Below average — CMS composite of the measures below.
The next survey window likely opens around January 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 Caretel Inns Of Brighton during CMS and state inspections, most recent first.
Failure to Offload a Facility-Acquired Left Hip Pressure Injury: A resident with a recent hip fracture, pain, and limited bed mobility developed a facility-acquired Stage 2 pressure injury on the left trochanter that progressed to Stage 3. Surveyors observed the resident lying directly on the affected hip without pillows, wedges, or other offloading supports, while the resident reported the standard bed was too short and uncomfortable. The chart lacked clear offloading interventions, positioning education, therapy communication, and documentation explaining the wound’s avoidability, and one wound treatment entry on the MAR/TAR was left blank.
Food service sanitation and food storage practices were not maintained in the kitchen and sub kitchen areas. An opened package of hot dogs was found with an outdated facility date, and the DM stated the facility used a 7-day discard rule for ready-to-eat TCS foods. Surveyors also observed residue in an out-of-order cooler, wet food residue on a sheet pan in clean storage, buildup on a juice machine nozzle and ice machine guide, and a leaking drainpipe with pooling water and soiled buildup under fixed equipment and around the floor drain.
A resident with hip fracture precautions had a toilet safety frame that was worn, rusted, and uneven, leaving the commode wobbly and unsafe for toileting. Another resident with a femur fracture, insomnia, and a worsening pressure injury was kept in a standard-length bed that was too short for their height, with no effective offloading supports or bed accommodations documented, while the resident reported discomfort, poor sleep, and repeated requests for a longer bed.
An LPN incorrectly measured Miralax for a resident by using only part of the measuring cap instead of the full 17-gram line, and another LPN administered chewable Aspirin 81 mg to a resident whose MAR ordered delayed-release tablets. These two medication administration errors occurred during 29 opportunities, resulting in a 6% error rate and exceeding the required threshold of less than 5%.
Failure to provide timely ancillary services affected multiple residents. A resident with COPD, DM2, and CKD reported unmet hearing aid, dental, and cataract follow-up needs, while another resident with CP and epilepsy had no documented podiatry or dental visits since admission despite guardian consent. A third resident with dementia and CHF had a podiatry order, but staff were unsure how to arrange the service and no documentation showed it was completed.
A resident with advanced end-stage liver disease and limited mobility, who required a two-person assist for bedpan use, was assisted by only one CNA. While unattended, the resident fell from the bed, sustaining a left clavicle fracture and pain, as confirmed by EMS and hospital records. The care plan specifying two-person assistance was not followed at the time of the incident.
Two residents experienced extended wait times for call light responses, leading to incontinence episodes and feelings of indignity. One resident, with a Stage 4 pressure ulcer, waited 15 to 30 minutes, while another blind resident reported waiting up to three hours. Staffing issues and inadequate call light monitoring contributed to the delays.
A resident at risk for skin breakdown was not provided with a wheelchair cushion, leading to pain and potential skin issues. Despite being admitted with a coccyx wound, the resident was observed without a cushion six days post-admission. The facility's care plan, which included a Roho air cushion, was not followed, and staff interviews revealed a lapse in standard care practices.
The facility failed to maintain sanitary conditions in the kitchen, sub kitchen, and dining room counter, with observations of dried food debris, unsanitary equipment, and soiled floor mats. These conditions were acknowledged by the Dietary Director, who confirmed the unsanitary nature of the practices observed.
The facility did not implement an active water management plan to reduce the risk of Legionella and other pathogens in the plumbing system. Only quarterly water temperature monitoring was conducted, and no chlorine residuals were measured. The facility could not provide documentation of water monitoring, leading to potential pathogen spread and increased respiratory infection risk among residents.
The facility failed to maintain an effective pest control program, leading to the presence of spiders and drain flies throughout the premises. Observations revealed live spiders and webs, as well as numerous live and dead drain flies in various areas. The pest control logs showed monthly visits, but there was no documentation of preventative perimeter maintenance. Interviews with the Maintenance Director and Administrator highlighted a lack of awareness and staff shortages contributing to the issue.
The facility failed to maintain a clean and homelike environment, with observations of live spiders, sewer flies, and soiled furniture in multiple hallways. The Maintenance Director, also acting as Housekeeping Manager, reported a shortage of housekeeping staff. Despite staff presence, cleanliness issues were not addressed. The Administrator was aware of these concerns.
The facility failed to secure medications properly and discard expired ones. A resident's room had a loose Tylenol tablet, and medication carts contained loose pills and an uncapped inhaler. Medications were improperly stored in medication rooms, with expired items found. Residents had unauthorized access to medications, with inhalers found at bedsides without self-administration orders. The DON acknowledged the need for proper medication management.
A facility failed to complete an annual OBRA Level II Evaluation for a resident with a psychiatric history of anxiety, depression, and bipolar disorder. Despite being cognitively intact, the resident was a Thirty Day-Hospital Exemption Discharge, and no Level II evaluation was completed. The Facility Transition Care Coordinator acknowledged the oversight, and the facility was in the process of gathering the required documentation.
A resident with COPD and other health issues was found to be receiving oxygen therapy without physician orders, and the nasal cannula was improperly placed, delivering oxygen to only one nostril. The RN confirmed the lack of orders and corrected the placement, while the DON acknowledged the oversight.
A resident with pancreatic cancer and receiving hospice services was found on the floor, but the facility failed to notify the Licensed Practitioner and Resident Representative as required. The incident was not communicated to the nurse manager, physician, or oncoming shift nurse, and the Director of Nursing was informed days later via text.
A resident with pancreatic cancer experienced an unwitnessed fall, resulting in severe hip pain and a delayed diagnosis of a hip fracture. The incident was not reported or documented as required, and the resident's care plan was not updated. The facility failed to follow its policies on pain management and falls management, leading to delayed care and communication with the resident's representative.
Failure to Offload a Facility-Acquired Left Hip Pressure Injury
Penalty
Summary
The facility failed to prevent the development and worsening of a facility-acquired pressure injury for R57, who was admitted with diagnoses including a right femur fracture, interstitial lung disease, insomnia, depression, and anxiety. R57 was cognitively intact, required one-person assistance for toileting, transfers, and bed mobility, was incontinent of bowel and bladder, and was documented as at risk for pressure injury with a Braden score of 18. The resident was 73 inches tall and 260 pounds, and reported that the standard hospital bed did not fit their frame, that their legs hung off the end of the bed, and that they had repeatedly asked for a different bed. R57 also stated they preferred lying on their left side because their right hip surgical wound was painful, and that lying on their back was uncomfortable because their legs hung off the bed. Survey observations showed R57 lying directly on the left trochanteric area without offloading devices, pillows, or a wedge behind them, and no offloading supports were observed in the room. The resident was seen repeatedly positioned on the left side in bed, including directly on the area where the pressure injury was located. The record showed a new facility-acquired Stage 2 pressure injury to the left hip/trochanter that later progressed to a Stage 3 pressure injury. The wound documentation described the injury as in-house acquired, with pain noted initially, then deterioration with slough and moderate drainage. The wound care record also showed a missed wound treatment entry on the MAR/TAR on one day, with no explanation documented in the EMR. The care plan and nursing documentation did not show interventions or education to offload the left hip, alternate positioning to the back, or use positional supports to keep pressure off the wound. There was no documentation addressing the resident’s concern that the bed was too short for their height, and no documented attempts to accommodate the bed length issue until after survey observations. Nursing staff acknowledged the resident favored the left side and that they had not documented a clear avoidability determination, while therapy staff were not informed of the pressure injury until later and had no prior documentation reflecting the wound or related positioning needs. The resident was observed during the survey to be able to lie on their back without pressure on the left hip, but this had not been documented as an offloading strategy before the survey findings.
Food Service Sanitation and Date Marking Deficiencies
Penalty
Summary
Food service practices were not maintained in accordance with professional standards in the kitchen and sub kitchen areas. During observation, an opened package of hot dogs in the two-door cooler was marked with a facility date of 1/21/26, and the Dietary Manager stated the facility used a seven-day discard rule for ready-to-eat, time/temperature control for safety foods. The report cited FDA Food Code requirements for date marking and disposition of ready-to-eat foods held under refrigeration for more than 24 hours. Additional observations identified multiple sanitation and maintenance issues in food service areas. An out-of-order two-door cooler had residue on the shelving racks and bottom surface, a sheet pan in clean equipment storage had wet food residue, and the dining room service kitchen juice machine had built-up colored residue around the nozzle dispensing area. The sub kitchen ice machine had a black and green substance on the white ice guide, and the Dietary Manager confirmed the buildup and said it would be mentioned to maintenance. The sub kitchen cabinet under the sink adjacent to the ice machine had an actively dripping drainpipe leak with pooling water, and soiled buildup was observed under fixed equipment and around the floor drain where drain water had leaked and pooled.
Failure to Provide Safe and Appropriate Resident Equipment
Penalty
Summary
The facility failed to reasonably accommodate the needs and preferences of two residents when durable medical equipment was not provided in a condition that matched their functional care needs. One resident, admitted with a femur fracture, dementia, insomnia, and posterior hip precautions after hip fracture, reported that the toilet safety frame over the toilet was crooked and unsafe. The frame was observed to be worn and rusted at one leg, with one caster about an inch higher than the others so it did not rest on the ground. The commode seat/frame moved back and forth and was wobbly, and the resident stated they felt nervous using the toilet and feared falling. Staff acknowledged the safety concern and removed the frame. The second resident, admitted with a right femur fracture, interstitial lung disease, insomnia, depression, and anxiety, was observed lying in a hospital bed that did not fit their frame. The resident stated they had repeatedly asked for a new bed because the bed was too short for their height and uncomfortable for sleep. When lying on their back, their legs extended off the foot of the bed, and when lying on their left side they were directly on the trochanteric area where a pressure injury was present. The resident also reported pain in the left hip and back, pain on the right hip where a surgical wound was located, and difficulty sleeping because the bed was uncomfortable. Record review showed the resident had a facility-acquired pressure injury that progressed from a Stage 2 ulcer on the left hip/trochanter to a Stage 3 ulcer. The care plan included a pressure reduction mattress, a pressure relieving cushion when up in the wheelchair, and reminders to reposition, but it did not include interventions or education for offloading the left hip or addressing the resident’s bed size concerns. Observations showed no offloading wedge or positioning pillows in the room, and the bed extender that was later placed at the foot of the bed did not extend the air mattress or provide additional support for the resident’s legs. Staff later acknowledged the bed and mattress were standard length and that the resident would benefit from a longer bedframe and air mattress.
Medication error rate exceeded 5% due to incorrect Miralax measurement and wrong aspirin formulation
Penalty
Summary
The facility failed to maintain a medication error rate of less than five percent when two medication errors were observed during 29 medication administration opportunities, resulting in a six percent error rate. During observation, an LPN administered Miralax for R3 and was asked how the 17-gram dose was being measured. The LPN poured the granules into the measuring cap and indicated that the white thread halfway in the white part of the cap cup represented 17 grams, although the stamped measuring line showed that the full white portion of the cup, up to the purple part of the cap, was the correct 17-gram measurement. The DON later demonstrated the same incorrect measurement and acknowledged that the method shown was not the full 17 grams ordered. During another medication pass, an LPN prepared and administered Aspirin 81 mg chewable to R79 even though the MAR documented the order as Aspirin 81 mg oral tablet delayed release. The DON was informed of both observations and stated that both were opportunities for medication administration reeducation. The facility policy titled Medication Administration-General Guidelines stated that the five rights are applied for each medication and that a triple check of the five rights is recommended during medication preparation.
Failure to Provide Timely Ancillary Services
Penalty
Summary
The facility failed to ensure medically related ancillary services were provided in a timely manner for three residents reviewed for social services. R6, who had COPD, type II diabetes, kidney failure, and a BIMS score of 12/15, reported needing follow-up for a hearing aid and outside dental care. R6 also stated that an ophthalmologist had recommended cataract surgery, but nothing had been scheduled, and that a dental appointment had been cancelled because of transportation issues and had not been rescheduled in a way the resident was aware of. The record showed an audiology visit in November 2025 with a recommendation for a hearing aid trial and follow-up fitting in one month, but no scheduled follow-up appointments for dental care or cataract surgery were documented. R20, who had cerebral palsy and epilepsy and a BIMS score of 0/15, was reported by the resident's representative to have not been seen by podiatry or dental services since admission. The record did not show that podiatry or dental services had been provided since admission, although a consent form for ancillary services was signed by the legal guardian in January 2026. The Transitional Care Coordinator-Social Services stated that they were responsible for scheduling ancillary services for LTC residents and indicated uncertainty about whether R20 would be a long-term resident, which delayed obtaining consent until January 2026. R64, who had dementia, congestive heart failure, and a BIMS score of 6, had a physician order dated 10/29/25 to place the resident on the list to be seen by podiatry. A progress note documented that the daughter asked about podiatry follow-up and social work was made aware. During survey, TCC B stated that R64 did not see the facility podiatry provider because they believed only long-term care residents were eligible for podiatry services, and the DON reported uncertainty about how podiatry services were arranged. The ancillary service contract did not specify that services depended on expected length of stay, and no documentation was provided showing that podiatry services had been arranged or provided for R64.
Failure to Provide Required Two-Person Assist Results in Resident Fall and Injury
Penalty
Summary
A deficiency occurred when a resident with advanced end-stage liver disease and ascites, who required extensive assistance from two staff members for positioning onto a bedpan, was assisted by only one CNA. The resident's care plan specifically documented the need for a two-person assist due to limited mobility and the need for support related to an enlarged abdomen. On the day of the incident, two family members and two EMTs were waiting outside the resident's room while the CNA provided care alone. During this time, the resident was heard yelling about an impending fall, followed by a loud thump. The resident was subsequently found on the floor, approximately ten feet from the bed, having knocked over flowers and a lamp. Clinical records and interviews confirmed that the CNA did not follow the care plan, which required two-person assistance for bedpan use. The resident sustained a left clavicle fracture and reported pain in the left upper extremity as a result of the fall. The incident was corroborated by EMS and hospital records, as well as interviews with facility staff, who acknowledged that the care plan was not followed at the time of the event.
Failure to Timely Respond to Call Lights
Penalty
Summary
The facility failed to provide dignified care by not answering call lights in a timely manner for two residents, R804 and R806. R804, who was seated in a wheelchair with a full mechanical lift body sling, reported waiting 15 to 30 minutes for their call light to be answered, resulting in an incontinence episode where they were left wet. R804, who had a Stage 4 pressure ulcer, expressed feelings of upset and anger due to the delays. The resident was cognitively intact and oriented, as confirmed by their Minimum Data Set (MDS) assessment. R806, who was blind and required assistance with telling time, reported waiting at least half an hour to three hours for their call light to be answered, leading to a situation where they were left in a soiled diaper. R806 described feeling inhuman due to the extended wait times. The resident was also cognitively intact and oriented, as indicated by their MDS assessment. The facility's call light system did not provide a way to ascertain wait times, and the resident's room lacked vision accommodations to assist with telling time. The facility's staffing issues contributed to the delays in answering call lights. Certified Nurse Aide (CNA) C, who was responsible for both the 200 and 300 halls, reported being unable to see or answer call lights while attending to residents in different areas. The Director of Nursing (DON) acknowledged the concerns and staffing challenges, particularly during the night shift. The facility's policies on call light answering, dignity, and staffing were reviewed, highlighting the expectation for prompt response to residents' needs and appropriate staffing levels to meet resident care requirements.
Failure to Provide Wheelchair Cushion for Resident at Risk of Skin Breakdown
Penalty
Summary
The facility failed to provide a wheelchair cushion for a resident at risk for skin breakdown, resulting in pain and the potential for further skin issues. The resident, who was admitted with a wound on their coccyx, was observed without a wheelchair cushion six days after admission. The resident and their family member reported discomfort and pain due to the lack of a cushion, which was confirmed by the surveyor's observation. The resident's care plan, which included the use of a Roho air pressure-relieving wheelchair cushion, was not followed, leading to the deficiency. The resident's medical history included muscle weakness, malnutrition, depression, dementia, rhabdomyolysis, and a hip fracture. Upon admission, the resident was noted to have a wound on their coccyx, but there was a lack of documentation regarding the wound's measurements and development. The resident was also found to have additional pressure injuries on their left heel and outer ankle, which were not documented in earlier progress notes. The facility's failure to provide the necessary cushion contributed to the resident's discomfort and risk of further skin breakdown. Interviews with the Director of Nursing, the wound care nurse, and therapy staff revealed that the lack of a wheelchair cushion was a deviation from the facility's standard of care. The interdisciplinary team, including nursing and therapy, was responsible for ensuring the resident had the appropriate pressure-relieving cushion. Despite the acknowledgment of the issue by the staff, the resident was observed a second time without the cushion, highlighting a lapse in communication and adherence to care standards. The facility's policies on care standards and skin management emphasize the importance of providing necessary care and services to prevent pressure injuries, which were not upheld in this case.
Unsanitary Conditions in Kitchen and Dining Areas
Penalty
Summary
The facility failed to maintain sanitary conditions in the kitchen, sub kitchen, and dining room counter, which could potentially affect all residents consuming food from these areas. During an initial tour of the kitchen, multiple unsanitary conditions were observed, including dried food debris on the bottom of refrigerators, food debris and frozen vegetables on the bottom of freezers, and dried splattering on the stove. The kitchen floor was covered with moderate amounts of debris, and the floor mats were soiled and sticky. Further observations in the sub kitchen during breakfast service revealed additional unsanitary conditions, such as a Styrofoam cup, red straw, condiment papers, and a white brush under the sink next to the dishwashers. The ice machine grate and basin had dried brown splattered matter, and the juice dispensing machine basin contained a brown liquid with a thick coagulated substance. Enclosed serving carts were found with dried food debris and meal tickets inside, and the exterior had dried food spill drips. The stainless steel shelving above the serving station had moderate amounts of dried substance underneath. In the main dining room, the kitchen counter surface and cabinet doors were observed with dried splattered matter, and a basin filled with brown liquid was found on the counter, which was used as a coffee service station and for dirty dish return.
Failure to Implement Active Water Management Plan
Penalty
Summary
The facility failed to implement an active water management plan aimed at reducing the risk of Legionella and other opportunistic pathogens in the plumbing system. During a review of the facility's Water Management binder, it was revealed that the only measure taken was quarterly water temperature monitoring, which involved raising the water temperature to 140 degrees from the boiler and letting it flow. The facility did not measure chlorine residuals and was unable to provide documentation of water monitoring. This lack of comprehensive monitoring and documentation resulted in the potential for waterborne pathogens to exist and spread within the facility's plumbing system, increasing the risk of respiratory infections among residents.
Pest Control Deficiency in Facility
Penalty
Summary
The facility failed to maintain an effective pest control program, resulting in the presence of spiders and drain flies throughout the facility. Observations on multiple occasions revealed live spiders and webs around the hallway love seat, and numerous live drain flies on walls, baseboards, and near a locked employee-only door. Dead drain flies were also found on a window ledge. The pest control logs indicated monthly visits, with the most recent visit identifying only house mice in the main building and no other pest activity. There was no documentation of preventative perimeter maintenance. Interviews with the Maintenance Director, who also recently took over as Housekeeping Manager, revealed a shortage of housekeeping staff and a lack of awareness regarding pest control concerns. The Maintenance Director confirmed the presence of pests during a walkthrough of the facility. The Administrator, who had been at the facility for three weeks, acknowledged awareness of the pest control issues. The facility's pest control policy and commercial pest control agreement indicated ongoing pest control services, but the observations contradicted these claims, showing a failure to effectively manage pest control.
Facility Fails to Maintain Clean and Homelike Environment
Penalty
Summary
The facility failed to maintain a clean, comfortable, and homelike environment, affecting multiple residents. Observations on two consecutive days revealed multiple areas in the 200 hallway with live spiders and webs around a loveseat, and numerous live sewer flies on the walls and baseboards, particularly near a door marked for employees only. Additionally, eight dead sewer flies were found on a window ledge across from a resident's room. The 300 hallway was also observed to have a heavily soiled loveseat with dark stains and debris, and the walls and baseboards were soiled with dried food and liquid debris. Interviews with the Maintenance Director, who also recently took over as the Housekeeping Manager, revealed that the facility was short three housekeepers, with new hires expected to start after completing orientation. Despite housekeeping staff being present in the hallways during the observations, the Maintenance Director could not explain why the cleanliness issues were not identified. The Administrator, who had been working at the facility for about three weeks, acknowledged awareness of the environmental concerns observed with the Maintenance Director.
Medication Management Deficiencies
Penalty
Summary
The facility failed to ensure that medications were properly secured and expired medications were discarded, as observed during a survey. A white tablet was found on the floor of a resident's room and remained there for several hours. The tablet was identified as a generic 500 mg Tylenol, while the resident's medication record showed an order for Tylenol 325 mg. The resident had not been approved for self-administration of medications. Additionally, loose pills were found in a medication cart, and an albuterol inhaler was found outside its box without a cap. The facility's policy requires medications to be stored in a locked and organized manner, but this was not consistently followed. Further observations revealed that medications were not stored properly in the facility's medication rooms. Albuterol nebulizer ampules were found in a drawer with blood pressure cuffs, and a tote containing intravenous solutions was not properly secured. Expired sterile water vials were also found, indicating a lack of proper checks for expired medications. The facility's policy mandates that expired medications be removed and disposed of according to policy, but this was not adhered to. The report also highlighted issues with residents having unauthorized access to medications. A Ventolin inhaler was found within reach of a resident with moderate cognitive impairment, who did not have orders to self-administer. Another resident was observed with an inhaler for which there were no orders. The facility's Director of Nursing acknowledged that medications should not be left at the bedside without an order and assessment for self-administration, indicating a lapse in adherence to medication management protocols.
Failure to Complete Annual OBRA Level II Evaluation
Penalty
Summary
The facility failed to complete an annual OBRA Level II Evaluation for a resident who was reviewed for PASARR. The resident was admitted with heart disease, hypertension, and stroke, and had a psychiatric history of anxiety, depression, and bipolar disorder. A Brief Interview for Mental Status conducted on 8/17/24 indicated the resident was cognitively intact with a score of 15/15. However, a record review on 10/21/24 revealed that the resident was a Thirty Day-Hospital Exemption Discharge, and there was no evidence of a completed Level II evaluation, which was likely required due to the resident's psychiatric history. An interview with the Facility Transition Care Coordinator confirmed that the Level II evaluation had not been completed, and the facility was in the process of collecting the necessary documentation for the evaluation.
Failure to Obtain Physician Orders for Oxygen Therapy
Penalty
Summary
The facility failed to obtain physician orders for a resident requiring oxygen therapy, which led to improper administration of oxygen. The resident, who was admitted for skilled nursing and rehabilitation following hip surgery, had a history of stroke, hypertension, and COPD. Despite these conditions, there were no documented physician orders for oxygen therapy in the resident's clinical records. Observations revealed that the resident was using a nasal cannula incorrectly, with oxygen being delivered only to one nostril, and there was no care plan documentation for oxygen administration or monitoring. The deficiency was further highlighted when the resident's assigned RN confirmed the absence of physician orders for oxygen and acknowledged the incorrect placement of the nasal cannula. The RN took steps to correct the placement but had to contact the physician to obtain the necessary orders. A respiratory therapist also confirmed that orders should have been in place for the resident to receive oxygen. The Director of Nursing acknowledged the oversight in not obtaining physician orders for oxygen administration, which is a requirement.
Failure to Notify Practitioner and Representative After Resident Fall
Penalty
Summary
The facility failed to notify the Licensed Practitioner and Resident Representative regarding an unwitnessed fall for one resident. The resident, who had pancreatic cancer and was receiving hospice services, was found on the floor in their room on 4/23/24 at 5:45 PM. Despite the resident's complaint of severe hip pain and the need for morphine, there was no documentation that the physician, resident representative, or nurse manager had been informed of the fall or the resident's condition until 4/25/24 at 10:30 PM when the resident was being prepared for transfer to the emergency department. Interviews with staff revealed that the Certified Nurse Assistant (CNA) found the resident on the floor and notified the Registered Nurse (RN). However, the RN did not inform the nurse manager, physician, or resident's representative, nor did they communicate the incident to the oncoming shift nurse. The Director of Nursing (DON) was not made aware of the incident until 4/26/24 via a text message from the afternoon Unit Manager. The facility's policy on Falls Management, which requires immediate notification of the Licensed Practitioner and Resident's Representative, was not followed in this case.
Failure to Ensure Timely Assessment and Investigation of Unwitnessed Fall
Penalty
Summary
The facility failed to ensure timely and adequate assessment and investigation into an unwitnessed fall for one resident, resulting in a delay of post-fall policy practices. The resident, who had pancreatic cancer and was receiving hospice services, was found on the floor in their room. The incident was not reported to the physician, nurse manager, personal representative, or the assigned RN for the next shift. The resident experienced severe hip pain, rated 10 out of 10, and was medicated with morphine without notifying the physician or family representative. The fall was not documented, and an incident report was not initiated as required by the facility's policy. The resident continued to experience pain, and it was not until two days later that a STAT X-ray was ordered, revealing a right hip femoral fracture. The resident was then transferred to the hospital for further evaluation and escalation of care. The Director of Nursing confirmed that the Post Fall Interdisciplinary Team meeting was not conducted until six days after the fall, and the resident's care plan was not updated to reflect the fall and establish new goals or interventions. The facility's policies on pain management and falls management were not followed, leading to a delay in appropriate care and communication with the resident's representative.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 517 citations issued within 25 miles in the last 12 months — including the 2 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Brighton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Wellbridge Of Brighton | 4.4 mi | ★★★★★ | 7 | 0 |
| Regency At Whitmore Lake | 6.3 mi | ★★★★★ | 3 | 0 |
| West Hickory Haven | 7.7 mi | ★★★★★ | 8 | 0 |
| South Lyon Senior Care And Rehab Center | 7.7 mi | ★★★★★ | 5 | 0 |
| Medilodge Of Howell | 9.2 mi | ★★★★★ | 19 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Caretel Inns Of Brighton.
100% money-back within 48 hours.
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.