Complaint Investigation

Brandel Health And Rehab

September 12, 2025 · Northbrook, IL · 2155 Pfingsten Road

Citations 1

CMS Rating 5/5

Beds 102

Provider ID 145527

Healthcare Facility

Brandel Health And Rehab

Northbrook, IL · View full profile →

Source Document

Official CMS Inspection Report (Medicare.gov)

Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.

Inspection Summary

BRANDEL HEALTH AND REHAB in NORTHBROOK, IL — inspection on September 12, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0607

Freedom from Abuse, Neglect, and Exploitation Deficiencies

on vacation when the abuse allegation incident occurred. V14 Memory Care coordinator was in

plan was initiated upon admission. R5 has abuse allegation report on 3/26/25. No trauma screening

for abuse prevention. No trauma screening assessment was done upon admission. R6 was sent out to the hospital on 5/23/25 for shortness of breathing and was admitted with diagnosis of hypoxia and ribs fracture.

Facility completed and reported injury of unknown origin on 5/24/25. On 9/9/25 at 12:30PM, Both V2 DON and V3 SSD said that Trauma screening assessment should be done upon admission.

Trauma assessment should be done to the resident after allegation of resident abuse.

Abuse prevention care plan should be formulated after abuse allegation made.

Abuse prevention care plan should also be developed for those vulnerable residents who has cognitively impaired with behavioral issues. On 9/10/25 at 10:37AM V15MDS Coordinator/Care Plan Coordinator said that Trauma screening assessment should be done upon admission. If resident has reported allegation of abuse, the social service should complete resident trauma assessment and develop abuse prevention care plan.

Vulnerable resident who are cognitively impaired, with behavioral issues should be care planned for abuse prevention because resident can react negatively to other resident and the other way around. On 9/10/25 at 12:33PM, V14 Memory Care Coordinator said that she covers for V3 SSD in her absence.

She said that upon admission, they completed resident's trauma screening /assessment.

They use trauma assessment instead of abuse screening.

She was told only do the trauma assessment once upon admission.

She does not update resident's trauma assessment after allegation of abuse.On 9/10/25 at 2:30PM, Informed V1 Administrator and V2 DON of above concerns regarding implementation of abuse prevention program.

Facility's policy on Abuse Prevention Program revised 7/12/23 did not indicated screening of residents as indicated in State Operating Manual.

Facility's policy on Trauma-informed and culturally competent care revised August 2022 indicated: Purpose: To guide staff in providing care that is culturally competent and trauma-informed in accordance with professional standards of practice. To address the needs of trauma survivors by minimizing triggers and or re-traumatization.

Resident screening: 1.

Performed universal screening of residents, which includes a brief, non-specialized identification of possible exposure to traumatic events.Resident Care Planning:1.

Develop individualized care plans that address past trauma in collaboration with the resident and family.

Frequently Asked Questions

What is an F-tag violation?

F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.

Were these violations corrected?

Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.

How often do nursing home inspections happen?

CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.

What should families do about these violations?

Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in NORTHBROOK, IL, (5) Report new concerns to state authorities.

Where can I see the full inspection report?

Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from BRANDEL HEALTH AND REHAB or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.