Above average — CMS composite of the measures below.
The next survey window likely opens around March 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Jeffrey & Susan Brudnick Center For Living during CMS and state inspections, most recent first.
A resident on EBP for an indwelling catheter was observed receiving morning care and a mechanical lift transfer without staff wearing gowns and gloves, despite signage indicating PPE was required. Later, a CNA drained the resident’s catheter bag wearing a mask and gloves but no gown. The CNA, Unit Manager, and DON all acknowledged that gowns should be worn during care for residents on EBP.
The facility failed to develop comprehensive care plans for three residents, leading to deficiencies in their care. One resident used ACE bandages without a care plan, another with a history of alcohol use disorder had alcohol in their room without a care plan addressing this, and a third resident lacked a pain management care plan despite frequent pain reports.
A resident with moderate cognitive impairment and physical debility was assisted with meals by staff standing over them, contrary to facility policy promoting dignity. Observations and staff interviews highlighted inconsistent practices, with the Assistant Director of Nurses acknowledging the dignity concern.
A resident was inaccurately documented as receiving an anticoagulant in the MDS assessment, despite no physician orders or medication records indicating such. The MDS Nurse confirmed the error, and the Assistant DON expected accurate MDS coding.
A resident with dementia and diabetes did not receive recommended eye medications due to the facility's failure to notify the physician and implement the eye doctor's orders. The resident was unable to participate in a mental status exam, and the oversight was confirmed by the Assistant DON.
Failure to Use Required PPE During Enhanced Barrier Precautions
Penalty
Summary
The facility failed to ensure staff donned appropriate PPE while providing care to Resident #123, who was on enhanced barrier precautions related to an indwelling catheter. The resident was admitted in February 2023 with diagnoses including dementia and uninhibited neuropathic bladder. The MDS indicated the resident was unable to participate in the Brief Interview for Mental Status exam, had memory issues, and had an indwelling catheter. The facility’s policy stated that enhanced barrier precautions require gowns and gloves during high-contact care activities, including hygiene, device care or use for a urinary catheter, and transfers in common areas where contact is anticipated to be shorter in duration. On 4/7/26, the surveyor observed a sign outside the resident’s door indicating enhanced barrier precautions and a catheter drainage bag in a privacy bag hanging off the bed. At approximately 8:52 A.M., two CNAs were observed providing morning care and preparing to transfer the resident out of bed via a mechanical lift without wearing gowns or gloves as indicated by the signage. Later that day, at approximately 1:37 P.M., a CNA was observed draining the resident’s catheter drainage bag while wearing a mask and gloves but no gown. During interviews, a CNA stated staff need to wear PPE when providing care to residents on enhanced barrier precautions, and both the Unit Manager and DON stated that CNAs should be wearing gowns while providing care to residents on enhanced barrier precautions.
Failure to Develop Comprehensive Care Plans for Residents
Penalty
Summary
The facility failed to develop and implement a person-centered comprehensive care plan for three residents, leading to deficiencies in their care. For one resident, the facility did not create orders or a care plan for the use of ACE wrap bandages, despite the resident using them to manage gout. Observations confirmed the resident was using the bandages, and the Assistant Director of Nursing acknowledged that an order and care plan should have been developed. Another resident with a known history of alcohol use disorder was found with alcohol bottles in their room, yet the facility did not develop a care plan addressing this issue. The resident's cognitive and mood care plans did not include interventions or goals related to the alcohol found in their room. Interviews with staff, including the Unit Manager and Nurse Practitioner, highlighted the need for a care plan that includes room search procedures and the risks of mixing alcohol with the resident's current medications. A third resident, who was admitted with osteoarthritis and age-related physical debility, did not have an active care plan for pain management, despite experiencing significant pain. The resident was on scheduled and PRN pain medications, and assessments indicated frequent reports of pain. The Unit Manager and Assistant Director of Nursing both acknowledged the absence of a pain management care plan, which should have been in place to address the resident's needs.
Failure to Ensure Dignified Meal Assistance
Penalty
Summary
The facility failed to provide a dignified existence for a resident with moderate cognitive impairment, Parkinson's disease, dementia, and age-related physical debility. The resident required supervision or touching assistance with eating due to visual deficit, gait instability, and poor balance. During observations on two separate occasions, a staff member was seen standing over the resident while assisting with meals, which is contrary to the facility's policy that emphasizes promoting dignity and respect. Interviews with staff revealed differing opinions on the appropriate method of assisting residents with meals. Nurse #2 indicated that staff should be at the resident's level and face-to-face, while a CNA believed standing was more professional. The Assistant Director of Nurses confirmed that standing while assisting with meals is a dignity concern, as staff should be seated to ensure a respectful interaction with the resident.
Inaccurate MDS Assessment of Resident's Medication Status
Penalty
Summary
The facility failed to accurately assess a resident's medication status in the Minimum Data Set (MDS) assessment. The resident, who was admitted with diagnoses including diabetes, anemia, and hematuria, was incorrectly documented as receiving an anticoagulant. However, a review of the physician's orders and medication administration records for October and November 2024 showed no evidence of anticoagulant medication being prescribed or administered. During interviews, the MDS Nurse confirmed that the resident was not on anticoagulant medication and acknowledged the coding error in the MDS assessment. The Assistant Director of Nursing expressed an expectation for accurate coding on MDS assessments.
Failure to Implement Eye Doctor's Recommendations
Penalty
Summary
The facility failed to follow the eye doctor's recommendations for a resident who was admitted with dementia and diabetes mellitus. The resident was unable to participate in a mental status exam due to impaired cognition. An eye doctor recommended two new medications for the resident: Ocusoft Lid Scrub Pads for daily eyelid hygiene and Preservision AREDS 2 vitamins for eye health. However, the facility did not notify the physician of these recommendations, and there was no documentation or physician orders indicating that the medications were reviewed or ordered. This oversight was confirmed during an interview with the Assistant Director of Nursing, who stated that the physician should have been notified and the orders put in place.
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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 Peabody
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pilgrim Rehabilitation & Skilled Nursing Center | 1.2 mi | ★★★★★ | 5 | 0 |
| Care One At Peabody | 2.5 mi | ★★★★★ | 10 | 0 |
| Alliance Health At Rosewood | 2.5 mi | ★★★★★ | 8 | 0 |
| Continuing Care At Brooksby Village | 2.5 mi | ★★★★★ | 12 | 0 |
| Phillips Manor Nursing Home | 3.1 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 July 2026) and official state health department websites.