Brewer Center For Health & Rehabilitation, Llc
BREWER CENTER FOR HEALTH & REHABILITATION, LLC in BREWER, ME — inspection on April 30, 2026.
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
Review of the Medication Administration Record indicated R103 received the first dose of antibiotic on 4/1/26 (12 days after receiving the antibiotic from the pharmacy).
On 4/29/26 at 12:51 p.m., during an interview with a surveyor, the Director of Nursing (DON) stated the Urologist did not have a discharge note prepared after R103's visit for the Certified Nursing Assistant or R103 to return with.
The DON stated that multiple staff attempted to follow up but were unable to reach the Urologist. At this time the surveyor confirmed the clinical record lacks evidence that staff followed up with the Urologist regarding the antibiotic and/or for a progress note to be maintained in the medical record resulting in the delay of treatment (12 days).
- On 4/28/2026 during a clinical record review the surveyor noted that Resident #125 had a provider
request dated 1/2/26 identifying R125 was having complaints of shortness of breath (SOB), the nurse asked for nebulizer treatments.
The provider's response was that R125 already has an order for as needed (PRN) nebulizer ordered which was dated 12/30/25.
During review of R125's electronic medication administration record for January 2026 there is no evidence that R125 received any PRN nebulizer treatments as ordered on 1/2/26 when he/she was experiencing SOB.
On 4/28/26 at 3:28 p.m. during an interview and a record review for R125 with the Director of Nursing the surveyor confirmed that there was no evidence that R125 received a nebulizer treatment for SOB as ordered on 1/2/26.
- On 4/29/26 at 8:54 a.m. during a medication administration observation a surveyor observed
Certified Nursing Assistant – Medications (CNA-M) administer medications to R74. R74 was seated at a table in the dining room with a Speech Therapist sitting next to him/her.
The CNA-M handed R74 a medication cup that contained 14 pills and R74 brought the medication cup to his/her mouth and emptied all 14 pills into his/her mouth and then took a drink of the water provided by the CNA-M to swallow the pills.
The Speech Therapist asked the CNA-M if she usually gives R74 his/her medications this way.
The CNA-M stated that she usually gives them one at a time.
She stated, she sets the medication cup on the table and R74 takes the medication one at a time.
The Speech Therapist reminded the CNA-M to give the medications to R74 one at a time.
On 4/30/26, a review of R74's clinical record was completed.
Documentation in the physician orders indicated an order written on 4/9/26 for Dietary orders Meds whole with water one at a time and upright position.
On 4/30/26 at 8:55 a.m. in an interview with the CNA-M, a surveyor confirmed that R74 received his/her medications all at once and not one at a time as ordered by the provider.
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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.