Above average — CMS composite of the measures below.
The next survey window likely opens around June 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Brandel Health And Rehab during CMS and state inspections, most recent first.
Food items in the walk-in refrigerator were found open, unlabeled, undated, and in some cases past the discard date. The DNO stated all food is expected to be closed, labeled, and dated, and the DON stated residents who eat food after the discard date can get sick.
Missing controlled substance count signatures and narcotic record documentation were identified during cart inspections. Nurses failed to complete and sign the shift verification form during shift change counts, and an RN also did not document three controlled medication administrations in the residents’ narcotic records even though the eMAR showed the meds were given and the RN confirmed she administered them.
Failure to monitor and document daily temperatures for personal refrigerators was identified for two residents. One resident’s refrigerator contained food items with a temperature of 46 F and an incomplete log with missing staff initials, while another resident’s refrigerator held a nutritional supplement at 44 F with no log entries after the first few days of the month. A CNA and the DON both stated that nursing staff are responsible for daily temperature checks and monitoring for outdated food items.
The facility did not conduct trauma assessments or develop abuse prevention care plans for several residents with cognitive impairments and behavioral issues, both upon admission and after reported abuse allegations. Staff interviews revealed inconsistent practices and a lack of clarity regarding required assessments, and facility policies did not adequately address resident screening for abuse and neglect.
A CNA was allowed to work and provide direct care without a required background check at the time of hire, with no documentation of a UCIA or fingerprint-based check until years later. This lapse in background verification potentially affected all 66 residents in the facility.
A resident with severe cognitive impairment and high fall risk experienced multiple falls, including two resulting in fractures, due to inadequate supervision and ineffective fall prevention strategies. The resident's falls were unwitnessed, and staff were not present to provide necessary assistance, highlighting deficiencies in the facility's fall management plan.
Improperly Stored and Dated Food in Walk-In Refrigerator
Penalty
Summary
Food items in the walk-in refrigerator were found improperly stored during an initial kitchen tour. A box contained a clear bag with 5 lbs. of uncooked boneless skinless chicken with no label and no date, another clear bag with 6 lbs. of uncooked chicken breast with no label and no date, and a clear bag with 6 pieces of defrosted chicken thighs that was not sealed, labeled, or dated. Two bags of broccoli florets, each 3 lbs., were also observed with a discard date of 6/28/2026. During interview, the Manager of Dining Operations stated that all food is expected to be closed, labeled, and dated, and that food past its discard date is expected to be thrown away and not used. The DON stated the facility did not have residents on NPO status and stated residents who eat food after the discard date can get sick.
Missing Controlled Substance Count Signatures and Narcotic Record Documentation
Penalty
Summary
The facility failed to follow its controlled substance policy by not ensuring that the oncoming nurse and off-going nurse completed and signed the Controlled Substance Shift Verification Form together during shift change counts. During inspection of the medication cart on the Meadow Wing, the Controlled Substance Shift Verification log was found to have missing nurse signatures for the outgoing and incoming shift entries, and the RN on duty stated she was from agency and must have forgotten to sign. Similar missing signatures were identified on the Chapel Wing cart and the Honeysuckle Wing cart, where nurses acknowledged they should have signed the form after completing the controlled substance count with the other nurse. The facility also failed to ensure that controlled medication administrations were documented in the Individual Patient Narcotic Records for three residents. Review of the eMAR showed that Pregabalin 50 mg was administered to one resident, Diazepam 5 mg to another resident, and Hydrocodone-Acetaminophen 5/325 mg to a third resident during the morning medication pass, but these administrations were not recorded in their narcotic records. The RN who administered the medications confirmed that she gave the three controlled medications and acknowledged that she should have signed and documented the administrations immediately in the Individual Patient Narcotic Records after giving them to the residents.
Failure to Monitor Personal Refrigerator Temperatures and Food Logs
Penalty
Summary
The facility failed to follow its policy for foods brought by family and visitors by not monitoring and documenting daily temperatures for residents’ personal refrigerators and not consistently documenting staff initials on the temperature logs for 2 residents reviewed. During room rounds on 6/30/2026, R1 was observed in her room with her husband present, and her personal refrigerator contained food items. The thermometer in the refrigerator read 46 F, but the June 2026 temperature log had only been completed through 6/12/2026 and had multiple missing staff initials. Also on 6/30/2026, R80 stated he had been in the facility for many years. His room refrigerator contained one bottle of shake nutritional supplement, and the thermometer measured 44 F. The refrigerator temperature log had entries only from 6/1/2026 through 6/4/2026, with no documentation after that date. A CNA acknowledged that the daily temperature log should be completed by nursing staff and stated that nurse aides are responsible for checking the logs, adding that food could spoil if the refrigerator is not monitored. The DON stated that the daily log should be completed by nurse aides and that staff are responsible for checking and documenting refrigerator temperatures and monitoring for outdated food items every day.
Failure to Implement Abuse Prevention Policies and Procedures
Penalty
Summary
The facility failed to implement its policies and procedures to prohibit and prevent abuse, as evidenced by the lack of trauma assessments and abuse prevention care plans for multiple residents with cognitive impairments and behavioral issues. Several residents, including those with significant medical histories such as advanced dementia, stroke, pressure ulcers, and mobility deficits, were not screened for trauma or abuse upon admission, and no individualized abuse prevention care plans were developed for them. In cases where residents reported abuse allegations, the facility did not conduct trauma assessments or update care plans accordingly. Specifically, residents with histories of mental, physical, or sexual abuse allegations did not receive trauma assessments following these incidents. For example, one resident with a history of depression, cognitive deficits, and a stage 4 pressure ulcer reported mental abuse, but no trauma assessment or abuse prevention care plan was completed. Another resident with cognitive impairment and behavioral issues reported a sexual abuse allegation, yet no trauma assessment or care plan was developed. Similar patterns were observed for other residents who either refused trauma assessments upon admission or had abuse allegations without subsequent assessments or care planning. Interviews with facility staff, including the Social Service Director, Administrator, and Memory Care Coordinator, revealed a lack of clarity and consistency regarding the timing and frequency of trauma assessments and the development of abuse prevention care plans. Staff indicated that trauma assessments were only performed upon admission and not after abuse allegations, and there was no process in place to ensure that vulnerable residents with cognitive or behavioral issues were care planned for abuse prevention. Review of facility policies confirmed that resident screening for abuse and neglect was not adequately addressed.
Failure to Complete Timely Background Check for CNA
Penalty
Summary
The facility failed to conduct a required Health Care Worker Registry background verification for a certified nurse aide (CNA) prior to allowing the employee to work and provide care to residents. Specifically, the CNA was hired in August 2000, but the facility did not complete a Uniform Conviction Information Act (UCIA) background check or a fingerprint-based background check at the time of hire. The facility was unable to provide documentation of any background checks for this CNA until 2006, and only provided a current Health Care Worker Registry background check during the survey in April 2025. This deficiency was identified during a review of personnel files and interviews with the Human Resource Director, who confirmed that no background checks were available for the CNA from the time of hire until several years later. The lack of timely background verification has the potential to affect all 66 residents currently residing in the facility, as unverified staff may have direct access to residents and their records.
Failure to Prevent Falls for High-Risk Resident
Penalty
Summary
The facility failed to develop an effective plan with interventions to prevent falls and falls with injury for a resident identified as high risk for falls, severe cognitive impairment, and decreased safety awareness. The resident, admitted on 5/6/24, had a history of falling, restless leg syndrome, depressive disorder, and dementia. Upon admission, the resident was assessed as high risk for falls. Despite this, the resident experienced multiple falls, including an incident on 5/11/24 when the resident fell while walking unsupervised with a family member and caregiver, resulting in a non-displaced hip fracture. The family and caregiver did not request staff assistance, and no staff were present to witness the fall. Another fall occurred on 6/5/24 in the dining area, which was unwitnessed and resulted in a non-displaced intertrochanteric fracture of the right femur. The resident was in the dining area due to wandering, and at the time of the fall, the CNA who was supposed to supervise was assisting another CNA with a resident having behavioral issues. The nurse on duty was not in close proximity to the resident, and the fall was only noticed after a noise was heard. The resident was sent to the ER for further evaluation and underwent surgery. The resident had a third fall on 5/27/24, which was also unwitnessed. The resident was found on the floor near the dresser, having attempted to retrieve something from a drawer. The resident was known to have impulsive behavior and a tendency to stand up from the wheelchair without assistance. Despite being identified as high risk for falls, the facility's interventions were insufficient to prevent these incidents, and the resident continued to experience falls, indicating a lack of effective supervision and fall prevention strategies.
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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 Northbrook
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Citadel Of Northbrook, The | 2 mi | ★★★★★ | 2 | 0 |
| Glenview Terrace | 2.5 mi | ★★★★★ | 4 | 1 |
| Elevate Care Abington | 2.8 mi | ★★★★★ | 4 | 0 |
| Vi At The Glen | 2.8 mi | ★★★★★ | 0 | 0 |
| Whitehall Of Deerfield | 3.1 mi | ★★★★★ | 2 | 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 October 2026) and official state health department websites.