Above 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 Dade Health And Rehab during CMS and state inspections, most recent first.
A resident with significant mobility and self-care deficits, including dependence on staff for bathing and complete bowel and bladder incontinence, was care planned and scheduled to receive showers three times per week with additional PRN bathing. Facility policy required provision of ADL care, including bathing, based on assessment and care plan. The resident and the POA reported that scheduled showers were frequently missed, and the POA attributed this to insufficient staffing. The shower CNA stated she lacked time to complete all scheduled showers and relied on other CNAs to finish them, with documentation on paper shower sheets. Another CNA was unsure if the resident had received a shower. Review of available shower sheets and EMR entries showed the resident received substantially fewer showers than scheduled over a two‑month period, and the DON could not explain the discrepancy.
Failure to Provide Scheduled Showers as Care Planned: A resident with significant ADL dependence, incontinence, and impaired mobility was care planned for showers three times weekly with Hoyer lift assistance, but showers were not consistently provided as scheduled. The resident, POA, CNAs, and DON all described missed showers, and documentation showed fewer showers than expected. The DON confirmed the shower-related care plan was not implemented as written.
A survey revealed that a facility failed to discard expired medications, including syringes, hydrogel dressings, Povidone-iodine, and flu vaccines, as per their policy. The DON and IP confirmed that no expired medications were administered, and the WCN verified that flu vaccines given were from a non-expired batch.
The facility failed to follow proper infection control practices during medication administration and management of non-critical resident-care items. Two LPNs did not perform hand hygiene before or after medication preparation and administration for multiple residents. Additionally, wash basins and urinals were found unlabeled, unbagged, and improperly stored in several rooms. The DON confirmed the expectations for hand hygiene and item management, but the practices observed did not align with the facility's policies.
The facility failed to maintain a clean and safe environment in five rooms, with issues such as broken tiles, dirty HVAC vents, and damaged PTAC units. The Maintenance Director confirmed these conditions were due to a lack of housekeeping supervision, leading to delayed maintenance and cleaning.
The facility failed to maintain clean and properly set oxygen concentrators for two residents receiving oxygen therapy. Observations showed that the concentrators were dirty, with tubing on the floor and incorrect oxygen settings. One resident had COPD and CHF, while the other had a history of pneumonia and COVID-19. The Director of Nursing admitted to not auditing the machines as required, leading to potential risks for the residents' respiratory care.
Failure to Provide Scheduled Bathing Assistance for Dependent Resident
Penalty
Summary
The deficiency involves the facility’s failure to provide scheduled and needed bathing assistance for a dependent resident in accordance with the facility’s Activities of Daily Living policy and the resident’s care plan. The policy required the facility to provide care and services for bathing based on the comprehensive assessment and to ensure residents who are unable to carry out ADLs receive necessary services to maintain grooming and personal hygiene. The resident’s care plan documented self-care deficits in ADLs, with goals for the resident to remain neat, clean, odor-free, and dignified, and specified that bathing and showering were to be completed per facility policy and as needed. The resident, who was admitted with impaired coordination, abnormal gait, difficulty walking, generalized muscle weakness, muscle spasms, morbid obesity, and complete bowel and bladder incontinence, was assessed on the MDS as having little to no cognitive impairment but significant functional limitations. The MDS showed the resident required substantial to maximal assistance with eating and was dependent on staff for oral hygiene, toileting hygiene, showering/bathing, dressing, and personal hygiene. The care plan required use of a Hoyer lift with two staff for transfers and indicated that bathing and showering, including regular shampooing and nail care, were to be provided per policy. The EMR task list specified that the resident was to receive bathing on Tuesday, Thursday, Saturday, and PRN. Surveyor observations and interviews showed that the resident expected a shower on a scheduled shower day but reported the next morning that the shower had not been provided and that scheduled showers were frequently missed despite her and her family’s reports of concern. The resident’s POA expressed dissatisfaction, stating that insufficient staffing resulted in the resident not being bathed regularly. The shower team CNA reported she did not have enough time to complete all scheduled showers and that other CNAs were expected to complete remaining showers, with documentation on paper shower sheets. Another CNA stated she was unsure whether the resident had received a shower and confirmed that if the shower CNA could not complete all showers, other staff were expected to do so. Review of available shower sheets and EMR records for the prior two months showed the resident received only five showers in February and three in March through mid-month, significantly fewer than the three-times-per-week schedule. The DON acknowledged the facility strives for three showers per week but was unable to explain why the resident received fewer showers than scheduled.
Failure to Provide Scheduled Showers as Care Planned
Penalty
Summary
The facility failed to ensure that care plan interventions related to ADL bathing and showers were implemented for a resident with self-care deficits. The resident had a history of impaired coordination, abnormal gait, difficulty walking, generalized muscle weakness, muscle spasms, and morbid obesity. The quarterly MDS showed a BIMS score of 15, impairment in both upper and lower extremities, dependence on staff for showering/bathing, oral hygiene, toileting hygiene, dressing, and personal hygiene, and bowel and bladder incontinence. The care plan documented that the resident’s needs would be met through staff and family efforts, with the resident remaining neat, clean, odor-free, and with dignity maintained. Interventions included use of a Hoyer lift with two staff members and bathing and showering per facility policy and as needed, including regular shampooing and nail care. The EMR task list showed bathing scheduled for Tuesday, Thursday, Saturday, and PRN. During observation and interview, the resident stated she was unable to care for herself and required significant assistance, including a lift to get out of bed, and said she expected a shower on her scheduled shower day. Interviews with the resident’s POA, CNAs, and the DON showed that showers were not consistently completed as scheduled. The POA stated staffing was insufficient and the resident was not bathed regularly. A shower team CNA stated there was not enough time to provide showers to all scheduled residents and that other CNAs were expected to complete missed showers. Review of shower documentation showed the resident received fewer showers than scheduled in February and March. The DON stated the facility strives to provide showers three times per week but is sometimes unable to meet this schedule, could not explain why the resident received fewer showers than expected, and confirmed the resident’s care plan related to shower preferences was not implemented as written.
Expired Medications Found in Storage
Penalty
Summary
The facility failed to ensure that all drugs and biologicals were discarded prior to their expiration date, as observed during a survey. Nine medications were found to be past their expiration date, including syringes, hydrogel dressing adhesives, Povidone-iodine solution, and influenza vaccines. These expired items were discovered in the medication storage room and refrigerator, indicating a lapse in the facility's adherence to its policy on medication storage, which mandates the immediate removal and disposal of outdated medications. Interviews with the Director of Nursing (DON) and the Infection Preventionist (IP) revealed that the expired medications had not been administered to any residents or staff. The DON acknowledged the oversight and removed the expired items immediately. The IP and the Wound Care Nurse (WCN) confirmed that the flu vaccines administered during the current season were from a different, non-expired batch, with records available to verify the lot numbers and expiration dates. The facility's failure to remove expired medications from stock posed a potential risk to residents, although no adverse events were reported.
Infection Control Deficiencies in Medication Administration and Item Management
Penalty
Summary
The facility failed to adhere to proper infection control practices during medication administration, as observed with two LPNs. LPN CC did not perform hand hygiene before or after medication preparation and administration for three residents, even after touching a resident's straw and bedrails. LPN CC admitted to not knowing the specific times to perform hand hygiene and acknowledged the oversight. Similarly, LPN AA did not perform hand hygiene before or after medication preparation and administration for two residents, despite using gloves multiple times during the process. LPN AA also acknowledged the failure to perform hand hygiene between residents. Additionally, the facility did not properly manage non-critical resident-care items, such as wash basins and urinals, in several rooms. Observations revealed that these items were unlabeled, unbagged, and improperly stored on the bathroom floor or sink. During a facility tour, the DON and LPNs confirmed that the items were supposed to be bagged and labeled, and should not be stored on the floor or sink. However, there was uncertainty about who was responsible for cleaning and managing these items. The DON stated that it was expected for nurses to perform hand hygiene before and after using gloves, between residents, and when entering and exiting rooms. The facility's policies on medication administration and cleaning non-critical items were not followed, leading to potential cross-contamination risks. The DON also mentioned that in-services were conducted in January 2025, but the observed practices did not align with the facility's infection control policies.
Facility Fails to Maintain Clean and Safe Environment
Penalty
Summary
The facility failed to maintain a safe, clean, and homelike environment in five rooms across two of the three halls. Observations revealed broken tiles in toilet areas, dirty ceiling HVAC vents in bathrooms, dirty bathroom exhaust vent fans, and a dirty, damaged PTAC unit. During the initial tour, it was noted that the PTAC filter was dirty with particles falling out, and the bathroom ceiling exhaust vent fans were unclean. Further observations confirmed these conditions persisted over several days, indicating a lack of timely maintenance and cleaning. Interviews with the Maintenance Director (MD) confirmed the unacceptable conditions of the ceiling return air vents, flooring, and PTAC units. The MD acknowledged the issues, attributing them to the absence of a housekeeping supervisor, which led to the maintenance department falling behind on cleaning duties. Despite the challenges, the MD admitted there was no excuse for the state of the facilities and recognized the need for immediate rectification.
Deficient Oxygen Concentrator Maintenance for Two Residents
Penalty
Summary
The facility failed to ensure proper maintenance and cleanliness of oxygen concentrators for two residents, R20 and R9, who were receiving oxygen therapy. Observations revealed that R20's oxygen concentrator was covered with a fluffy, brown/gray/white substance, and the tubing was found on the floor. The humidifier bottle was empty, and the straw was crusted over. Despite physician orders for the oxygen to be set at 3 liters per minute, the concentrator was observed to be set at 2 liters per minute. The Director of Nursing (DON) admitted to not auditing the machines as required. R20 was admitted with chronic obstructive pulmonary disease (COPD), emphysema, congestive heart failure (CHF), and anxiety disorder. The resident's care plan included monitoring for signs of CHF exacerbation and administering oxygen at 3 liters per minute as needed. However, the observations indicated that the oxygen concentrator was not maintained according to the facility's policy, potentially compromising the resident's respiratory care. Similarly, R9's oxygen concentrator was found to be unclean, with a gray, fuzzy substance on the filter, and the tubing was on the floor. The concentrator was set at 1.5 liters per minute, contrary to the physician's order of 2 liters per minute. R9, who had a history of pneumonia and COVID-19, was severely cognitively impaired and required oxygen therapy. The facility's failure to maintain the oxygen concentrators as per policy and physician orders posed a risk to the residents' health and safety.
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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 Trenton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Cumberland Health And Rehab | 11.6 mi | ★★★★★ | 0 | 0 |
| Signature Healthcare Of South Pittsburg Rehab & We | 14 mi | ★★★★★ | 0 | 0 |
| Nhc Healthcare Rossville | 17.6 mi | ★★★★★ | 0 | 0 |
| Pruitthealth - Lafayette | 18.1 mi | ★★★★★ | 3 | 0 |
| Center For Advanced Rehab At Parkside, The | 18.4 mi | ★★★★★ | 10 | 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.