Below average — CMS composite of the measures below.
The next survey window likely opens around February 2027
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 Alma Nursing And Rehab during CMS and state inspections, most recent first.
Failure to Protect a Cognitively Impaired Resident from Sexual Abuse: Staff witnessed one resident rubbing another resident’s inner thigh, but effective protections were not clearly implemented or communicated. Later the same day, the same resident was found in the other resident’s room again, including with a hand inside the resident’s brief. The affected resident had severe cognitive impairment and was dependent for ADLs, while staff interviews showed confusion about supervision and notification after the first incident.
A resident with severe cognitive impairment and mobility problems was pulled backward in a wheelchair when a CNA tried to remove the resident from the dining room after the resident did not want to leave. Multiple staff members reported that the resident planted their feet, leaned forward, and was dragged or pushed backward, and police video review confirmed the CNA was clearly observed pulling the resident backward. The resident’s rights and dignity were not respected during the interaction.
The facility failed to serve meals according to the planned menu, affecting residents on pureed and mechanical soft diets. Incorrect scoop sizes were used, resulting in insufficient portions. The Dietary staff acknowledged the error, admitting they did not follow the menu instructions properly.
The facility failed to ensure proper hand hygiene and food safety practices, potentially affecting 74 residents. Dietary staff handled clean plates without washing hands after contamination, and the ice machine was not maintained in a sanitary condition. Expired dressing packets were also found, indicating lapses in food safety and infection control measures.
Failure to Protect a Cognitively Impaired Resident from Sexual Abuse
Penalty
Summary
The facility failed to identify and prevent an incident of sexual abuse involving two residents, one of whom had severe cognitive impairment and was dependent for activities of daily living. Resident #16 had diagnoses including dementia, Alzheimer’s disease, cognitive communication deficit, hemiplegia, and hemiparesis, and had a BIMS score of 00. Resident #89 had diagnoses including major depressive disorder, congestive heart failure, and kidney disease, and had a BIMS score of 13, indicating cognitive intactness. On the morning of 02/12/2026, a Treatment Nurse witnessed Resident #89 sitting beside Resident #16 in the hall and rubbing Resident #16’s right inner thigh. The nurse moved Resident #16 to the dining room and reported the incident to the DON, but there was no documentation that effective interventions were put in place to protect Resident #16 from further incidents. Staff interviews showed confusion about what protection measures, if any, were implemented after the first incident. The DON stated she alerted staff to keep Resident #89 away from Resident #16, but also stated she had no documentation of telling staff about the alert and that there should have been one person watching Resident #89. Later that same day, staff found Resident #89 in Resident #16’s room again. CNA #28 and CNA #29 reported multiple encounters in which Resident #89 entered Resident #16’s room, including one instance where Resident #89 had a hand inside Resident #16’s brief. CNA #29 reported seeing poop on Resident #89’s gloves after the hand was removed from the brief. CNA #28 reported seeing Resident #16 tear up after the incident. LPN #30 stated she did not learn about the earlier morning incident until after the later incident had already occurred, and she said that if she had known earlier, she would have kept Resident #89 on one-to-one supervision. The police were notified, and an officer later reported that staff told him Resident #89 had been in Resident #16’s room three times that night, including one time with Resident #16’s shirt pulled up and another with a hand in the brief.
Resident Pulled Backward in Wheelchair
Penalty
Summary
The facility failed to ensure that Resident #50 was not pulled backwards in a wheelchair and was treated with dignity and respect. Resident #50 was admitted with diagnoses including anxiety, depression, abnormalities of gait and mobility, restlessness, and agitation. The resident’s quarterly MDS showed severe cognitive impairment and that the resident used a manual wheelchair for mobility. The care plan identified restorative nursing needs related to gait and mobility problems, generalized muscle weakness, and repeated falls, and included an intervention to allow the resident adequate time to complete tasks. On 12/19/2025, multiple staff statements and the facility incident report described an interaction in the dining room in which CNA #1 attempted to remove Resident #50 after the resident did not want to leave. Witnesses reported that the resident planted their feet on the floor, was leaning forward, and was pulled backward in the wheelchair. One witness stated CNA #1 turned the wheelchair around and dragged the resident backward, while another stated CNA #1 put an arm around the resident to keep them from falling. An LPN and RN also reported observing CNA #1 pulling or pushing the resident backward in the wheelchair, and police later reviewed video footage and stated CNA #1 was clearly observed pulling Resident #50 backwards in the wheelchair. During later interviews, staff confirmed the resident did not want to leave the dining room and stated the resident had the right to remain there after finishing eating if they chose. CNA #1 acknowledged pushing the wheelchair backward and stated she knew it was wrong to pull the resident backward. The Administrator stated CNA #1 was suspended based on the allegation that she was too rough with Resident #50. The facility’s abuse in-service and resident rights policy both stated residents should not be pushed backwards in a wheelchair and should be treated with consideration, respect, and full recognition of dignity and individuality.
Failure to Serve Meals According to Planned Menu
Penalty
Summary
The facility failed to ensure meals were prepared and served according to the planned written menu, which affected the nutritional needs of residents on pureed and mechanical soft diets. During an observation on 8/20/2024, it was noted that the Dietary staff used incorrect scoop sizes when serving meals. Residents on mechanical soft diets were supposed to receive three ounces of chicken, but instead, they were served with a #30 scoop equivalent to 1.25 ounces. Similarly, residents on pureed diets were supposed to receive two #8 scoops of pureed chicken, but they were only given a single #8 scoop. The Dietary staff acknowledged the error, stating that they used the wrong scoop sizes and did not follow the menu instructions properly, despite having reviewed the menu before serving the meal.
Deficiencies in Hand Hygiene and Food Safety Practices
Penalty
Summary
The facility failed to ensure proper hand hygiene and food safety practices among dietary staff, which could potentially lead to foodborne illnesses affecting all 74 residents receiving meals from the kitchen. Observations revealed that dietary staff members handled clean plates without washing their hands after contaminating them by touching tray cards. This occurred on multiple occasions, indicating a lack of adherence to handwashing protocols as outlined in the facility's food safety policy. Additionally, the facility did not maintain the ice machine in a clean and sanitary condition, as evidenced by the presence of a wet black residue on areas where ice touched before dropping into the ice collector. This residue was easily transferable, suggesting inadequate cleaning practices. Furthermore, expired dressing packets were found in the refrigerator, indicating a failure to promptly remove or discard expired products, which could contribute to bacterial growth. These deficiencies highlight lapses in the facility's food safety and infection control measures.
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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.
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Nursing homes near Alma
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Van Buren Healthcare And Rehabilitation Center | 5.9 mi | ★★★★★ | 3 | 0 |
| The Blossoms At Van Buren Rehab And Nursing Center | 7.1 mi | ★★★★★ | 0 | 0 |
| Valley Springs Rehabilitation And Health Center | 7.8 mi | ★★★★★ | 0 | 0 |
| Legacy Health And Rehabilitation Center | 9.8 mi | ★★★★★ | 0 | 0 |
| Methodist Health And Rehab | 11.1 mi | ★★★★★ | 0 | 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.