Brookside Rehab & Nursing Center
Inspection Findings
F-Tag F0580
F 0580 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
(Name of X-ray Company). When asked to describe the procedure for contacting a nursing home for X-ray results he stated that if the results have a positive finding (fracture) they call the facility the same day with
the results. When asked about notifying the facility with the findings of the X-ray taken on 11/19/2024 OSM #2 stated that (Name of X-ray Company) records indicated that the facility was notified of Resident R8's fracture on 11/19/2024 and that they spoke to (Name of Registered Nurse #5). Review of Resident R8's clinical record failed to evidence documentation on 11/19/2024 that the physician was notified of the X-ray results. On 10/21/2025 at approximately 12:47 p.m. an interview was conducted with LPN (licensed practical nurse) #1. When asked about receiving the results of a resident's X-ray she stated that the X-ray company calls the facility if
the results indicate a broken bone or fracture. When asked what a nurse should do if a phone call has not been received from the X-ray company by the end of the day that the X-ray was obtained she stated that
the nurse should call the X-ray company for the results. She further stated that after receiving the X-ray results the nurse should immediately notify the physician of the results. After reviewing the nurse's notes and X-ray report for Resident R8 LPN #1 stated that there was no evidence of the physician being notified on 11/19/2024 of Resident R8's X-ray results. On 10/21/2025 at approximately 1:25 p.m. an interview was conducted with RN (registered nurse) #5. When asked if she recalled receiving a telephone call from (Name of X-ray Company) on 11/19/2024 with the results of Resident R8's X-ray, RN #5 stated she did not recall receiving a call.
After reviewing the nurse's notes and X-ray report for Resident R8, RN #5 stated that there was no evidence of the physician being notified on 11/19/2024 of Resident R8's X-ray results. On 10/21/2025 at approximately 3:05 p.m.
ASM (administrative staff member) #1, administrator, ASM #2, director of nursing, ASM #3, regional director of clinical operations and ASM #4 risk nurse, were made aware of the above findings. No further information was provided prior to exit. References:(1) A loss of brain function that occurs with certain diseases. It affects memory, thinking, language, judgment, and behavior. This information was obtained from the website: https://medlineplus.gov/ency/article/000739.htm. (2) A type of broken hip. The hip is made up of two bones: the femur (thigh bone) and the pelvis (socket). This information was obtained from the website: https://ota.org/for-patients/find-info-body-part/3720#/+/0?score/desc/
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
10/21/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Brookside Rehab & Nursing Center
614 Hastings Lane Warrenton, VA 20186
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0657
F 0657
https://medlineplus.gov/ency/article/000739.htm.
Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
10/21/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Brookside Rehab & Nursing Center
614 Hastings Lane Warrenton, VA 20186
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0684
F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
at approximately 12:47 p.m. an interview was conducted with LPN (licensed practical nurse) #1. When asked to describe the procedure for a resident with a bruise that is identified as an injury of unknown origin
she stated that the director of nursing, nurse practitioner and responsible party are notified of the injury, assess for pain level and conduct a head-to-to-toe assessment. She also stated that if the physician or nurse practitioner orders an X-ray it is scheduled and obtain as soon as possible with the X-ray company.
When asked about receiving the results of a resident's X-ray she stated that the X-ray company calls the facility if the results indicate a broken bone or fracture. When asked what a nurse should do if a phone call has not been received from the X-ray company by the end of the day that the X-ray was obtained she stated that the nurse should call the X-ray company for the results. After reviewing the nurse's notes and X-ray report for Resident R8 LPN #1 stated that the nurse should have called the X-ray company for the result. LPN #1 agreed that there was a delay in treatment for Resident R8. On 10/21/2025 at approximately 1:25 p.m. an
interview was conducted with RN (registered nurse) #5. When asked if she recalled receiving a telephone call from (Name of X-ray Company) on 11/19/2024 with the results of Resident R8's X-ray RN #5 stated she did not recall receiving a call. After reviewing the nurse's notes and X-ray report for Resident R8 RN #5 stated that the X-ray company should have been called for the result and it was a delay in treatment. On 10/21/2025 at approximately 3:05 p.m. ASM (administrative staff member) #1, administrator, ASM #2, director of nursing, ASM #3, regional director of clinical operations and ASM #4 risk nurse, were made aware of the above findings. No further information was provided prior to exit. References:(1) A loss of brain function that occurs with certain diseases. It affects memory, thinking, language, judgment, and behavior. This information was obtained from the website: https://medlineplus.gov/ency/article/000739.htm. (2) A type of broken hip. The hip is made up of two bones: the femur (thigh bone) and the pelvis (socket). This information was obtained from the website: https://ota.org/for-patients/find-info-body-part/3720#/+/0?score/desc/
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
10/21/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Brookside Rehab & Nursing Center
614 Hastings Lane Warrenton, VA 20186
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0689
F 0689 Level of Harm - Minimal harm or potential for actual harm
A review of Resident R1's clinical record revealed a nurse's note dated 2/26/25 that documented, Resident exhibiting aggressive behaviors toward other residents, by biting, hitting and slapping. Immediately separated and all involved assessed for injuries, none found. RP (name) notified. NP notified, arrived to unit and prescribed ativan (anti-anxiety medication) 0.5 mg (milligrams) PO (by mouth) stat. Resident was medicated and placed on 1;1 (one on one supervision) observation for safety.
Residents Affected - Some Further review of Resident R6's clinical record revealed a nurse's note dated 3/20/25 that documented, This nurse was informed by a staff member that the resident had hit another resident (Resident R14) on her back when she had told her to get out of her room .This nurse did not witness the incident. This nurse approached resident (Resident R6) and redirected her back into her room. Resident (Resident R6) has no recollection of what had happened. Skin assessment completed and no injuries at this time .UM (Unit Manager), DON, NP, RP and the Administrator all informed on all parties involved. Police notified. Labs were drawn for residents [sic] agitation and aggressive behavior. Will continue to monitor. A review of Resident R14's clinical record revealed a nurse's note dated 3/20/25 that documented, (Resident R14) was noted to be in an altercation with another resident .dayshift nurse caring for resident noted to have informed RP of incident and per Dayshift nurse assigned to resident no new injuries at this time.
On 10/20/25 at 3:58 p.m., an interview was conducted with CNA (Certified Nursing Assistant) #1. CNA #1 stated it's hard to monitor every resident going into every resident's room. CNA #1 stated when there is less staff, each CNA has a bigger assignment and has less time to supervise residents because the CNAs are providing care in resident rooms and can't be in the dining room or halls to supervise residents going in and out of other resident rooms.
On 10/21/25 at 12:26 p.m., an interview was conducted with LPN (Licensed Practical Nurse) #1. LPN #1 stated Resident R6 wandered into other resident rooms multiple times a week and could be combative. LPN #1 stated if the unit census was full (60 residents), staff wasn't always able to keep Resident R6 out of other resident rooms.
On 10/21/25 at 1:12 p.m., an interview was conducted with LPN #2. LPN #2 stated Resident R6 was always protective of her space, even if it wasn't her space. LPN #2 stated Resident R6 was always easily agitated and very confrontational. LPN #2 stated residents wander on the North Unit and staff are not always able to keep their eyes on the residents all the time. LPN #2 stated it was important to provide adequate supervision for Resident R6 and to keep all residents safe.
On 10/21/25 at 3:11 p.m., ASM (Administrative Staff Member) #1, (the Administrator) and ASM #2 (the Director of Nursing) were made aware of the above concerns.
No further information was presented prior to exit.
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
10/21/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Brookside Rehab & Nursing Center
614 Hastings Lane Warrenton, VA 20186
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0725
Federal health inspectors cited BROOKSIDE REHAB & NURSING CENTER in WARRENTON, VA for a deficiency under regulatory tag F-F0725 during a complaint investigation conducted on 2025-10-21.
Category: Nursing and Physician Services Deficiencies
The facility was found deficient in the following area: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 5 deficiencies cited during this inspection of BROOKSIDE REHAB & NURSING CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-17.
BROOKSIDE REHAB & NURSING CENTER in WARRENTON, VA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 WARRENTON, VA, (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 BROOKSIDE REHAB & NURSING CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.