Below average — CMS composite of the measures below.
The next survey window likely opens around June 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Canton Center For Nursing And Healing Llc during CMS and state inspections, most recent first.
Improper Food Storage, Labeling, and Temperature Monitoring: Surveyors found multiple food items in the pantry and refrigerator that were expired, unlabeled, improperly dated, or not sealed, including open dry goods, prepared foods, thawed meat, and items with a malodorous odor. Bread was also stored on the floor, and food temperature logs had missing and blank entries. The CDM, Administrator, and Corporate Nurse Consultant stated staff were expected to label and store food according to policy and accepted standards.
An LPN removed and administered oxycodone/acetaminophen to a resident reporting pain, but documented the dose only in the eMAR and not on the Controlled Drug Record. Review of the narcotic count logs for one medication cart also showed multiple missing incoming and outgoing shift count signatures across several shifts, with the DON confirming staff were expected to document controlled substances immediately and complete every shift count without blank signature lines.
Food Served at Improper Temperatures: A resident complained that lunch items were lukewarm, unappetizing, dry, and cold on separate observations. The CDM confirmed hot foods measured below the expected standard and stated that hot foods should be maintained at 135 F, while trays were transported on an open cart and served by hall in sequence.
Medication administrations were documented in the eMAR under the wrong nurse’s login credentials. An LPN administered medications to several residents, but the records showed the night shift nurse’s credentials were used even though that nurse had already clocked out. The DON confirmed the documentation was entered under the night shift nurse’s login and stated this was unacceptable practice.
A WCN failed to perform hand hygiene during a sacral wound dressing change for a resident with multiple active wounds, including a pressure ulcer, abdominal surgical wounds, and ostomy care needs. The nurse changed gloves several times without cleaning hands between glove changes, despite the facility policy stating that glove use does not replace hand hygiene; the DON stated staff are expected to perform hand hygiene each time gloves are changed.
A resident with multiple psychiatric and neurological diagnoses experienced a discontinuation of medication and did not receive a psychiatric evaluation, without the responsible party being notified as required by facility policy. The family member was unaware of the medication change, which resulted in the resident being without the medication for several weeks and subsequently being sent to the hospital. Staff interviews confirmed that proper notification and follow-up were not completed.
A resident with anxiety disorder and dementia did not receive prescribed antidepressant medication for 22 days, despite documented behavioral symptoms and physician orders for behavior monitoring. The MAR lacked behavior documentation, and there was no psychiatric consultation order during this period, resulting in the resident being sent to the hospital.
Drugs and biologicals were not labeled according to professional standards, and medications, including controlled drugs, were not stored in locked or separately locked compartments as required.
A resident was transferred to an acute care hospital without proper documentation of the transfer order, reason for transfer, or notification to the resident's representative. Required information such as the bed hold policy and appeal rights was not provided, and staff interviews confirmed that the facility did not follow its own transfer and discharge policy.
Two residents were admitted without timely completion of baseline care plans. One resident with diabetes, heart disease, and a head injury had a care plan that lacked interventions for incontinence and catheter care, while another resident with a femur fracture and mobility issues had no baseline care plan documented. Staff interviews confirmed that baseline care plans were not completed as required within 48 hours of admission.
A resident with significant mobility impairments and a need for substantial assistance with ADLs did not receive regular personal hygiene or bathing as required. Documentation showed only sporadic care, and staff confirmed the lack of consistent hygiene services, with the care plan failing to address these needs.
A resident with a history of incontinence, diabetes, heart disease, and head injury was observed with an indwelling urinary catheter bag repeatedly positioned at waist level on a walker, contrary to infection control standards. Staff interviews revealed uncertainty about proper bag placement, and record review showed no physician order or justification for catheter use, in violation of facility policy. The LPN confirmed the lack of an order, and the administrator acknowledged expectations for proper documentation and care.
A resident with multiple comorbidities, including cerebral palsy, was not offered a substitute meal after refusing the menu meal. Despite being on a regular diet and having updated preferences and a liquid supplement ordered, staff removed the untouched meal tray without offering an alternative. Interviews confirmed that the expectation was to offer substitutes when meals are refused, but this was not done in this instance.
Improper Food Storage, Labeling, and Temperature Monitoring
Penalty
Summary
Food was not stored, labeled, dated, or discarded in accordance with professional standards and facility policy in the kitchen, pantry, dry storage area, and refrigerator areas. During observation of the dry storage and pantry areas, surveyors found a partially used open bag of Golden Dipt batter mix stored on top of a bread tray that was not sealed, labeled with an open date, or marked with an expiration date; Ready Care clear thickened orange juice packages with an expired use-by date; a partially used open bag of parmesan cheese with an expired use-by date; a whole sweet potato pie with an expired use-by date; a box containing a partially used open bag of thawed chicken legs with no open or expiration date and a malodorous aroma; and a tray of ground beef with an expired use-by date. Boxes of bread were also observed sitting on the floor in the middle of the pantry room, contrary to storage policy. In the front entry standing refrigerator, surveyors observed prepared pimento sandwiches dated 06/29/2026 and expired, pineapple pieces with no label, open date, or use-by date, thawed meat in a chafing pan with no marking identifying the meat or any open/use-by date, and prepared broccoli soup in a partially uncovered chafing pan dated 7/11 with no year or use-by date. Review of refrigerator temperature logs showed missing morning entries on 07/09/2026 and 07/11/2026, omitted evening temperature checks for 07/09/2026 through 07/14/2026, and blank Steam Table Food Temp logbook entries for 06/29/2026 through 07/17/2026. The Certified Dietary Manager, Administrator, and Corporate Nurse Consultant stated they expected staff to label food when opened and store and label food according to policy and accepted standards.
Missing Controlled Substance Documentation and Shift Count Signatures
Penalty
Summary
The facility failed to implement professionally accepted standards for dispensing, accountability, and reconciliation of controlled substances for one of four medication carts. Review of the facility policy on Controlled Substance Administration & Accountability showed that controlled substances removed from a non-automated medication cart were to be recorded on the designated usage form, and that the dose documented on the usage form had to match the MAR, Controlled Drug Record, or other facility-specified form. The policy also stated that the Controlled Drug Record was a permanent medical record document used with the MAR to document patient-specific narcotics dispensed from the pharmacy. During a medication administration observation, an LPN prepared morning medications for a resident who reported pain rated 6 out of 10 and removed one tablet of oxycodone/acetaminophen 5/325 mg from the resident’s medication card. The LPN administered the medication and documented it only in the eMAR, but did not document the removal or administration on the resident’s Controlled Drug Record form. During interview, the LPN stated she forgot to complete the Controlled Drug Record because she was nervous while being observed. Review of the 200 Hall medication cart narcotic count records also showed missing shift count signatures, including the incoming and outgoing nurses failing to sign at shift change on multiple occasions in July 2026 and multiple missing signatures in April 2026, including both nurses on some shifts and the outgoing nurse on others.
Food Served at Improper Temperatures
Penalty
Summary
The facility failed to ensure that food was served palatable, appetizing, and at acceptable temperatures for one sampled resident, R106. The facility policy titled Resident Nutrition Services stated that each resident is to be provided a nourishing, palatable, well-balanced diet that meets daily nutritional and special dietary needs while considering resident preferences. On 07/15/2026 at 1:15 PM, R106 complained that his spaghetti lunch was lukewarm and unappetizing, and the Certified Dietary Manager confirmed the spaghetti with meat sauce measured 123 F, below the expected standard for hot foods. On 07/18/2026 at 1:40 PM, observation of R106's lunch tray showed fried chicken that was dry, lacked steam, and measured 114.5 F, and R106 stated, "It's cold again. This is a constant problem, and I can't eat it like this." At 1:55 PM, the CDM confirmed that hot foods should be maintained at 135 F for palatability and stated that plates were pre-warmed and covered with domes, with trays transported on an open cart and served by hall in sequence.
Medication administrations documented under the wrong nurse’s credentials
Penalty
Summary
The facility failed to ensure a complete and accurate Medication Administration Record (MAR) for one of four medication carts. During observation of the morning medication pass, an LPN administered medications to three residents, and immediately after the pass the surveyor compared the medications given with the eMAR in the electronic medical record. The review showed that the medication administrations for all three residents were documented using the night shift nurse’s credentials instead of the administering nurse’s credentials. Review of timekeeping records showed that the night shift nurse had clocked out earlier that morning. The surveyor then reviewed another resident whose medications had been administered by the same LPN before the observed medication pass, and that resident’s eMAR also showed documentation under the night shift nurse’s login credentials even though the night shift nurse was no longer on duty. During a joint interview, the LPN stated she logged into the electronic medical record when she arrived for work, while the DON confirmed the administrations were documented under the night shift nurse’s credentials and stated it was possible the night shift nurse had not logged out of the electronic medical record on that cart.
Hand Hygiene Not Performed During Wound Care
Penalty
Summary
Failure to provide and implement an infection prevention and control program was identified when hand hygiene was not performed during wound care for R26. The facility policy titled Handwashing/Hand Hygiene stated that hand hygiene is the primary means to prevent the spread of infections, that glove use does not replace hand hygiene, and that staff should perform hand hygiene before applying non-sterile gloves and after removing gloves. During review, R26 was noted to have multiple active wounds and related conditions, including spina bifida, sepsis, paraplegia, protein-calorie malnutrition, an unstageable sacral pressure ulcer, a stage 2 pressure ulcer of the right buttock, abdominal wounds, urinary tract opening status, colostomy status, generalized muscle weakness, and reduced mobility. Active physician orders included wound care for the sacral pressure ulcer and surgical wound, negative pressure wound therapy to the midline surgical wound, enhanced barrier precautions, and ileostomy and colostomy care. During observation of a sacral pressure ulcer dressing change, the Wound Care Nurse performed the procedure with CNA assistance for positioning. The nurse cleaned and prepared the bedside table, performed hand hygiene, and applied PPE and gloves, but then removed and changed gloves multiple times without performing hand hygiene between glove changes. This occurred after removing the old dressing, after cleansing the wound with Dakin's solution, after patting the wound dry, and again after completing the treatment and before cleaning the bedside table. The nurse later confirmed that hand hygiene should have been performed between each glove change. The DON stated that staff were expected to perform hand hygiene each time gloves are changed because glove use does not replace hand hygiene.
Failure to Notify Responsible Party of Medication Change and Lack of Psychiatric Evaluation
Penalty
Summary
The facility failed to notify the responsible party of a change in medication and did not provide a psychiatric evaluation for one resident. According to the facility's policy, notification is required when there is a need to alter treatment, including new treatments or discontinuation of current treatments. Review of the electronic medical record showed that the resident had diagnoses including generalized anxiety disorder, dementia, psychotic disturbance, mood disturbance, anxiety, and delirium. Physician orders indicated a medication was reordered at a lower dose after consultation with the family to increase the dose, but there was no documentation that the responsible party was informed when the medication was discontinued or when a psychiatric consultation was not provided. A telephone interview with the resident's family member revealed confusion and concern about not being informed that the resident was no longer receiving the medication or a psychiatric consultation, resulting in the resident being without the medication for nearly three weeks. This led to increased anxiety and depression and ultimately the resident being sent to the hospital. Interviews with facility staff, including the nurse practitioner and the DON, confirmed that follow-up on the order and adherence to physician orders were not completed as required.
Failure to Document Behavior Monitoring and Administer Antidepressant Medication
Penalty
Summary
The facility failed to properly document behavior monitoring and ensure the administration of prescribed antidepressant medication for a resident with diagnoses including generalized anxiety disorder and unspecified dementia. The resident had a physician order for behavior monitoring related to the use of Sertraline, but the Medication Administration Record (MAR) showed no documented behaviors through a specified date, despite Nurses Notes and Progress Notes indicating episodes of crying, suicidal ideation, and anxiety. The resident was sent to the hospital for these symptoms. Additionally, there was a lapse in medication administration, as the resident did not receive Sertraline for 22 days after the dose was reduced and the medication was not reordered until after this period. Interviews with the resident's family and the nurse practitioner confirmed that there was an intention to increase the Sertraline dose and to order a psychiatric consultation, but the medication was not administered as ordered, and there was no documented order for psychiatric services during the relevant period. The Director of Nursing acknowledged that nurses are expected to follow physician orders and that behavior notes should serve as a warning sign, but these were not acted upon appropriately in this case.
Improper Labeling and Storage of Drugs and Biologicals
Penalty
Summary
Drugs and biologicals in the facility were not labeled in accordance with currently accepted professional principles. Additionally, all drugs and biologicals were not stored in locked compartments, and controlled drugs were not kept in separately locked compartments as required. These actions resulted in noncompliance with regulations regarding the proper labeling and secure storage of medications and biologicals within the facility.
Failure to Document Transfer/Discharge and Notify Resident of Rights
Penalty
Summary
The facility failed to properly document the transfer and discharge process for one resident who was transferred to an acute care hospital. The facility's policy requires a physician's order for emergency transfers, documentation of the reason for transfer, notification of the resident and their representative, and provision of information such as diagnoses, medications, and the bed hold policy. In this case, the resident, who was cognitively intact and required substantial assistance with activities of daily living, experienced stomach pain and bowel issues. Although the nurse practitioner was notified and treatment was provided, there was no documentation of a change in condition warranting transfer, no physician's order for the transfer, and no evidence that the resident's responsible party was notified. Interviews with facility staff, including the DON and ADON, confirmed that required documentation and notifications were missing from the resident's electronic medical record. Staff were unable to locate records of the transfer order, the reason for transfer, or evidence that the bed hold policy and appeal rights were communicated to the resident or their representative. The facility's failure to follow its own transfer and discharge policy resulted in the resident and their representative potentially being uninformed about the transfer process and their rights.
Failure to Complete Baseline Care Plans Within 48 Hours of Admission
Penalty
Summary
The facility failed to complete a baseline care plan within 48 hours of admission for two residents. For one resident admitted with type two diabetes mellitus, heart disease, and a head injury, the baseline care plan documented in the electronic medical record noted incontinence and the presence of an indwelling catheter, but did not include any interventions, rendering the care plan incomplete. Staff interviews confirmed that while nursing staff were aware of the catheter and responsible for ensuring appropriate orders, they did not take responsibility for completing the care plan. For another resident admitted with a displaced intertrochanteric fracture, gait abnormalities, and generalized muscle weakness, the electronic medical record did not contain a baseline care plan addressing the resident's needs. This resident was cognitively intact and required substantial to maximal assistance with toileting, personal hygiene, and showering. Interviews with facility leadership confirmed the expectation that baseline care plans should be completed within 48 hours of admission, and that floor nurses were responsible for initiating these plans.
Failure to Provide Required ADL Assistance and Personal Hygiene
Penalty
Summary
A deficiency was identified when a resident who was dependent on staff for activities of daily living (ADLs), including personal hygiene and bathing, did not receive the necessary care as required by facility policy. The resident, admitted with a displaced intertrochanteric fracture of the left femur, gait and mobility abnormalities, and generalized muscle weakness, was assessed as cognitively intact but required substantial to maximal assistance with toileting, personal hygiene, and showers. Despite these needs, the resident's care plan did not address self-care deficits related to personal hygiene and bathing. Review of documentation revealed that the resident received personal hygiene on only a few occasions at the end of May and a single shower in June, with no further documentation of personal hygiene provided for the month of June. Staff interviews confirmed that the records did not show the resident received personal hygiene or baths/showers as needed. The administrator also acknowledged, upon review, that the resident did not receive the required care.
Failure to Ensure Proper Catheter Management and Documentation
Penalty
Summary
Staff failed to ensure proper management of an indwelling urinary catheter for a resident who was always incontinent of bowel and bladder and had a history of type two diabetes mellitus, heart disease, and head injury. The resident was observed multiple times with the urinary drainage bag attached to the second bar of a rolling walker at waist level, rather than positioned below the level of the bladder as required to prevent backflow and potential contamination. During one observation, urine with sediment was seen backing up into the tubing near the resident's bladder area. A Certified Nursing Assistant (CNA) stated that the resident preferred the bag on the walker for easier bathroom access and was unsure how to position the bag lower to promote proper drainage. Additionally, a review of the resident's medical record revealed there was no physician order or documented justification for the use of the indwelling catheter, despite facility policy requiring such documentation. A Licensed Practical Nurse (LPN) confirmed the absence of an order for the catheter. The facility's policy also required timely assessment for catheter use and criteria for discontinuation, which was not documented in this case. The administrator acknowledged the expectation for a medical diagnosis and adherence to catheter management policies for all residents with indwelling catheters.
Failure to Offer Substitute Meal After Resident Refusal
Penalty
Summary
A deficiency occurred when a resident with multiple comorbidities, including cerebral palsy, was not offered a substitute meal after refusing the meal provided on the menu. The resident was on a regular diet and was independently able to eat, as documented in the electronic medical record. The care plan included interventions to update preferences and provide a liquid supplement three times daily. Despite these interventions, direct observation revealed that a CNA removed the resident's untouched meal tray without offering an alternative meal. The CNA confirmed that no substitute was offered, stating that the resident never eats anything. Interviews with the resident confirmed that no alternative was offered after the meal was refused. The Registered Dietitian, Administrator, and DON all stated that their expectation was for staff to offer substitute meals to residents who refuse or consume less than 25% of their meals. However, the staff did not follow this protocol, resulting in the resident not being provided with an alternative meal option as required by facility policy and standard practice.
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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 Canton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Cherokee Center For Nursing And Healing Llc | 1.3 mi | ★★★★★ | 5 | 0 |
| Woodstock Center For Nursing And Healing Llc | 10.2 mi | ★★★★★ | 2 | 0 |
| Pruitthealth - Jasper | 16.5 mi | ★★★★★ | 0 | 0 |
| Jasper Point Of Journey Llc | 16.7 mi | ★★★★★ | 14 | 0 |
| Wildwood Health And Rehab | 16.8 mi | ★★★★★ | 2 | 0 |
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