial control, NOT APPLICABLE, since 04/01/2021
• STRAMECKI, ANTHONY — corporate director, NOT APPLICABLE, since 11/01/2016
• VRATIS, KACEY — operational/managerial control, NOT APPLICABLE, since 04/01/2021
• WAY, GEORGE — operational/managerial control, NOT APPLICABLE, since 04/01/2021
• ZALESKY, CELESTE — adp of the snf, NOT APPLICABLE, since 12/16/2024
• ZALESKY, CELESTE — operational/managerial control, NOT APPLICABLE, since 12/16/2024
• HMG PARK MANOR OF DEERBROOK, LLC — 5% or greater direct ownership interest, 100%, since 04/01/2018
• HMG PARK MANOR OF DEERBROOK, LLC — operational/managerial control, NOT APPLICABLE, since 04/01/2018