Brookside Rehab: Fracture Result Not Reported to Doctor - VA
That finding emerged from a complaint inspection conducted at the facility on October 21, 2025, nearly eleven months after the incident. Inspectors reviewed the clinical record for the resident identified in the report as R8 and found no documentation that anyone had contacted a doctor after the X-ray results came in.
The X-ray company's own records told a different story than the nursing home's. An operations staff member from the company, identified in the inspection report as OSM #2, told inspectors that when an X-ray shows a fracture, the company calls the facility the same day. He said records from November 19, 2024, showed that the company had called Brookside and spoken with a registered nurse identified as RN #5.
RN #5 said she did not remember the call.
After inspectors showed her the nurse's notes and the X-ray report for R8, RN #5 acknowledged there was no evidence in the record that the physician had been notified that day of the fracture. She did not dispute the finding.
A licensed practical nurse, identified as LPN #1, was interviewed separately. She described the facility's standard practice plainly: if the X-ray company hasn't called by the end of the day, the nurse is supposed to call them. And once results come in showing a broken bone, the nurse is supposed to notify the physician immediately. When she reviewed R8's file herself, she reached the same conclusion as the inspectors. There was nothing in the record showing the doctor had been told.
The fracture involved a femoral neck, a type of broken hip, according to a reference included in the inspection report. The hip is formed by the femur and the pelvis, and fractures in that region are among the more serious injuries a nursing home resident can sustain.
R8's record contained no documentation of physician notification on November 19, 2024. Not a phone log entry. Not a nurse's note. Nothing.
The deficiency was classified at a harm level of minimal harm or potential for actual harm, affecting few residents. That designation reflects the regulatory framework inspectors use, not necessarily the experience of the person waiting in a nursing home bed with a broken hip while no one called the doctor.
At approximately 3:05 p.m. on the day of the inspection, the facility's administrator, director of nursing, regional director of clinical operations, and risk nurse were informed of what inspectors had found. The report notes that no further information was provided before inspectors left the building.
The gap between what the X-ray company's records showed and what Brookside's clinical record contained is the center of this deficiency. The company said it called. The nurse who reportedly took the call said she didn't remember it. The record showed nothing happened next. Somewhere in that chain, a resident with a fractured hip went without a physician being told.
Whether R8 received timely treatment for the fracture, and what consequences followed the delay in physician notification, is not addressed in the inspection report.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Brookside Rehab & Nursing Center from 2025-10-21 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 24, 2026 · Our methodology
BROOKSIDE REHAB & NURSING CENTER in WARRENTON, VA was cited for violations during a health inspection on October 21, 2025.
That finding emerged from a complaint inspection conducted at the facility on October 21, 2025, nearly eleven months after the incident.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.