Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Marion Regional Nursing Home during CMS and state inspections, most recent first.
The facility failed to follow its policy for respiratory care, affecting four residents. Oxygen tubing was not dated, and nebulizer masks were left uncovered and unlabeled, risking contamination. Staff interviews confirmed these practices were against infection control protocols.
A resident was administered PRN Haldol for agitation beyond the 14-day limit set by the facility's policy without reevaluation or documented rationale. The medication was prescribed without a specified duration, and the Director of Nursing confirmed that the oversight in tracking the medication's duration led to its continued use for 24 days, affecting the resident's care.
A CNA failed to knock or gain permission before entering the rooms of two residents during meal service, violating the facility's privacy policy. The CNA acknowledged the oversight, and the Clinical Nurse Educator confirmed that staff are trained to knock and introduce themselves to avoid privacy and dignity concerns.
A resident with unmanaged behaviors hit another resident in the face after taking a book, leading to a substantiated case of resident-on-resident abuse. The aggressive resident, with severe cognitive impairment, had a history of hostile behavior, but the facility failed to provide adequate monitoring or intervention. Staff interviews confirmed the lack of documentation and effective implementation of the facility's abuse prevention policy.
The facility failed to accurately code the MDS assessments for two residents, affecting their PASRR Level II status. One resident with Major Depressive Disorder and another with a Mood Disorder were incorrectly marked as not having a PASRR Level II status, despite having determinations indicating otherwise. The MDS Coordinator acknowledged the miscoding and the importance of accurate MDS data.
A resident with severe cognitive impairment and dementia exhibited hostile behaviors, including taking belongings and hitting a roommate. The facility failed to develop targeted care plans or assess the required level of supervision, relying instead on redirection and medication changes. Staff were aware of the behaviors but did not document monitoring or implement effective preventive measures.
A CNA failed to perform hand hygiene before distributing meal trays to two residents, contrary to the facility's infection control procedures. This lapse was observed during an evening dining observation and confirmed through interviews with the CNA, the Infection Preventionist, and the Clinical Nurse Educator, highlighting a risk of cross-contamination.
Deficient Respiratory Care Practices
Penalty
Summary
The facility failed to provide safe and appropriate respiratory care for four residents by not adhering to its own policy regarding the labeling and storage of oxygen tubing and nebulizer masks. Specifically, the oxygen tubing for a resident with Chronic Obstructive Pulmonary Disease (COPD) was not labeled with a date, contrary to the facility's policy that requires such labeling to prevent bacterial buildup. Additionally, three other residents with respiratory conditions, including COPD and Congestive Heart Failure, had nebulizer masks that were not stored in bags or labeled with their names and dates, as required by the facility's infection control protocol. Observations by surveyors revealed that the nebulizer masks were left uncovered and face down on surfaces such as bedside tables and dressers, which poses a risk of contamination. Interviews with staff, including LPNs and the Infection Preventionist, confirmed that the masks should be stored in labeled bags to prevent cross-contamination and infection. The Director of Nursing also acknowledged that the lack of proper labeling and storage could lead to contamination and that staff would not know when the oxygen tubing was last changed without a date.
Failure to Discontinue PRN Antipsychotic Medication in a Timely Manner
Penalty
Summary
The facility failed to adhere to its policy on the utilization of psychotropic medications, specifically regarding the administration of PRN antipsychotic medication, Haldol, to Resident Identifier (RI) #34. RI #34 was admitted with diagnoses including anxiety and agitation and was prescribed Haldol on a PRN basis for agitation. The order, dated 01/24/2025, did not specify a duration or end date, and the medication was administered 20 times between 01/26/2025 and 02/14/2025. The facility's policy mandates that PRN orders for antipsychotic medications should be limited to 14 days unless reevaluated and justified by the attending physician, which did not occur in this case. The Director of Nursing (DON) confirmed that the PRN order for Haldol was in place for 24 days, exceeding the 14-day limit set by the facility's policy. The DON acknowledged that it was the responsibility of the Registered Nurses to track the start and end dates of psychotropic medications and that RI #34 had not been reevaluated for the continued appropriateness of the medication. This oversight resulted in the continuation of the PRN antipsychotic medication beyond the permitted duration without documented rationale, affecting RI #34, one of six residents sampled for unnecessary medications.
Failure to Honor Resident Privacy Rights
Penalty
Summary
The facility failed to honor resident privacy rights when a Certified Nursing Assistant (CNA) did not knock on doors or gain permission before entering resident rooms. This incident occurred during an evening dining observation and affected two residents. The facility's policy on Resident's Rights: Privacy and Confidentiality, last reviewed in March 2020, clearly states that staff should knock on doors or verbally announce their request to enter a room prior to entry. However, on the specified date, CNA #10 was observed entering the rooms of two residents without following this procedure. During an interview, CNA #10 acknowledged the requirement to knock before entering a resident's room but admitted to not realizing she had failed to do so. The Clinical Nurse Educator confirmed that staff are trained to knock and introduce themselves before entering a resident's room, and failing to do so could be considered an invasion of privacy and a dignity concern. The deficiency was identified through observations, interviews, and a review of the facility's policy.
Failure to Protect Resident from Abuse
Penalty
Summary
The facility failed to protect a resident's right to be free from abuse when a resident with unmanaged behaviors hit another resident in the face. The incident occurred after the aggressive resident took a book from the other resident's side of the room, leading to a confrontation where the aggressive resident slapped the other resident. The aggressive resident had severe cognitive impairment due to Alzheimer's Disease and Mood Disorder, and had been exhibiting hostile behavior, including taking others' belongings and becoming agitated. Despite these behaviors, the facility did not provide adequate monitoring or intervention to prevent the incident. Interviews with staff revealed that the aggressive resident required redirection and was visually monitored, but there was no documentation of this monitoring. The Director of Nursing acknowledged the aggressive resident's behaviors and the lack of documentation. The incident was reported as resident-on-resident physical abuse, and the facility's investigation substantiated the abuse based on the affected resident's account and physical evidence of redness on the cheek. The facility's policy on protecting residents from abuse was not effectively implemented, as ongoing assessment and care planning for residents with behavioral issues were not adequately conducted.
Inaccurate MDS Coding for PASRR Level II Status
Penalty
Summary
The facility failed to ensure accurate coding of the Minimum Data Set (MDS) assessments for two residents, which affected the accuracy of their Preadmission Screening and Resident Review (PASRR) Level II status. Resident Identified (RI) #23, who was admitted with diagnoses including Major Depressive Disorder, Anxiety Disorder, and Dementia with Behavioral Problems, had a PASRR Level II Service Determination dated October 12, 2023. However, the annual MDS assessment for RI #23 incorrectly marked the PASRR status as 'No' instead of 'Yes', indicating a failure to reflect the resident's Level II status accurately. Similarly, RI #25, admitted with a Mood Disorder diagnosis, had a PASRR Level II Service Determination dated March 4, 2024. The annual MDS assessment for RI #25 also incorrectly marked the PASRR status as 'No'. Interviews with the MDS Coordinator revealed that both residents' MDS assessments were miscoded, and the importance of accurate MDS data was acknowledged. This deficiency affected two of the 19 sampled residents whose MDS assessments were reviewed.
Failure to Implement Behavioral Interventions for Resident with Dementia
Penalty
Summary
The facility failed to develop and implement immediate interventions to prevent other residents from being affected by the behaviors of a resident with severe cognitive impairment, identified as having Alzheimer's Disease and Mood Disorder. This resident, who had a Brief Interview of Mental Status (BIMS) score indicating severe cognitive impairment, exhibited hostile behavior, resisted care, and took belongings from others, leading to an incident where the resident hit a roommate in the face. Despite these behaviors being documented in the resident's care plan and nursing notes, the facility did not develop targeted care plans or assess the required level of supervision to protect other residents. Interviews with staff, including an LPN and the Director of Nursing (DON), revealed that the resident's behaviors were known, but interventions were limited to redirection and medication changes. The facility did not have monitoring sheets or documentation of the monitoring, and the DON believed the incident could not have been prevented due to the resident's severe dementia. The affected roommate reported the behavior to staff multiple times, but the staff's response was limited to retrieving the items and returning them to the roommate, without implementing further preventive measures.
Inadequate Hand Hygiene During Meal Tray Distribution
Penalty
Summary
The facility failed to ensure proper infection prevention and control practices during the distribution of meal trays by a Certified Nursing Assistant (CNA). Specifically, CNA #10 did not perform hand hygiene before handling and delivering dinner meal trays to two residents, Resident Identifier (RI) #28 and RI #32. This incident was observed by a surveyor during an evening dining observation, where CNA #10 removed meal trays from the cart and entered the residents' rooms without sanitizing her hands, contrary to the facility's Procedure for Passing Meal Trays, which mandates hand hygiene between each resident. Interviews conducted with CNA #10, the Registered Nurse/Infection Preventionist (IP), and the Clinical Nurse Educator (CNE) confirmed the deficiency. CNA #10 acknowledged the importance of hand hygiene to prevent foodborne illness and admitted to not sanitizing her hands before handling the meal trays. The IP and CNE reiterated the potential for cross-contamination when hand hygiene is not performed, emphasizing that staff are trained during orientation to sanitize their hands before removing meal trays from the cart. This deficiency affected two of the 19 sampled residents.
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Illustrative
What surveyors actually found near you
We read the 8 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Hamilton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Sunset Manor | 11.6 mi | ★★★★★ | 0 | 0 |
| Diversicare Of Winfield | 16.2 mi | ★★★★★ | 0 | 0 |
| Haleyville Health Care Center | 22.4 mi | ★★★★★ | 0 | 0 |
| Arabella Health And Wellness Of Red Bay | 24 mi | ★★★★★ | 0 | 0 |
| The Meadows | 24.4 mi | ★★★★★ | 8 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.