The Brian Center Nursing Care – St. Andrews

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The most recent inspection on July 17, 2025, found multiple deficiencies related to resident assessments, care planning, medication management, food storage, respiratory equipment sanitation, infection control, and quality assurance processes. Earlier inspections showed a pattern of issues with resident care, medication handling, abuse prevention, and documentation, including an April 29, 2025 complaint investigation that cited immediate jeopardy for failure to protect residents from abuse and timely report incidents. Inspectors noted recurring themes involving inadequate resident care practices, medication and infection control, and failure to implement effective corrective actions. Several complaint investigations were substantiated, including one involving inadequate wound care that led to hospitalization and another concerning controlled substance handling. The facility’s deficiencies have persisted over time without clear improvement, and enforcement actions such as immediate jeopardy findings were noted, while fines or license suspensions were not listed in the available reports.