Inspection Reports for
Spring Street

Springbrook Center was determined to be in substantial compliance with 42 CFR 483, Sub-part B-Requirements for Long Term Care Facilities. No deficiencies were cited.

This is the facility's plan of correction for the survey completed on 11/20/2025. The plan addresses deficiencies in implementing comprehensive care plans and ensuring a safe environment to prevent accidents, specifically related to mechanical lift transfers and resident handling.

This document is the facility's plan of correction for the survey completed on 2025-10-28 addressing deficiencies related to care plan timing and revision and accident hazards/supervision/devices.

There were no regulatory deficiencies identified as a result of the 9/11/2025 investigation. The facility was found to be in substantial compliance.

The facility failed to ensure sterile technique was maintained during a pressure ulcer dressing change for one resident, resulting in contamination of the dressing and potential risk of infection.

Springbrook Center was determined to be in compliance with 42 CFR Part 483, Subpart B, Requirements for Long Term Care Facilities, with no deficiencies cited.

Springbrook Center was found to be in compliance with 42 CFR 483, Sub-part B-Requirements for Long Term Care Facilities. No deficiencies were cited.

SPRING STREET is in substantial compliance with Part of 10-144, Chapter 113, Regulations Governing the Licensing and Functioning of Assisted Housing Programs for Level III Residential Care Facilities.

The facility was found not in compliance with multiple federal requirements related to resident dignity, comprehensive care planning, quality assurance, and infection prevention and control. Deficiencies included failure to maintain resident dignity, failure to follow care plans for residents with MDRO, ineffective quality assurance follow-up on prior deficiencies, and inadequate infection control practices during tracheostomy and wound care.

Complaint Investigation 2024-AHP-38363; no deficiencies cited and facility found in substantial compliance.

Spring Street is in substantial compliance with the Regulations Governing the Licensing and Functioning of Assisted Housing Programs: Level III Residential Care Facilities and Infection Prevention and Control.

The facility was found not in substantial compliance with 42 CFR 483, Sub-part B Requirements for Long Term Care Facilities. Deficiencies were identified in safe environment, comprehensive care planning, quality of care, competent nursing staff, labeling and storage of drugs and biologicals, and resident records.

Springbrook Center was determined to be in compliance with 42 CFR Part 483, Subpart B, Requirements for Long Term Care Facilities. No deficiencies were cited.

Springbrook Center was determined to be in compliance with 42 CFR Part 483, Subpart B, Requirements for Long Term Care Facilities.

Springbrook Center was found to be in compliance with 42 CFR Part 483, Subpart B, §483.70(i), also known as F842, with no deficiencies cited.

This document is the facility's plan of correction for the complaint investigation survey completed on 02/28/2024, addressing deficiencies related to abuse prevention and accident hazards.

Complaint 2024-AHP-36469 was investigated and found to have no substantiated findings.

The facility failed to maintain complete Medication Administration Records (MAR) for 1 of 2 resident records reviewed, with unexplained blanks on specific medication administration dates. Additionally, the facility failed to record medication error reports for errors of omission for the same resident. These findings were confirmed with the Regional Director during the survey and exit interview.

No regulatory deficiencies were identified as a result of the 1/17/2024 investigation.

This document is the facility's plan of correction for the survey of 11/28/2023, addressing housekeeping deficiencies under regulation §483.10(j) including inadequate cleaning and maintenance in multiple units.

The facility failed to provide adequate housekeeping and maintenance services necessary to maintain the building in good repair and sanitary condition across all seven units inspected.

Springbrook Center was determined to be in substantial compliance with 42 CFR 483, Sub-part B-Requirements for Long Term Care Facilities.

The facility was found not in compliance with NFPA 101 Life Safety Code requirements regarding means of egress, corridor doors, and electrical systems. Multiple corridor doors lacked positive latching hardware, and weekly generator inspections did not meet required standards.