Above average — CMS composite of the measures below.
The next survey window likely opens around October 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 Brookside Multicare Nursing Center during CMS and state inspections, most recent first.
Two residents with severe cognitive impairment were observed being fed by an RN and a CNA who were standing during lunch meal service. The facility policy stated staff should not stand over residents while assisting with meals, and both the RN Unit Mgr and DON stated staff should be seated at eye level to maintain dignity while feeding residents.
A resident’s room had a large hole in the ceiling with water stains, draping plaster, and a poorly spackled wall above the window. The resident, who had intact cognition and diagnoses including DM2, AKI, and bipolar disorder, said staff knew about the leak and that the ceiling had not been fixed despite repeated reports. The maintenance request book had no entry for the repair, and the UM, DOBS, maintenance staff, and CNA gave conflicting accounts about awareness and reporting of the condition.
A resident with CP, seizure disorder, and aphasia had orders for bilateral elbow pads at all times and padded half side rails while in bed, but surveyors observed the resident multiple times with one or no elbow pads in place and with side rail pads on the floor. CNAs stated the elbow pads had been forgotten and that the pads in the room did not fit the resident's new bed, while the RN and DON acknowledged the ordered devices should have been in place.
Expired medications were found in the storage rooms of three units during a survey. On the Carnation Unit, four bottles of expired Aspirin were observed, with staff unsure of removal responsibilities. On the Broadway Unit, nine bottles of expired Aspirin and three bottles of Vitamin B12 were found, despite daily checks and monthly pharmacist reviews. On the Azaelia Unit, two bottles of expired Aspirin were discovered, with staff unaware of their presence. The facility's policy requires outdated drugs to be returned or destroyed, with nursing staff responsible for storage maintenance.
A facility failed to update a resident's comprehensive care plan to reflect a change from Do Not Resuscitate (DNR) to full code status, as requested by the resident's representative. Despite the facility's policy requiring timely updates, the care plan continued to include DNR interventions. The resident had diagnoses including Diabetes Mellitus and Major Depressive Disorder, with moderately impaired cognition.
A resident was found with a tube of Premarin vaginal cream on their overbed table, which they were applying without a physician's order to self-administer. Facility policy required medications to be administered by licensed staff unless otherwise ordered, and the cream should have been secured. Staff interviews confirmed the resident should not have had medications in their room, and the pharmacist noted potential hazards of the medication.
A facility failed to document a physician's review and action plan for a medication irregularity identified by a consultant pharmacist. A resident receiving Rozerem for insomnia was recommended for a trial taper by the pharmacist, which the physician agreed to but did not document in the medical record. The resident had diagnoses of insomnia, acute respiratory failure, and diabetes, and was cognitively intact. Despite agreement, the physician did not sign or date the medication review form or include a plan in the progress notes.
Residents Fed While Staff Stood Over Them
Penalty
Summary
The facility did not ensure that residents were treated with respect and dignity during meal assistance. During a lunch meal observation on 11/20/2025, Certified Nursing Assistant #2 and Registered Nurse #2 were observed standing while feeding two residents, rather than sitting at eye level with them. The facility policy titled Assisting with Feeding, dated 01/21/2025, stated that residents who cannot feed themselves will be fed with attention to safety, comfort, and dignity, and that staff should not stand over residents while assisting with meals. Resident #116 had diagnoses including Alzheimer's disease, depression, and seizures, and a Quarterly MDS assessment documented a BIMS score of 0, indicating severe cognitive impairment. The resident was dependent on staff for eating and meal setup and had care plans addressing compromised nutritional status, dehydration risk, and extensive assistance with eating. Resident #140 had diagnoses including dementia, aphasia, and iron deficiency anemia, and a Quarterly MDS assessment also documented a BIMS score of 0. The resident required maximal assistance with eating and was documented in the care plan as dependent on staff for feeding. During the lunch meal service observation, RN #2 fed Resident #116 while standing, and CNA #2 fed Resident #140 while standing. CNA #2 stated they usually sit when feeding a resident but did not do so because there were not enough chairs available, and stated they should have been sitting. RN Unit Manager #3 and the DON both stated staff should be seated next to residents and at eye level while assisting with meals.
Unsafe Room Condition and Unentered Maintenance Request
Penalty
Summary
The facility did not ensure a safe, clean, comfortable, and homelike environment for a resident in the Broadway Unit when the ceiling in the resident’s room had a hole measuring approximately 1.5 feet by 1.5 feet. The opening had water stains along the edges and draping plaster hanging on each side, and the wall above the window was poorly spackled and also showed water stains. The resident was admitted with diagnoses including Type 2 Diabetes, Acute Kidney Failure, and Bipolar Disorder, and an MDS assessment documented a BIMS score of 15, indicating intact cognition. During observation, the resident was lying in bed and stated they had told nursing staff about the ceiling hole, could not remember when they reported it, and believed staff were aware of the problem. The resident also stated the ceiling leaked when it rained and expressed frustration that Maintenance had not fixed it. The maintenance request book contained no request to repair the ceiling in the resident’s room. The Unit Manager stated maintenance requests should be written in the maintenance request book and confirmed staff had been notified about the room condition, but could not remember when and did not know why no work order was entered. The Director of Building Services stated they did not know the ceiling needed repair and found no request in the maintenance book. Maintenance staff stated they were assigned to the room but did not know the ceiling needed repair and did not notice the hole during daily environmental rounds. A CNA regularly assigned to the resident stated staff were aware of the ceiling condition, that it had been reported numerous times, and that the room had been in disrepair for more than two weeks. The Administrator stated nursing staff should have entered the request in the maintenance book as soon as the hole was observed, and maintenance staff should have fixed the ceiling.
Failure to Maintain Ordered Protective Devices and Bed Rail Padding
Penalty
Summary
The facility failed to implement a comprehensive person-centered care plan for a resident with Cerebral Palsy, Seizure Disorder, and Aphasia who had severely impaired cognitive skills for daily decision making and was at risk for pressure ulcer development. The resident had physician's orders for seizure precautions, bilateral elbow pads to be worn at all times when in bed and in the chair, and four one-half padded side rails while in bed due to unawareness of physical boundaries related to Epilepsy. The resident's care plans addressed padded side rails for injury prevention during seizures and pressure ulcer risk, including interventions to check padding regularly and provide diligent skin care. During survey observations, the resident was seen multiple times without the ordered protection in place. On one occasion, the resident was lying in bed with only the left elbow pad applied. On another occasion, the resident was sitting in a geri-chair with a lap tray and had no elbow pads on, with the elbows resting on the tray and one elbow pad on the bedside table. A CNA then retrieved the missing elbow pad from the room and applied both pads, stating the pads had been forgotten earlier that morning. The resident was also observed in bed with the four half side rails raised while the side rail pads were on the floor. CNAs stated they had just entered the room to provide morning care and found the pads on the floor. One CNA explained the pads in the room were for full side rails and did not fit the resident's new bed with half side rails, and both CNAs stated the nurse knew the pads did not fit. The Unit Manager stated the elbow pads should be on at all times and acknowledged the side rail pads should have been provided when the bed changed, while the DON stated the resident should wear the bilateral elbow pads at all times and the half side rail pads should have been in place when the resident was in bed.
Expired Medications Found in Storage Rooms
Penalty
Summary
The facility failed to ensure that all drugs were stored in accordance with professional standards, as identified during a Recertification Survey. Specifically, expired medications were found in the medication storage rooms of three units: Carnation, Broadway, and Azaelia. On the Carnation Unit, four bottles of Aspirin with an expiration date of April 2024 were observed. Licensed Practical Nurse #4 was unaware of who was responsible for removing expired medications, and Unit Manager #10 admitted to an oversight in not identifying the expired medications. On the Broadway Unit, nine bottles of Aspirin and three bottles of Vitamin B12, all expired in April 2024, were found. Licensed Practical Nurse #5 stated that the day shift Unit Managers were responsible for checking expiration dates, while Unit Manager #11 was unsure how the expired medications remained despite daily checks and monthly pharmacist reviews. On the Azaelia Unit, two bottles of expired Aspirin were found. Licensed Practical Nurse #6 was unaware of the expired medications, and Unit Manager #3, who checks for expired medications daily, did not know how they were overlooked. The facility's policy requires that outdated drugs be returned or destroyed, with nursing staff responsible for maintaining medication storage. The pharmacist, who assists with monthly reviews, was also unsure why expired medications were still present. The Director of Nursing Services confirmed that the pharmacist is expected to discard expired medications monthly and acknowledged that having expired medications in storage areas is unacceptable.
Failure to Update Advance Directive in Care Plan
Penalty
Summary
The facility failed to ensure that a person-centered comprehensive care plan was reviewed and revised to address the needs of a resident with an Advance Directive. Specifically, a resident had a Do Not Resuscitate (DNR) order in place, which was rescinded in February 2022 by the resident's representative, changing the status to full code. However, the resident's comprehensive care plan was not updated to reflect this change, and it continued to include interventions for a DNR status. This oversight was identified during a recertification survey. The resident involved had diagnoses including Diabetes Mellitus, Seizure Disorder, and Major Depressive Disorder, with moderately impaired cognition as indicated by a Brief Interview for Mental Status score of 11. The facility's policy required care plans to be revised within seven days of the Minimum Data Set Assessment completion, but this was not adhered to. Interviews with the Social Worker and the Minimum Data Set Director revealed that the Social Work department was responsible for updating Advance Directives care plans, and the failure to update the resident's care plan was acknowledged, though the reason for the oversight was unknown.
Medication Mismanagement and Hazardous Environment
Penalty
Summary
The facility failed to ensure that a resident's environment was free from accident hazards, as evidenced by the presence of a tube of Premarin vaginal cream on a resident's overbed table. The resident, who had intact cognition, was observed applying the cream to their abdominal folds and groin area without a physician's order to self-administer medications. The facility's policy required that only physicians or licensed nurses administer medications unless a resident is permitted to self-administer by a physician's order. However, the resident did not have such an order, and the cream was not secured as required by the facility's policy. Interviews with facility staff, including a registered nurse and a licensed practical nurse, confirmed that the resident was not supposed to have medications in their room and that the Premarin cream should have been stored in a locked treatment cart. The pharmacist highlighted the potential hazards of the medication, noting that it contains estrogen and can cause various side effects. The Director of Nursing Services reiterated that medications should not be left unattended in resident rooms and that staff should notify the unit nurse if they observe such occurrences.
Failure to Document Medication Irregularity Review
Penalty
Summary
The facility failed to ensure that the attending physician documented in the resident's medical record that an identified medication irregularity had been reviewed and what actions, if any, were taken to address it. This deficiency was identified during a recertification survey for a resident who was receiving Rozerem, a sedative for insomnia. The consultant pharmacist recommended evaluating the necessity of the medication and suggested a trial taper to as needed (PRN) for one week, then discontinuation if appropriate. Although the physician agreed with the recommendation, they did not document the plan in the resident's medical record. The resident involved was admitted with diagnoses including insomnia, acute respiratory failure, and diabetes, and was cognitively intact according to the Quarterly Minimum Data Set assessment. Despite the pharmacist's recommendation and the physician's agreement, the medication regimen review form was not signed or dated by the physician, and the physician's progress note did not include a plan to address the recommendation. Interviews with nursing staff and the director of nursing services confirmed that the physician should have documented their plan for the Rozerem dose reduction in the progress notes.
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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 Smithtown
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| St Catherine Of Siena Nrsg And Rehab Care Center | 0.1 mi | ★★★★★ | 5 | 0 |
| Smithtown Center For Rehabilitation & Nursing Care | 1.7 mi | ★★★★★ | 3 | 0 |
| The Hamlet Rehabilitation And Healthcare Center At | 1.9 mi | ★★★★★ | 0 | 0 |
| St James Rehabilitation & Healthcare Center | 3.2 mi | ★★★★★ | 10 | 0 |
| Luxor Nursing & Rehabilitation At Mills Pond | 3.2 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.