Above average — CMS composite of the measures below.
The next survey window likely opens around January 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 Effingham Care & Rehabilitation Center during CMS and state inspections, most recent first.
Food items were found unlabeled and undated in kitchen and resident storage areas, including opened beverages, cheese, salad dressing, pizza rolls, ice cream, and sherbert. Staff also failed to maintain sanitary food handling practices: a freezer lacked an independent thermometer, cold foods on the tray line were not kept on ice, a dishwasher moved from soiled to clean dishes without hand hygiene, and a cook did not sanitize the thermometer between food items. During service, a chef salad and tuna salad on a resident tray were measured at 64 degrees F and 50 degrees F, respectively, and the RD observed wet "clean" equipment and bowls.
MDS assessments were coded inaccurately for three residents. One resident with schizophrenia had a PASARR II in the record, but the annual MDS incorrectly showed no PASARR II. Another resident with dementia, bipolar disorder, anxiety, and PTSD had a PASRR Level II in the chart, but the annual MDS incorrectly marked the PASRR question as No. A third resident’s quarterly MDS used the wrong weight date, causing an incorrect weight-loss calculation and an inaccurate MDS entry.
Failure to Provide Individualized Activity Program: A resident with moderate cognitive impairment, depression, anxiety, and vascular dementia had documented preferences for music, books, puzzles, and other individualized activities, but records and observations showed limited participation and repeated lack of staff invitation or encouragement to attend group activities. The resident stated staff did not offer activities or books, while activity staff were observed engaging only residents already in common areas and not notifying residents in the hallways or in rooms.
A resident with DM, diabetic neuropathy, and foot osteoarthritis did not receive ordered podiatry follow-up for thick toenails. The resident’s toenails were observed to be long, thick, discolored, and uncomfortable, while the chart lacked documentation of podiatry care or a scheduled follow-up despite a prior podiatry note calling for routine foot care and a later physician request for nail treatment and foot evaluation. Staff, including the DON, confirmed the resident was not seen as ordered.
A resident with dementia, bipolar disorder, anxiety, PTSD, anemia, PVD, and DM had full upper dentures and a bottom partial with poor dentition. The RD documented that the resident’s dentures did not fit well, the resident requested a dental visit due to trouble with dentures, and a dental consult remained pending. The resident stated the dentures hurt her gums and that she had not seen a dentist since admission. The SSD/AD said mobile dental initially thought the resident was still at another facility, and the DON stated residents were expected to be seen on the next dental visit after referral.
Unlabeled Food Items and Unsafe Food Handling
Penalty
Summary
Food items were found unlabeled and undated in multiple storage areas and during resident meal service. In the kitchen refrigerator, a plastic container of tuna salad was observed with no label, and the Dietary Manager confirmed the container had no label. In the residents' refrigerator in the activity room, an opened bottle of Hawaiian punch was not dated, a half-used bag of shredded mozzarella cheese was unlabeled as to when opened, and a bottle of green goddess salad dressing had no label or date it was opened. In the freezer, two opened bags of pizza rolls, one box of vanilla ice cream, and one tub of rainbow sherbert were also found without labels showing when they were opened. Sanitation and food handling practices were also observed to be deficient. A freezer outside the kitchen did not have a thermometer inside, and the Dietary Manager stated thermometers were not placed in freezers even though the facility policy required one. During tray line service, chef salads, hard-boiled eggs, tuna salad, and chicken salad sandwiches were placed on a wire rack without ice or another method to keep them cold. The dishwasher was observed handling soiled dishes and then pulling clean dishes from the dishwasher without removing gloves or performing hand hygiene. A cook tested multiple hot foods on the steam table and wiped the thermometer with a paper towel between items rather than sanitizing it. Temperature control concerns were also documented during meal service and sanitation observations. The Dietary Manager tested a chef salad on a resident tray and found it at 64 degrees F, and the tuna salad on the tray was 50 degrees F. The Registered Dietician confirmed that mayonnaise is a potentially hazardous ingredient in the chicken and tuna salad recipes. During a sanitation tour, the Registered Dietician observed a blender that was supposed to be stored clean and air dried but was wet inside with water dripping from the lid, and three racks of bowls identified as clean and dry were stacked together and wet inside.
MDS Assessments Were Coded Incorrectly for PASRR Status and Weight Loss
Penalty
Summary
The facility failed to ensure MDS assessments accurately reflected resident status for three residents reviewed for MDS accuracy. For R9, the EMR showed a diagnosis of paranoid schizophrenia and a PASARR II document completed in the record, but the annual MDS coded Section A as if no PASARR II had been completed; the MDSC confirmed the coding was incorrect. For R20, the EMR showed diagnoses including vascular dementia, bipolar disorder, generalized anxiety disorder, and PTSD, and a PASRR Level II document identified major depressive disorder, PTSD, and anxiety disorder, but the annual MDS marked the PASRR Level II question as No. The MDSC reviewed the record and stated R20 did have a PASRR II and that the item had been marked in error. For R69, the quarterly MDS documented a BIMS score of 13 and marked the weight-loss item as Yes, but the weight history used for the assessment did not match the weights in the Vitals tab. The RD note referenced a 180-day weight loss using a weight of 137 lbs. on 07/28/2025, while the EMR weights showed 122 lbs. on 07/23/2025 and no 137-lb. weight on 07/28/2025. The DON confirmed the 137-lb. weight was not found, and the RD stated the 137-lb. entry was taken from the prior year and that the MDS was coded in error because the wrong date was used for the weight calculation.
Failure to Provide Individualized Activity Program
Penalty
Summary
The facility failed to provide an ongoing activity program to meet the individual interests and needs of one resident, R8, who had diagnoses including hemiplegia and hemiparesis following cerebral infarction affecting the left non-dominant side, major depressive disorder recurrent, anxiety disorder, and vascular dementia. The annual MDS showed a BIMS score of 8, indicating moderate cognitive impairment. The resident’s preferences documented that listening to music was very important, and that being around animals, keeping up with the news, going outside for fresh air, and doing favorite activities were somewhat important. The care plan noted cognitive and communication deficits, memory loss, and that the resident usually understood and needed reminders and assistance to activities, with an intervention for staff to encourage participation in group activities of interest. Records showed the resident attended limited activities and primarily self-directed activities, with 4 group activities and 6 self-directed activities in December 2025, and 1 group activity and 14 self-directed activities in January 2026. The January and February activity calendars included multiple Bingo events, musical events, and puzzle/game activities, but the resident did not attend or refuse those events. During interview and observation, the resident stated she watched TV for activity, liked to read books, do puzzles, and listen to music, and said staff did not come around or offer any activities. Her room had the TV on, but no radio, books, audiobooks, or puzzle books were visible or within reach. Observations on multiple days showed the resident resting in bed with the TV playing, while activities occurred in common areas. Staff were observed encouraging residents already seated in the common room to participate in activities such as piano/church music and pizza making, but no staff were observed going to the hallways or inviting the resident to attend. During interview, the resident stated no one invited her to activities, including Bingo, and that no one allowed her to decide for herself whether to attend. The SSD/AD stated the department had word searches, adult coloring, i-pods with music, and library books available, and stated she was unaware the resident liked books. The DON stated activities help create quality of life and wanted activities improved across the facility.
Failure to Provide Ordered Podiatry Foot Care
Penalty
Summary
The facility failed to ensure a resident with diabetes mellitus with diabetic neuropathy and primary osteoarthritis of both ankles and feet received assistance with toenail care by podiatry as ordered by the physician. The resident’s annual MDS documented moderate cognitive impairment, and the care plan identified the resident as at risk for diabetic foot ulcer/injury with a goal of being free of diabetic foot complications, but it did not include a specific intervention for toenail care or a podiatry consult. During observation and interview, the resident stated the podiatrist did not see her when he came, and her toenails were observed to be long, thick, discolored, and causing discomfort. Record review showed no documentation of podiatry care in the progress notes from 07/01/2024 to present. A prior podiatry consult documented manual debridement of the nails and follow-up in 3 months for routine foot care, but the follow-up was not found to have been scheduled. A later physician request for services asked for the podiatrist to evaluate and treat thick nails and perform general foot care evaluation to prevent pain, ulcers, infection, and circulatory problems, but the resident still had not been seen. Staff interviews confirmed the follow-up should have been scheduled, documentation could not be located, and the DON stated the resident should have been seen by the podiatrist and was not seen as ordered.
Failure to Arrange Dental Services for Poorly Fitted Dentures
Penalty
Summary
The facility failed to arrange dental services for R20 regarding poorly fitted dentures. R20 was admitted with diagnoses including vascular dementia, bipolar disorder, generalized anxiety disorder, PTSD, iron deficiency anemia, peripheral vascular disease, and diabetes mellitus. The care plan identified that R20 was dependent on staff for ADLs due to impaired mobility and needed assistance with oral care, and noted that she had full upper dentures and a bottom partial with two natural teeth on the bottom. The RD documented that R20 could feed herself with set-up, had missing teeth and partials, and that her teeth on the bottom were in poor condition with no teeth on top. The record showed that R20 reported her dentures did not fit well and requested to see a dentist. A Dietician/Nursing/Physician Communication Form also documented her request for dental evaluation due to trouble with dentures, and later progress notes stated that a dental consult was pending. During interview, R20 stated her dentures hurt her gums because they were flat from sitting in the cup and that she had been put on the list to see the dentist but had not seen the dentist since admission. The SSD/AD stated she scheduled dental consults for resident requests, that mobile dental had initially thought R20 was still at another facility, and that R20 was not re-enrolled until the day of the interview. The DON stated the expectation was that residents should be seen on the next visit after a dental referral, and if not seen, there should be documentation in the EMR with the reason why.
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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 Springfield
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pruitthealth - Seaside | 18.4 mi | ★★★★★ | 12 | 0 |
| Ridgeland Nursing Center Inc | 18.9 mi | ★★★★★ | 7 | 2 |
| Resorts At Pooler Inc | 19.8 mi | ★★★★★ | 6 | 0 |
| Sprenger Healthcare Of Bluffton | 21.2 mi | ★★★★★ | 0 | 0 |
| Nhc Healthcare - Bluffton | 21.6 mi | ★★★★★ | 1 | 0 |
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