Above average — CMS composite of the measures below.
The next survey window likely opens around May 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Keysville Nursing Home & Rehab during CMS and state inspections, most recent first.
Failure to transmit a Discharge MDS timely for a resident who died. Record review showed the resident's MDS was not updated after death, and the MDS Coordinator acknowledged she did not complete the update within the required 14-day timeframe. The Administrator stated the MDS Coordinator was responsible for making these updates.
A resident admitted with multiple diagnoses, including spinal fusion, spinal stenosis, anemia, hyperlipidemia, depression, anxiety, polyneuropathy, and HTN, did not have a baseline care plan developed within 48 hours of admission. Facility policy required the baseline care plan to include initial goals based on admission orders, physician orders, dietary orders, therapy services, social services, and PASSAR recommendations, but the MDS Coordinator acknowledged the plan was not completed on time and the Administrator confirmed the 48-hour requirement.
Incomplete Care Plans for Residents with Foley Catheters: The facility failed to include Foley catheter care in the comprehensive care plans for two residents. One resident had diagnoses including HTN, DM, Alzheimer's disease, and BPH, with an MDS showing an indwelling catheter and MD orders for catheter site assessment and catheter care every shift, but no catheter plan was in the care plan. Another resident's MDS triggered urinary incontinence and indwelling catheter, and MD orders included Foley catheter care, but the care plan still did not address the Foley. The MDS Coordinator said the comprehensive care plan had not yet been updated, and the DON, IP, and Administrator confirmed the care plan was incomplete.
Incorrect Oxygen Flow Rate: A resident with an order for continuous oxygen at 2 L/min via nasal cannula was observed on multiple occasions receiving oxygen at 3 L/min. An LPN confirmed the ordered flow rate should have been 2 L/min, later verified the oxygen was actually set at 3 L/min, and stated oxygen flow rates are checked once each shift. The DON stated the charge nurse should monitor oxygen levels every shift and as needed.
A resident with moderate cognitive impairment reported to a family member that they were struck on the head, and the family member observed abrasions. The allegation was not immediately reported by the family, but later communicated to an LPN, who assessed the resident but did not document findings. The facility's investigation lacked comprehensive documentation, including missing witness statements and progress notes, and did not follow policy requirements for a thorough abuse investigation.
Failure to Transmit Discharge MDS Timely
Penalty
Summary
The facility failed to transmit a Discharge MDS within 14 days after completion for one sampled resident, R20. Review of R20's clinical record showed that the resident died on [DATE] at 5:50 AM, and review of the MDS listing showed a Quarterly MDS dated [DATE]. Further review of the current MDS listing showed no updates or modifications to the MDS after R20's death. During interview, the MDS Coordinator stated that she was responsible for updating the MDS when a resident is discharged or passes away and acknowledged that she failed to update the MDS within 14 days of R20's death. The Administrator stated that the MDS Coordinator was responsible for updating the MDS and was expected to do so within 14 days of any changes.
Failure to Complete Baseline Care Plan Within 48 Hours
Penalty
Summary
The facility failed to develop and implement a baseline care plan within 48 hours of admission for one newly admitted resident, R5. Record review showed that R5 was admitted with a past medical history that included spinal fusion, spinal stenosis, anemia, hyperlipidemia, depression, anxiety, polyneuropathy, and hypertension, but the baseline care plan was not developed until 05/18/2026. Facility policy titled "Baseline Care Plan" stated that a baseline care plan would be developed and implemented for each resident within 48 hours of admission and would include initial goals based on admission orders, physician orders, dietary orders, therapy services, social services, and PASSAR recommendations. During interview, the MDS Coordinator stated she was responsible for creating the baseline care plan within 48 hours of admission and acknowledged that R5's plan was not completed within that timeframe. The Administrator also stated that baseline care plans should be completed within 48 hours of admission.
Incomplete Care Plans for Residents with Foley Catheters
Penalty
Summary
The facility failed to develop comprehensive care plans for two sampled residents with Foley catheters, R7 and R5. Facility policy titled "Comprehensive Care Plans" stated that the care planning process would include an assessment of the resident's strengths and needs and that the comprehensive plan would be developed within seven days after the comprehensive MDS assessment, with all triggered CAAs considered. Review of R7's record showed diagnoses including hypertension, diabetes mellitus, Alzheimer's disease, and benign prostatic hyperplasia, and the quarterly MDS dated 05/25/2026 documented that R7 required an indwelling catheter. R7's physician's orders included catheter site assessment and catheter care every shift for urinary retention, but the care plan contained no plan for an indwelling catheter. Review of R5's record showed the admission MDS dated 05/20/2026 triggered urinary incontinence and indwelling catheter in the CAA summary. R5's physician's orders dated 05/14/2026 indicated an indwelling Foley and Foley catheter care, but the care plan did not include a Foley catheter plan. During interviews, the MDS Coordinator stated the care plan had not yet been updated and the comprehensive care plan still needed to be completed, while the Infection Preventionist, DON, and Administrator confirmed the care plan was not complete or did not accurately reflect the residents' care needs.
Incorrect Oxygen Flow Rate
Penalty
Summary
Provide safe and appropriate respiratory care for a resident when needed was not met when R28, who had a physician order for oxygen at 2 L/min via nasal cannula continuously, was observed wearing oxygen at 3 L/min on multiple occasions. Facility policy stated oxygen is administered under physician orders except in an emergency. During observations on 06/06/2026 at 8:17 AM and 2:52 PM and on 06/07/2026 at 9:48 AM, R28 was noted to be receiving oxygen at 3 LPM. An LPN confirmed the ordered flow rate should have been 2 LPM and initially verified the oxygen was set at 2 LPM, but later, after reviewing the observation, confirmed the oxygen was actually set at 3 L/min and adjusted it to the ordered rate of 2 L/min. The LPN stated oxygen flow rates are checked once each shift, and the DON stated the charge nurse should monitor oxygen levels every shift and as needed.
Failure to Thoroughly Investigate Abuse Allegation
Penalty
Summary
The facility failed to thoroughly investigate an allegation of abuse involving one resident with moderate cognitive impairment and a history of dementia, anxiety, and depression. The incident was reported after a family member was informed by the resident that someone had struck them on the head with a book, and the family member observed two small abrasions on the resident's head. The family member did not immediately report this to staff, but later relayed the information during a routine call with an LPN, who then assessed the resident but did not document any findings or complete a progress note. The facility's investigation was incomplete, as it lacked documentation of a thorough assessment of the resident following the allegation, including a skin assessment or other interventions. The investigation file contained only two witness statements, neither of which were from staff or residents who may have witnessed the event. The DON reviewed camera footage and interviewed the alleged perpetrator, another resident, but did not document interviews with other staff or residents. The facility's policy required comprehensive documentation and interviews, which were not followed in this case. Interviews with facility leadership confirmed that the expected procedures for investigating abuse allegations were not met. The DON and Administrator acknowledged that interviews and assessments were not properly documented or retained, and that the investigation did not include all necessary steps as outlined in facility policy. This failure resulted in an incomplete investigation of the abuse allegation for the resident.
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Illustrative
What surveyors actually found near you
We read the 68 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Blythe
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Gracewood Nsg Facility(unit 9) | 6.2 mi | ★★★★★ | 0 | 0 |
| Place At Deans Bridge, The | 6.3 mi | ★★★★★ | 0 | 0 |
| Pruitthealth - Creekside | 8.9 mi | ★★★★★ | 0 | 0 |
| Pruitthealth - Augusta | 9.4 mi | ★★★★★ | 0 | 0 |
| Pruitthealth - Richmond, Llc | 9.5 mi | ★★★★★ | 0 | 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 August 2026) and official state health department websites.