Inspection Reports for
Brookside Multicare Nursing Center
7 Route 25a, Smithtown, NY, 11787
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Inspection Report — Nov 25, 2025
Annual Inspection CMS
Date: Nov 25, 2025
Visit Reason
The inspection was conducted as a Recertification Survey to assess compliance with regulatory requirements for nursing home care.
Findings
The facility was found deficient in ensuring residents were treated with dignity during feeding, maintaining a safe and homelike environment due to unrepaired ceiling damage, and implementing comprehensive care plans to meet residents' medical and psychosocial needs.
Citations (3)
F 0550: The facility did not ensure residents were treated with respect and dignity during feeding as staff were observed standing over residents instead of sitting beside them.
F 0584: The facility did not provide a safe, clean, comfortable, and homelike environment as a ceiling hole with water damage in Resident #56's room was unrepaired and maintenance requests were not documented.
F 0656: The facility failed to implement a comprehensive care plan for Resident #67, as the resident was observed without required bilateral elbow pads and side rail pads were not properly used or fitted.
Report Facts
Residents reviewed for dignity: 7
Residents reviewed for environment: 7
Residents reviewed for pressure ulcers: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #2 | Observed standing while feeding residents and interviewed about feeding practices | |
| Registered Nurse #2 | Observed standing while feeding residents | |
| Registered Nurse Unit Manager #3 | Unit Manager | Interviewed about staff feeding practices and dignity expectations |
| Director of Nursing Services | Director of Nursing Services | Interviewed about feeding practices and care plan requirements |
| Registered Nurse #1 | Unit Manager | Interviewed about maintenance requests for ceiling repair |
| Maintenance staff member #1 | Interviewed about maintenance rounds and ceiling repair | |
| Certified Nursing Assistant #6 | Observed and interviewed regarding elbow pad use for Resident #67 | |
| Certified Nursing Assistant #7 | Interviewed about side rail pads for Resident #67 | |
| Registered Nurse #5 | Unit Manager | Interviewed about care plan compliance for Resident #67 |
| Rehabilitation Department Director #1 | Director | Interviewed about provision of side rail pads |
| Housekeeping Director #1 | Director | Interviewed about side rail pads availability and reporting |
Inspection Report — Nov 25, 2025
Complaint Investigation State
Date: Nov 25, 2025
Visit Reason
State-compiled facility profile showing 37 inspections from 2022 to 2026 with citation and enforcement history.
Complaint Details
The state logged 121 complaints about this facility; 40 led to on-site inspections. Four citations resulted from those complaints.
Findings
Across 37 inspections, 26 found no citations while 11 resulted in 37 total citations, mostly Level 2 minor potential harm violations in standard health and life safety code areas. The facility had 121 complaints with 40 on-site inspections and 5 enforcement actions totaling $68,000 in fines.
Citations (26)
Standard Health Citation — quality of care: Develop/implement Comprehensive Care Plan was deficient.
Standard Health Citation — quality of care: Resident Rights/exercise Of Rights was deficient.
Standard Health Citation — quality of care: Safe/clean/comfortable/homelike Environment was deficient.
Life Safety Code Citation — NFPA requirements: Physical Environment was deficient.
Standard Health Citation — quality of care: Care Plan Timing And Revision was deficient.
Standard Health Citation — quality of care: Drug Regimen Review, Report Irregular, Act On was deficient.
Standard Health Citation — quality of care: Free Of Accident Hazards/supervision/devices was deficient.
Standard Health Citation — quality of care: Label/store Drugs And Biologicals was deficient.
Standard Health Citation — quality of care: Subsistence Needs For Staff And Patients was deficient.
Life Safety Code Citation — NFPA requirements: Fundamentals - Building System Categories was deficient.
Life Safety Code Citation — NFPA requirements: Gas Equipment - Cylinder And Container Storag was deficient.
Life Safety Code Citation — NFPA requirements: Means Of Egress - General was deficient.
Life Safety Code Citation — NFPA requirements: Physical Environment was deficient.
Life Safety Code Citation — NFPA requirements: Standards Of Construction For New Existing Nh was deficient.
Life Safety Code Citation — NFPA requirements: Subdivision Of Building Spaces - Smoke Barrie was deficient.
Standard Health Citation — quality of care: Reporting - National Health Safety Network was deficient.
Standard Health Citation — quality of care: Care Plan Timing And Revision was deficient.
Standard Health Citation — quality of care: Free From Unnec Psychotropic Meds/prn Use was deficient.
Standard Health Citation — quality of care: Free Of Accident Hazards/supervision/devices was deficient.
Standard Health Citation — quality of care: Infection Prevention & Control was deficient.
Standard Health Citation — quality of care: Label/store Drugs And Biologicals was deficient.
Standard Health Citation — quality of care: Reasonable Accommodations Needs/preferences was deficient.
Standard Health Citation — quality of care: Resident Call System was deficient.
Standard Health Citation — quality of care: Safe/clean/comfortable/homelike Environment was deficient.
Life Safety Code Citation — NFPA requirements: Sprinkler System - Installation was deficient.
Life Safety Code Citation — NFPA requirements: Subdivision Of Building Spaces - Smoke Barrie was deficient.
Report Facts
Inspections on page: 37
Total violations/deficiencies cited: 37
Inspections with violations: 11
Inspections without violations: 26
Total complaints: 121
On-site complaint inspections: 40
Citations from complaints: 4
Enforcement actions: 5
Total fines: 68000
Inspection Report — Jun 26, 2024
Annual Inspection CMS
Date: Jun 26, 2024
Visit Reason
The inspection was a Recertification Survey conducted to assess compliance with regulatory requirements for nursing home care.
Findings
The facility was found deficient in updating comprehensive care plans to reflect current advance directives, medication administration and storage practices, physician documentation of medication regimen reviews, and removal of expired medications from storage areas.
Citations (4)
F 0657: The facility did not revise Resident #73's comprehensive care plan to reflect the rescinded Do Not Resuscitate status and current full code status as required.
F 0689: Resident #301 was found with a tube of Premarin vaginal cream on their overbed table without a physician's order for self-administration, and the medication was not properly secured.
F 0756: The attending physician did not document a plan to address the consultant pharmacist's recommendation to taper and discontinue Rozerem for Resident #136.
F 0761: Expired medications including Aspirin and Vitamin B12 were found in medication storage rooms on three units, and staff were unaware or failed to remove them.
Report Facts
Expired medication bottles: 16
Medication Regimen Review date: 2024
Physician order date: 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Social Worker #2 | Responsible for developing and updating Advance Directives care plans; interviewed regarding Resident #73's care plan. | |
| Registered Nurse #2 | Registered Nurse | Interviewed about medication administration and storage related to Resident #301. |
| Licensed Practical Nurse #2 | Licensed Practical Nurse | Administered Premarin vaginal cream to Resident #301; interviewed about medication storage. |
| Registered Nurse #4 | Registered Nurse | Interviewed about physician documentation regarding Resident #136's Rozerem medication. |
| Attending Physician #1 | Attending Physician | Interviewed about medication regimen review and documentation for Resident #136. |
| Licensed Practical Nurse #4 | Licensed Practical Nurse | Interviewed regarding expired medications found in Carnation unit medication storage room. |
| Licensed Practical Nurse #5 | Licensed Practical Nurse | Interviewed regarding expired medications found in Broadway unit medication storage room. |
| Licensed Practical Nurse #6 | Licensed Practical Nurse | Interviewed regarding expired medications found in Azaelia unit medication storage room. |
| Unit Manager #10 | Unit Manager | Interviewed about expired medications oversight in Carnation unit. |
| Unit Manager #11 | Unit Manager | Interviewed about expired medications oversight in Broadway unit. |
| Unit Manager #3 | Unit Manager | Interviewed about expired medications oversight in Azaelia unit. |
| Pharmacist #2 | Pharmacist | Interviewed about medication storage and expired medication removal procedures. |
| Director of Nursing Services | Director of Nursing Services | Interviewed about medication storage policies and physician documentation requirements. |
Inspection Report — Nov 2, 2022
Annual Inspection CMS
Date: Nov 2, 2022
Visit Reason
The survey was a Recertification Survey and Abbreviated survey conducted to assess compliance with regulatory requirements for nursing home licensure and certification.
Findings
The facility was found deficient in multiple areas including failure to accommodate resident preferences, inadequate housekeeping and maintenance, incomplete care plan revisions after incidents, medication administration errors, unsafe medication storage, infection control lapses, and failure to ensure residents had call bells within reach.
Citations (8)
F 0558: The facility did not reasonably accommodate Resident #307's request for a longer shower hose to maintain independence during bathing.
F 0584: Housekeeping and maintenance services failed to maintain a sanitary, orderly, and homelike environment on multiple units, including dirty floors, unpainted patched walls, and water stains.
F 0657: The facility did not review and revise Resident #712's Comprehensive Care Plan for falls after the resident sustained a hip fracture and was readmitted.
F 0689: Resident #159 was left with medications (Tylenol) at bedside without a physician's order for self-administration, posing a risk of medication misuse. The facility also failed to maintain a safe environment including a leaking ice machine without wet floor signage and unsecured supplements for Resident #307.
F 0758: Resident #712 received psychotropic medications without documented non-pharmacological interventions prior to administration.
F 0761: Resident #302's Lantus insulin pen was stored in a plastic bag labeled for another resident, risking medication errors.
F 0880: The facility failed to provide a safe infection prevention program; a training toilet lacked hand sanitizer and staff did not wear required PPE for contact and droplet precautions for Resident #47.
F 0919: Residents #137, #240, and #252 were observed with call bells out of reach, compromising their ability to summon staff assistance.
Report Facts
Residents reviewed for choices: 4
Residents reviewed for accidents: 7
Residents reviewed for unnecessary medications: 6
Nursing units: 7
Residents reviewed for environmental task: 11
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN Unit Manager #7 | Registered Nurse Unit Manager | Named in relation to Resident #307's shower hose request and care plan review for Resident #712. |
| CNA #10 | Certified Nurse Assistant | Named in relation to Resident #307's shower hose request and bathing assistance. |
| Maintenance Director | Named in relation to maintenance work order and shower hose request. | |
| Director of Nursing Services | DNS | Named in relation to multiple findings including medication administration and infection control. |
| LPN #6 | Licensed Practical Nurse | Named in relation to medication left at bedside for Resident #159. |
| RN #4 | Registered Nurse | Named in relation to medication administration and psychotropic medication care plan. |
| LPN #1 | Licensed Practical Nurse | Named in relation to medication storage error with insulin pens. |
| RN #1 | Infection Preventionist and Assistant Director of Nursing Services | Named in relation to infection control deficiencies. |
| LPN #2 | In-service Coordinator | Named in relation to infection control and medication storage education. |
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