Above 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 Shiloh Nursing And Rehab, Llc during CMS and state inspections, most recent first.
The facility failed to properly thaw fish, intended for an alternate meal choice, in a sanitary manner. A zipper-sealed bag of frozen fish was found in a sink at room temperature without water, alongside a whisk and a knife covered in a yellow liquid. Staff confirmed that proper thawing methods were known and trained, yet not followed, potentially affecting four residents.
An LPN at the facility failed to use gloves while administering insulin injections to four residents, violating standard infection control precautions. Despite facility policy and CDC guidelines requiring gloves to prevent exposure to blood or body fluids, the LPN admitted to not routinely using them. Interviews with staff confirmed the expectation of glove use during medication administration.
A facility failed to label and discard a resident's inhaler according to the manufacturer's guidelines. An LPN found the inhaler without an open date or expiration date, and a second inhaler was similarly unlabeled. Interviews with the DON and Administrator confirmed that open dates should be placed on medications when first opened, and expiration dates should be checked by nurses at the end of their shifts.
Improper Thawing of Fish in Unsanitary Conditions
Penalty
Summary
The facility failed to ensure that food was thawed properly and in sanitary conditions, as observed during a survey. Specifically, a zipper-sealed bag of frozen fish was found in a sink at room temperature without water, alongside a whisk and a knife covered in a yellow liquid substance. This improper thawing method was intended for the alternate meal choice, potentially affecting four residents. The Dietary Manager confirmed that the proper thawing method involves placing frozen food in a pan and running cold water over it, acknowledging that improper thawing could lead to residents getting sick. Interviews with various staff members, including the Dietary Manager, Dietary Aide, and the Administrator, confirmed that training and in-servicing on safe food handling had been completed. They all acknowledged the correct methods for thawing frozen meats, fish, and poultry, which include refrigeration, as part of the cooking process, using a microwave, or in a pan with cold water. The facility's policy and procedure for thawing foods were reviewed, indicating these acceptable methods and emphasizing the importance of maintaining clean, safe, and sanitary conditions in compliance with state and federal guidelines.
Infection Control Deficiency in Insulin Administration
Penalty
Summary
The facility failed to maintain proper infection control practices during the administration of insulin injections to four residents. Observations revealed that an LPN administered insulin to Residents #24, #59, #62, and #67 without wearing gloves, which is a violation of standard precautions. The facility's policy and CDC guidelines require the use of gloves when there is potential exposure to blood or body fluids, which includes the administration of subcutaneous injections. Despite these guidelines, the LPN did not use gloves during the medication administration process. Interviews with the LPN, Infection Preventionist, Director of Nursing, Administrator, and Medical Director confirmed that gloves should be used as part of standard precautions during medication administration. The LPN admitted to not routinely using gloves, while the Infection Preventionist and other staff members emphasized the importance of using gloves to prevent infection. The failure to adhere to these infection control practices was identified during a survey, highlighting a deficiency in the facility's infection prevention and control program.
Failure to Properly Label and Discard Medication
Penalty
Summary
The facility failed to properly label and discard a medication according to the manufacturer's guidelines for one of the three medication carts reviewed. The facility's policy, revised in January 2018, requires that medications and biologicals be stored safely and securely, following the manufacturer's recommendations. Outdated or deteriorated medications should be immediately removed from inventory and disposed of according to procedures. When a medication's original seal is broken, it should be dated, and the expiration date should be noted. However, during an observation, an LPN retrieved a resident's inhaler from the medication cart, which lacked an open date or expiration date. The inhaler had a small pharmacy label with a printed date, but no original packaging or full pharmacy label was found. A second inhaler was also found without an open date, and both inhalers had been used according to the inhaler meter. Interviews with the Director of Nursing and the Administrator confirmed that open dates should be placed on inhalers when first opened, and nurses should check expiration dates at the end of their shifts. The failure to label the inhalers properly and ensure they were not expired indicates a lapse in following the facility's medication storage policy. This deficiency was identified through observations, interviews, and a review of facility documents and policies, highlighting the need for adherence to proper medication management protocols.
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What surveyors actually found near you
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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 Springdale
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Windcrest Health And Rehab Inc | 1.4 mi | ★★★★★ | 0 | 0 |
| Springdale Health And Rehabilitation Center | 2.6 mi | ★★★★★ | 13 | 0 |
| Westwood Health And Rehab, Inc | 3 mi | ★★★★★ | 1 | 0 |
| The Maples At Har-ber Meadows | 4.3 mi | ★★★★★ | 2 | 0 |
| Edgewood Health And Rehab | 5.1 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.