Above average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
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 Rockingham County Nursing Home during CMS and state inspections, most recent first.
A resident receiving Escitalopram for mood had no documentation that the risks and benefits of psychotropic medication use were explained to the resident or the resident’s representative. The DON confirmed the record review findings, and the facility policy required that the resident, family, and/or resident representative be informed of the benefits, risks, and alternatives before starting or increasing a psychotropic medication.
Expired medications were found in two medication rooms, and two opened inhalers on a medication cart lacked opening dates or open expiration dates. An RN and two LPNs confirmed the observations. Facility policy required expiration dates on labels, separate locked storage for medications awaiting disposal, and locked storage for all drugs and biologicals.
Food items in 2 of 4 kitchenette refrigerators were not stored in accordance with food safety standards. Six Mighty Shakes in one kitchenette and five in another had no thaw or use-by dates, even though staff confirmed the frozen shakes had been thawed for distribution and should have been labeled per facility policy and manufacturer instructions.
Improper PPE Use During Contact Precautions: A RN was observed providing care to a resident on contact precautions while wearing a gown that did not fully cover the torso and was not tied. The RN confirmed the PPE was not worn properly. Facility PPE competency and precaution policy required a gown to fully cover the torso and be fastened at the neck and waist.
Failure to Inform Resident or Representative of Psychotropic Medication Risks and Benefits
Penalty
Summary
The facility failed to inform a resident or the resident’s representative of the risks and benefits of psychotropic medication use for one resident reviewed for unnecessary medications. Resident #4 had a physician’s order for Escitalopram Oxalate 5 mg, with instructions to give 15 mg by mouth once daily for mood, dated 9/30/2024. Review of the medical record found no documentation that the risks and benefits of psychotropic medication use were communicated to the resident or the resident’s representative. The DON confirmed these findings during interview, and the facility policy stated that prior to initiating or increasing a psychotropic medication, the resident, family, and/or resident representative must be informed of the benefits, risks, and alternatives for the medication.
Expired and improperly labeled medications found in medication rooms and cart
Penalty
Summary
Drugs and biologicals were not labeled and stored in accordance with accepted professional principles in two medication rooms and one medication cart. In the first medication room, a cabinet contained Resident #98’s Furosemide 20 mg medication card with an expiration date of 7/12/25 and Resident #14’s Aripiprazole 15 mg medication card with an expiration date of 7/15/25. Staff A, an RN, confirmed these findings during the observation. In the second medication room, a cabinet contained Resident #43’s Vitamin D3 50,000 units medication card with an expiration date of 8/20/25 and Resident #134’s Ondansetron 4 mg tablets with an expiration date of 8/18/25, which Staff B, an LPN, confirmed. On a medication cart, Resident #96’s Stiolto Respimat inhaler and Resident #10’s Trelegy Ellipta inhaler were both opened but had no date of opening or open expiration date. Staff C, an LPN, confirmed this observation. The facility policies reviewed stated that medication labels must include expiration dates when applicable, non-controlled medications awaiting disposal must be removed from active supply within 7 days and stored separately in a locked secure medication room, and all drugs and biologicals must be stored in locked compartments.
Food items in kitchenette refrigerators were not date marked after thawing
Penalty
Summary
The facility failed to store and serve food in accordance with professional food safety standards in 2 of 4 kitchenettes observed. During review of the FDA Food Code and the facility’s own Unit Pantry Policy, the requirement was identified that refrigerated, ready-to-eat time/temperature control for safety food must be date marked and discarded within the required timeframe. The facility policy stated that health shakes are required to be labeled with a discard date 12 days following the date of thaw. On observation, six Vital Cuisine Mighty Shakes were found in the second floor kitchenette refrigerator with no thaw date or use-by date, and five Mighty Shakes were found in the first floor kitchenette refrigerator with no thaw date or use-by date. Staff D, Staff I, and Staff H confirmed that the shakes had been thawed for distribution and should have been labeled, but were not. The manufacturer’s instructions stated the product should be stored frozen and, once thawed, used within 14 days while refrigerated.
Improper PPE Use During Contact Precautions
Penalty
Summary
The facility failed to ensure that staff wore PPE appropriately for 1 of 1 residents reviewed for Transmission Based Precautions, Resident #144. During an observation outside the resident’s room, signage directed visitors and staff to see the nurse prior to entering. Staff E, a Registered Nurse, was observed at the resident’s bedside with a gown covering the arms but not the shoulders, with the top half of the torso exposed and the gown not tied. Staff E administered medications to Resident #144 and assisted with positioning the resident’s feet in bed while wearing the gown in this manner. During interview, Staff E confirmed that Resident #144 was on contact precautions and acknowledged that the PPE was not worn properly. The facility’s Donning and Doffing Personal Protective Equipment competency stated that a gown must fully cover the torso from neck to knees, arms to the end of the wrists, and wrap around the back, fastening at the neck and waist. The facility policy on Precautions stated that contact precautions require use of a gown to protect skin and prevent soiling of clothing during resident care activities.
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Illustrative
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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 Brentwood
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Colonial Poplin Nursing Home | 4.3 mi | ★★★★★ | 10 | 0 |
| Riverwoods At Exeter | 4.3 mi | ★★★★★ | 2 | 0 |
| Exeter Center | 7.5 mi | ★★★★★ | 5 | 0 |
| Oceanside Skilled Nursing And Rehabilitation | 12.1 mi | ★★★★★ | 6 | 0 |
| Mill Town Health And Rehabilitation | 12.1 mi | ★★★★★ | 7 | 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.