Sagebrook Nursing And Rehabilitation

Inspection findings

1. May 14, 2025 Health · 3 findings
   • Not serious Scope/severity E

     F0550 Resident Rights Deficiencies

     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

     Corrected Jun 6, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jun 6, 2025 · CMS health inspection

   • Not serious Scope/severity D

     K0374 Smoke Deficiencies

     Install smoke barrier doors that can resist smoke for at least 20 minutes.

     Corrected May 23, 2025 · CMS fire safety

2. Dec 19, 2024 Health · 2 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 Dec 20, 2024 · CMS health inspection

   • Not serious Scope/severity D 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 Dec 20, 2024 · CMS health inspection

3. Nov 21, 2024 Health · 1 finding
   • 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 Dec 2, 2024 · CMS health inspection

4. Oct 9, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0584 Resident Rights Deficiencies

     Honor 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.

     Corrected Oct 11, 2024 · CMS health inspection

5. Jun 6, 2024 Health · 1 finding
   • 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 Jun 7, 2024 · CMS health inspection

6. Mar 28, 2024 Health · 12 findings
   • Not serious Scope/severity E

     F0550 Resident Rights Deficiencies

     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

     Corrected Mar 29, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected Mar 29, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0567 Resident Rights Deficiencies

     Honor the resident's right to manage his or her financial affairs.

     Corrected Mar 29, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0578 Resident Rights Deficiencies

     Honor 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.

     Corrected Mar 29, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0583 Resident Rights Deficiencies

     Keep residents' personal and medical records private and confidential.

     Corrected Mar 29, 2024 · 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 Apr 19, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0677 Quality of Life and Care Deficiencies

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

     Corrected Apr 19, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0684 Quality of Life and Care Deficiencies

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

     Corrected Apr 19, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0806 Nutrition and Dietary Deficiencies

     Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

     Corrected Apr 19, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Apr 19, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Mar 15, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0920 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure proper usage of power strips and extension cords.

     Corrected Jan 16, 2025 · CMS fire safety

7. Aug 23, 2023 Health · 2 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 Sep 18, 2023 · 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 Sep 18, 2023 · CMS health inspection

8. Jan 26, 2023 Health · 3 findings
   • Not serious Scope/severity E

     F0584 Resident Rights Deficiencies

     Honor 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.

     Corrected Feb 9, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0695 Quality of Life and Care Deficiencies

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

     Corrected Feb 9, 2023 · CMS health inspection

   • Not serious Scope/severity D

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected Jun 30, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• ALCALA, CHRISTOPHER — adp of the snf, NOT APPLICABLE, since 09/25/2023
• CHOI, MARYANN — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/04/2025
• CHOI, ROBERT — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/04/2025
• CHUMLEY, RICHARD — corporate officer, NOT APPLICABLE, since 06/01/2020
• CUNNINGHAM, ERNEST — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/04/2025
• KROL, MICHAEL — adp of the snf, NOT APPLICABLE, since 01/01/2020
• MOORE, GREGORY — operational/managerial control, NOT APPLICABLE, since 06/01/2020
• O'DONOGHUE-STALLARD, MAIRE — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/04/2025
• STALLARD, THOMAS — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/04/2025
• WOOD, STEPHEN — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/04/2025
• CARADAY SAGEBROOK LLC — operational/managerial control, NOT APPLICABLE, since 06/01/2020
• GRANITE SAGEBROOK HEALTH CENTER, LLC — adp of the snf, NOT APPLICABLE, since 06/01/2020
• GRANITE SAGEBROOK HEALTH CENTER, LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 06/01/2020
• STRATFORD HOSPITAL DISTRICT — 5% or greater direct ownership interest, 100%, since 06/01/2020