Above average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
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 Chipola Health And Rehabilitation Center during CMS and state inspections, most recent first.
Surveyors found that privacy curtains in three occupied rooms were visibly soiled with various stains, including reddish-brown smears, brownish-red droplets, and grey stains with flecks of brown substance. The EVS Director confirmed the issue and cited challenges in obtaining appropriately sized replacement curtains.
The facility failed to accurately code the MDS for two residents, resulting in incorrect documentation of a diabetic foot ulcer and pressure ulcer care. One resident with multiple chronic conditions had an active diabetic wound that was not reflected in the most recent MDS, while another dependent resident with a stage 3 pressure ulcer was not coded as receiving pressure ulcer care, despite ongoing treatment. The MDS Coordinator acknowledged both miscoding errors.
A resident who was NPO and dependent on enteral nutrition did not receive the full volume of prescribed water flushes, as a nurse combined hydration and feeding orders, resulting in missed hydration. The nurse acknowledged not following the physician's order for 240cc water flushes every 6 hours, leading to the resident receiving less water than required for proper hydration.
The facility did not ensure that narcotic control sheets were properly signed by nursing staff at the end of each shift on two medication carts, as required by facility policy. Missing signatures were found on multiple dates, and a nurse confirmed that both incoming and outgoing nurses are responsible for verifying and signing off on the narcotic count each shift.
Two expired insulin pens, Basaglar and Novolin R, were found in a medication cart and had been administered to two residents. The nurse responsible confirmed the medications were expired and had not been removed as required by facility policy, which mandates that outdated drugs be placed in a secure location for destruction. The expired insulins were documented as administered according to the MAR.
A resident's clinical record was found to be incomplete and inaccurately documented, with inconsistencies on the MAR regarding the administration of Aminocaproic Acid, missing staff signatures for Linzess, and absent documentation for Novolin R insulin and blood glucose checks. Nursing staff confirmed the medication was not available despite being signed as given, and the DON acknowledged expectations for timely delivery and accurate documentation.
Staff failed to follow infection prevention and control protocols, including improper storage of oxygen tubing, lack of hand hygiene before resident contact, failure to don required PPE for Enhanced Barrier Precautions, and improper glove use during wound care. These deficiencies were observed during direct care of multiple residents and acknowledged by the staff involved.
Several residents were found with call bells placed out of reach, including on the floor, behind the headboard, under the bed, or between the side rail and mattress. One visually impaired resident was unable to locate her call bell to request assistance. CNAs confirmed that the call bells were not accessible as required.
Soiled Privacy Curtains Found in Multiple Resident Rooms
Penalty
Summary
During a tour of the 100 hall, surveyors observed that three occupied resident rooms had privacy curtains that were visibly soiled and stained. Specifically, one room's curtain had a reddish-brown smear with a quarter-sized clump of what appeared to be reddish-black crusted matter, while another room's curtains displayed multiple brownish-red droplet stains. In a third room, the privacy curtains had numerous grey stains with flecks of brown substance and a grey stain along the bottom, and an adjacent bed's curtain had numerous grey and reddish-orange stains with dried flecks of a brown substance. These findings were confirmed during an interview with the EVS Director, who acknowledged the soiled curtains and noted difficulties in obtaining the correct curtain width for resident privacy. No information was provided regarding the medical history or condition of the residents occupying these rooms at the time of the deficiency.
Inaccurate MDS Coding for Resident Conditions and Care
Penalty
Summary
The facility failed to conduct accurate assessments for two residents by not assigning the correct codes on the Minimum Data Set (MDS) that corresponded to their current care needs. For one resident with a history of cerebrovascular disease, diabetes with neuropathy, peripheral vascular disease, hypertension, Alzheimer's disease, and gastrointestinal hemorrhage, the MDS dated 4/25/25 incorrectly documented the absence of a diabetic foot ulcer, despite a physician's note from 5/14/25 confirming the ongoing presence of a diabetic wound on the right lateral heel. The MDS Coordinator acknowledged that the diabetic foot ulcer was miscoded and that the earlier quarterly assessment had the correct information. Another resident, admitted with nontraumatic intracerebral hemorrhage and a medical history including diabetes mellitus type 2, protein calorie malnutrition, seizures, hypertension, and aphasia, was dependent for all activities of daily living. The annual MDS skin assessment indicated the presence of a stage 3 pressure ulcer/injury, but the section regarding pressure ulcer/injury care was incorrectly marked as "No," even though records confirmed the resident was receiving such care. The MDS Coordinator confirmed the miscoding, stating the section should have indicated that pressure ulcer care was being provided.
Failure to Follow Enteral Hydration Orders for NPO Resident
Penalty
Summary
A deficiency occurred when the facility failed to follow physician orders for enteral fluid hydration for a resident who was entirely dependent on enteral intake due to being NPO. During an observation of a scheduled enteral feeding, a nurse administered only 120cc of water before and after the feeding, instead of the ordered 240cc of water every 6 hours for hydration. The nurse combined the hydration order with the feeding schedule, resulting in the resident receiving less water than prescribed. Upon interview, the nurse acknowledged awareness of the hydration order and admitted to not administering the full prescribed volume, leading to the resident missing 120cc of water per feeding. The resident's medical record confirmed orders for Jevity 1.5 via PEG tube five times a day, with specific instructions for water flushes both for hydration and before and after feedings. The nurse recognized the importance of following these orders, as the resident's hydration needs were calculated by the Registered Dietitian.
Failure to Document Narcotic Counts per Shift
Penalty
Summary
The facility failed to ensure proper documentation of narcotic control sheets on two out of three medication carts, as observed during medication administration and record review. Specifically, the narcotic sign-in sheets for the 100 unit were missing required nurse signatures on several dates, and the 300 unit narcotic count sheets also lacked signatures on multiple occasions. According to facility policy, both the outgoing nurse and the incoming nurse are required to count and verify all controlled substances at the end of each shift and sign the narcotic sheet to confirm the count. An interview with a nurse confirmed that signatures are required to verify the accuracy of the narcotic count and to prevent drug diversion.
Expired Insulin Pens Found and Administered from Medication Cart
Penalty
Summary
Surveyors observed that two expired insulin pens, Basaglar 100unit/ML KWIKPEN and Novolin R 100unit/ML Flexpen, were present in the medication cart during a medication administration review. The Basaglar pen had been opened and was past its 28-day discard date for one resident, while the Novolin R pen was also expired and associated with another resident. Both expired insulin pens were found in the top drawer of the medication cart, and photographic evidence was obtained to document the finding. During an interview, the nurse responsible for the cart confirmed the expiration dates and acknowledged that she had not checked her cart for expired medications in some time. A review of the Medication Administration Record (MAR) showed that the expired Novolin R insulin had been administered multiple times to a resident according to a sliding scale order, and the expired Basaglar insulin had also been administered to another resident. Facility policy requires that discontinued or outdated medications be placed in a designated, secure location for destruction, but this procedure was not followed in these instances.
Incomplete and Inaccurate Medication Administration Documentation
Penalty
Summary
The facility failed to maintain a complete and accurately documented clinical record for one resident, as evidenced by inaccurate and missing documentation on the Medication Administration Record (MAR). Specifically, an order for Aminocaproic Acid was not administered as prescribed due to the medication being unavailable, yet the MAR was inconsistently documented. On several occasions, nurses recorded the medication as unavailable in the morning, while other staff documented it as administered in the evening, despite confirmation from staff and the DON that the medication had not been delivered to the facility. Additionally, the MAR for the same resident was missing staff signatures for the administration of Linzess and lacked documentation of blood glucose results, insulin administration, and staff signatures for Novolin R on a specific date. Interviews with nursing staff and the DON confirmed that the medication was not present in the facility and that the documentation indicating it was given was a mistake. The DON stated that medications are expected to be delivered within 24 hours and that staff are required to notify her of any delays. She also confirmed that accurate documentation of medication administration is an expectation and that missing signatures are not acceptable. The findings were based on direct review of the resident's medical record and staff interviews.
Failure to Follow Infection Prevention and Control Standards
Penalty
Summary
The facility failed to adhere to accepted infection prevention and control standards in several instances involving direct resident care. For one resident, oxygen tubing was observed on the floor for an extended period before being stored in a plastic bag, and the tubing was not immediately replaced after contact with the floor. A nurse initially denied the tubing had touched the floor but later replaced it upon realizing the contamination. In another case, two CNAs provided incontinence care to a resident on Enhanced Barrier Precautions (EBP) without performing hand hygiene prior to resident contact, and one CNA left and re-entered the room without hand hygiene. Both staff members also failed to don the required PPE as indicated by signage and the resident's care plan. Additional deficiencies included a nurse improperly donning PPE, leaving her arms exposed while providing enteral feeding to a resident on EBP, and expressing confusion about the correct procedure. In a separate incident, a nurse exited a resident's room during a dressing change while wearing gloves, touched the doorknob, and resumed the procedure without changing gloves or performing hand hygiene. These actions were acknowledged by the staff involved, who admitted to not following proper infection control protocols.
Call Bell Accessibility Not Ensured for Multiple Residents
Penalty
Summary
The facility failed to provide reasonable accommodation for resident needs by not ensuring that call bells were accessible to five residents in the 300 hallway. Observations revealed that multiple residents had their call bells placed out of reach, including on the floor, behind the headboard, under the bed, or hanging between the side rail and mattress. One resident, who is blind, was unable to locate her call bell to call for assistance. Certified Nursing Assistants confirmed during interviews that the call bells were not within easy reach of the residents, as required.
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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 Marianna
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Marianna Health And Rehabilitation | 0.2 mi | ★★★★★ | 1 | 0 |
| Marianna Nursing And Care Center | 3.9 mi | ★★★★★ | 0 | 0 |
| Northwest Florida Community Hospital (snu) | 18.2 mi | ★★★★★ | 0 | 0 |
| Washington Rehabilitation And Nursing Center | 18.3 mi | ★★★★★ | 1 | 0 |
| Graceville Health Center | 20.2 mi | ★★★★★ | 3 | 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.