Below average — CMS composite of the measures below.
A standard survey is most likely before around November 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 Archbold Living Cairo during CMS and state inspections, most recent first.
The facility failed to have a Legionella policy or facility water system plan in place, and an LPN did not disinfect a blood glucose monitor between accuchecks for three residents. The monitor was used for multiple residents without cleaning or disinfection between uses, and the LPN confirmed the lapse during interview.
Failure to Transmit Quarterly MDS Assessments: The facility failed to transmit quarterly MDS assessments for six residents even though each assessment was completed in the EMR. The MDSC stated she was overwhelmed with the number of assessments, and the DON confirmed the facility was aware that MDSs were not being completed or transmitted timely.
The facility failed to ensure ordered meds were available and administered for three residents. One resident with stroke-related deficits and diabetes missed multiple doses of Cholestyramine, Insulin NPH, and Banatrol plus; another resident missed doses of Olanzapine, Famotidine, and Gabapentin; and a third resident with CKD, HTN, and DM2 missed doses of Hydralazine, Atorvastatin, and Dapagliflozin. MARs and nurse notes showed the meds were often documented as not available, and an LPN, the CC, and the DON confirmed ongoing pharmacy delay issues and a limited 14-day supply cycle.
Failure to provide a written transfer agreement for a resident's hospital transfer. A resident was sent by ambulance to the ED for hypotension and abdominal/pelvic pain with nausea or vomiting, but the facility had no evidence that a written transfer agreement was given to the resident or RR. The DON confirmed only a phone notification was made, and the BOM confirmed no written transfer agreement was provided.
A resident's admission comprehensive MDS assessment was started but not completed within the required timeframe. The MDSC said she was overwhelmed with the number of assessments, and the DON confirmed the facility was aware that MDSs were not being completed or submitted timely.
Quarterly MDS assessments were not completed for three residents after being started in the EMR. The MDSC said she was overwhelmed with the number of assessments, and the DON stated the facility was aware that multiple MDSs were not being completed or submitted timely because the number of skilled residents increased and the current MDS nurse could not keep up.
A resident with schizophrenia and an antipsychotic medication order did not have those needs included in the comprehensive care plan. The MDS showed the resident was cognitively intact, but the EMR care plan lacked documentation for schizophrenia or monitoring related to the antipsychotic. The MDSC and DON both confirmed the care plan was missing these items.
Incorrect G-tube Flush Rate: A resident receiving enteral nutrition via a g-tube did not receive the ordered flush amount during tube feeding administration. The care plan identified tube feeding needs and goals to stay hydrated and maintain weight, but observations showed the pump was set to deliver 240 ml water flushes every four hours instead of the ordered 220 ml. An LPN confirmed the pump was set at the wrong flush rate, and the Clinical Coordinator and DON stated staff should verify the physician order and pump settings.
A resident with neurogenic bladder, urinary retention, and recurrent UTIs was started on Bactrim for a suspected UTI before UA/CS results were available, despite no documented fever, suprapubic pain, hematuria, or increase in incontinence or urgency. The first urine specimen was possibly contaminated, a second UA/CS was collected, and the antibiotic was later changed to Zosyn after the final results were reported. The IP confirmed the facility used McGreer criteria but stated antibiotics are often ordered before results return or even when criteria are not met.
Failure to Maintain Infection Prevention Controls
Penalty
Summary
The facility failed to develop and implement a policy for Legionella prevention and spread. Review of the facility records showed there was no evidence of a facility water system plan or Legionella policy in place. During an interview, the Engineer Director stated he had nothing to provide regarding the facility water system and confirmed the facility did not have a policy for Legionella. The facility also failed to disinfect a blood glucose monitor between uses for three residents during accuchecks. During observation, an LPN completed an accucheck for one resident, placed the glucose monitor on the medication cart without disinfecting it, then used the same monitor for two additional residents without disinfecting it between each use. During interview, the LPN confirmed she did not disinfect the glucose monitor in between use of the three residents and stated she should have. The facility confirmed none of the three residents had any blood borne pathogens or diseases.
Failure to Transmit Quarterly MDS Assessments
Penalty
Summary
The facility failed to ensure quarterly MDS assessments were transmitted to the State within 7 days of assessment for six sampled residents: R19, R23, R49, R65, R66, and R76. Review of the facility’s Resident Assessments policy showed that quarterly assessments are to be conducted not less frequently than every three months following the most recent OBRA assessment. Record review showed each of the six residents had a completed quarterly MDS assessment in the EMR under the MDS tab, but none of the assessments had been transmitted. The quarterly MDS for R19 had an ARD of 6/23/2025, R23 had an ARD of 6/24/2025, R49 had an ARD of 6/20/2025, R65 had an ARD of 6/18/2025, R66 had an ARD of 6/19/2025, and R76 had an ARD of 7/4/2025. During interview, the MDSC stated she had been overwhelmed with the number of assessments and had been doing the best she could to keep everything caught up, and confirmed the six residents’ quarterly MDS assessments were not transmitted. The DON also stated the facility was aware of the issue with the number of MDSs not being completed or transmitted timely and confirmed the six residents’ quarterly MDS assessments were not transmitted.
Missed Medication Administrations Due to Pharmacy Unavailability
Penalty
Summary
The facility failed to ensure that medications were provided from the pharmacy as ordered for three residents reviewed for medication administration. Review of the facility policy titled, Administering Medications, showed that medications were to be administered in a safe and timely manner and in accordance with orders. Record review showed repeated missed doses for Resident 31, Resident 65, and Resident 57 because medications were documented as not available, with several entries also noting waiting on pharmacy or no reason documented for the omission. Resident 31 had diagnoses including hemiplegia and hemiparesis following cerebral infarction and type 1 diabetes mellitus. Orders included Cholestyramine Light powder twice daily, Insulin NPH twice daily, and Banatrol plus twice daily. The MAR showed multiple missed administrations of these medications across July and August 2025. Nurse notes documented that Cholestyramine was unavailable on some dates, and Insulin NPH was unavailable or the facility was waiting on pharmacy. Banatrol plus was also missed on multiple dates, with most omissions documented as not being available and some dates lacking a reason. Resident 65 had orders for Olanzapine at bedtime, Famotidine twice daily, and Gabapentin three times daily, and the MAR showed missed doses of each medication because they were not available. Resident 57 had diagnoses including chronic kidney disease stage three, hypertension, and diabetes mellitus type two, with orders for Hydralazine twice daily, Atorvastatin daily, and Dapagliflozin daily. The MAR showed repeated missed doses of these medications due to unavailability. An LPN, the CC, and the DON all confirmed that pharmacy delays and the 14-day supply cycle were ongoing problems, and the DON acknowledged that the facility had a medication pharmacy concern.
Failure to Provide Written Transfer Agreement for Hospital Transfer
Penalty
Summary
The facility failed to ensure that a written transfer agreement was provided to one resident, R13, and the resident's representative for a hospital transfer. Review of the facility's Discharges policy dated 3/30/2023 showed it did not address providing a written transfer agreement to the resident or representative. R13 was admitted to the facility on [DATE], and on 4/21/2025 at 1:13 pm, a progress note documented that R13 was transferred by ambulance to the emergency department at 1:05 pm for cardiac/blood symptoms, including hypotension, and gastrointestinal/genitourinary symptoms such as abdominal/pelvic pain, nausea, or vomiting. The resident did return to the facility, but there was no evidence that a written transfer agreement was provided to the resident or representative. The DON confirmed during interview that no written transfer agreement was provided and stated the facility notified the representative by telephone of the change in condition and documented when the call was made. The BOM also confirmed that she sent discharge transfers to the ombudsman monthly but did not provide a written transfer agreement to the resident or representative.
Incomplete Admission Comprehensive Assessment
Penalty
Summary
The facility failed to ensure a comprehensive assessment was completed for one resident, R42, out of 22 sampled residents. Review of the facility's Resident Assessments policy showed that a comprehensive assessment of every resident's needs is to be completed within 14 days of admission. R42's admission MDS assessment, with an ARD of 7/4/2025, showed that the resident was admitted to the facility on [DATE], and that the comprehensive assessment had been started but not completed. During interview, the MDS Coordinator stated she had been overwhelmed with the number of assessments and had been doing the best she could to keep everything caught up, and she confirmed that R42's admission comprehensive MDS had been started but not completed. The DON also stated the facility was aware of the issue with MDSs not being completed or submitted timely and confirmed that R42's admission MDS had been started but not completed.
Quarterly MDS Assessments Not Completed
Penalty
Summary
The facility failed to ensure quarterly MDS assessments were completed for three sampled residents, identified in the record as R56, R60, and R84. Review of the facility policy titled Resident Assessments showed that quarterly assessments are to be conducted not less frequently than three months following the most recent OBRA assessment of any type, and that the Resident Assessment Coordinator is responsible for ensuring timely and appropriate resident assessments and reviews. Record review showed that quarterly MDS assessments had been started for R56 with an ARD of 6/25/2025, for R60 with an ARD of 7/3/2025, and for R84 with an ARD of 7/4/2025, but none of the assessments were completed. During interview, the MDS Coordinator stated she had been overwhelmed with the number of assessments and was doing the best she could to keep everything caught up, and confirmed that the three quarterly MDS assessments had been started but not completed. The DON stated the facility was aware that a number of MDSs were not being completed or submitted timely and said that after the facility opened a little over a year ago, the number of skilled nursing residents increased significantly and the current MDS nurse could not keep up with the assessments.
Care Plan Missing Schizophrenia and Antipsychotic Medication
Penalty
Summary
The facility failed to ensure that R8’s comprehensive care plan included the resident’s diagnosis of schizophrenia and the use of an antipsychotic medication. Review of the facility’s policy titled, Comprehensive Care Plans, stated that each resident should have a comprehensive person-centered care plan with measurable objectives and timeframes to meet identified medical, nursing, and psychosocial needs. R8’s quarterly MDS with an ARD of 5/7/2025 showed a BIMS score of 15 out of 15, indicating the resident was cognitively intact, and also documented that the resident was admitted with a diagnosis of schizophrenia. Review of R8’s care plan in the EMR showed a comprehensive care plan dated 12/16/2024, but there was no evidence of a care plan addressing schizophrenia or the use of an antipsychotic medication. During interview, the MDSC stated that a resident with schizophrenia who was taking an antipsychotic should have a care plan so staff know the resident’s needs, and confirmed R8 did not have one. The DON also stated that schizophrenia should have been included on R8’s care plan to alert staff that the resident was being monitored for behaviors and adverse reactions to an antipsychotic medication, and confirmed that no such care plan was present.
Incorrect G-tube Flush Rate
Penalty
Summary
A resident who received enteral nutrition via a gastrostomy tube did not receive the ordered amount of water flushes during tube feeding administration. The resident’s care plan identified that she received nutrition via tube feeding through a g-tube, with goals to stay well hydrated and maintain weight. A physician order dated 6/11/2025 directed Osmolite 1.2 Cal at 90 ml/hr for 18 hours with a 220 ml water flush every four hours, but observations on 8/4/2025 and 8/6/2025 showed the tube feeding pump was set to deliver a 240 ml flush every four hours during the feeding period. During interview, an LPN stated the resident was on 90 ml with a water flush every four hours at 240 ml, then acknowledged the EMR showed an order for 220 ml flushes every four hours and confirmed the pump was set at the wrong flush rate and changed it. The Clinical Coordinator stated nurses should be checking the physician order for accuracy of administration every shift. The DON stated the LPN informed her that the resident’s feeding tube had been running at the incorrect flush rate and said she expected nurses to verify the physician order in the EMR and ensure the pump setting matched the order before administration.
Antibiotic Stewardship Program Failure for UTI Treatment
Penalty
Summary
The facility failed to maintain a functional Antibiotic Stewardship Program that ensured an antibiotic prescribed and administered met McGreer criteria and CDC guidance for one resident reviewed for antibiotic stewardship. The report states that the facility used the McGreer criteria and CDC guidance as part of its infection prevention and control program, including review of culture reports, sensitivity data, antibiotic usage, and standardized infection definitions, but the resident’s antibiotic use did not align with those criteria. The resident had diagnoses including neurogenic bladder, urinary retention, and recurrent UTIs. On 7/18/2025, progress notes documented cloudy urine with a foul odor and that the resident was prone to UTIs, and a UA/CS was ordered. The physician also ordered sulfamethoxazole-trimethoprim 400 mg-80 mg twice daily for 7 days for a UTI starting the same day the first UA/CS was collected. The record showed no evidence that the resident had fever, suprapubic pain, blood in the urine, or an increase in incontinence or urgency. The antibiotic was started before UA/CS results were received. The first UA was reported as possibly contaminated, so another UA/CS was collected on 7/21/2025, with final microbiology sensitivity results issued on 7/24/2025. After those results were called to the PCP, the antibiotic was changed to Zosyn 3.375 g IV every 8 hours for 10 days for UTI. The Infection Preventionist confirmed that the antibiotic had already been started before the results were back and stated that this happens often with physicians ordering antibiotics before UA/CS results are available or even when McGreer criteria are not met.
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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 Cairo
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pinewood Health And Rehabilitation | 7.6 mi | ★★★★★ | 8 | 7 |
| Camellia Gardens Of Life Care | 13.5 mi | ★★★★★ | 0 | 0 |
| Harborview Thomasville | 13.9 mi | ★★★★★ | 1 | 0 |
| Thomasville Vistas Of Journey Llc | 15.7 mi | ★★★★★ | 25 | 0 |
| Archbold Living Thomasville | 16.3 mi | ★★★★★ | 7 | 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.