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 Corning Specialty Care during CMS and state inspections, most recent first.
Improper Insulin Pen Priming and Administration: An LPN failed to properly prime and administer Lantus with an insulin pen for a resident with diabetes. During observation, the pen was held horizontally, primed incorrectly, and the injection was held in place for under 3 seconds instead of following the manufacturer’s instructions and the DON’s described technique.
Bare hand contact with resident food occurred during meal prep, service, and feeding assistance. A cook used bare fingers and hands to handle cake, sandwiches, buns, and bread items, and did not perform hand hygiene again until the dietary manager intervened. A resident with CVA, dementia, malnutrition, and severe cognitive impairment also had a sandwich handled with bare hands by a CNA before it was placed in the resident's hand to eat; the DON stated staff were expected to wear gloves when touching resident food.
A resident with cognitive capacity and physical dependence for toileting hygiene was repeatedly told by a CNA to clean himself after incontinence episodes, despite care plan directives for staff assistance. Multiple staff witnessed or reported the CNA using disrespectful language and refusing care, resulting in the resident becoming visibly upset and distressed. Facility policies require staff to treat residents with dignity and follow care plans, which was not upheld in this case.
Staff failed to immediately report observed verbal abuse by a CNA toward a resident, resulting in a delay in notifying the DON and administration. Multiple staff witnessed the incident and the resident became visibly upset, but the required immediate reporting protocol was not followed, allowing the CNA to continue working with the resident until the incident was eventually reported.
The facility failed to implement comprehensive care plans for several residents, leading to discrepancies between physician orders and care plans. A resident's care plan did not match oxygen settings, while others lacked interventions for behavioral issues despite being on psychotropic medications. These deficiencies indicate a systemic issue in care planning, potentially affecting care quality.
The facility failed to identify target behaviors for psychotropic medication use for five residents, leading to a deficiency in medication management. Residents with varying cognitive impairments were prescribed psychotropic medications without specified target behaviors in their physician orders or care plans. The facility's administration acknowledged the issue, and no policy was provided for target behavior identification.
The facility failed to store food according to professional standards, with multiple open and undated items and expired food found in storage. Additionally, staff did not consistently wear hair nets in the kitchen, violating hygiene policies. These deficiencies were acknowledged by the Dietary Services Manager and observed during a survey.
A facility failed to update a resident's Care Plan to include a newly inserted indwelling catheter. The resident, with intact cognition and a history of multiple health conditions, had been using the catheter for about six months. Despite a physician order dated 12/03/24, the Care Plan last revised on 11/19/24 did not reflect this change. The DON confirmed the oversight, which was against the facility's policy requiring Care Plan updates for significant condition changes.
A resident with moderate cognitive impairment was pushed in a wheelchair without footrests by staff members on two occasions, contrary to facility guidelines. Staff interviews confirmed the requirement for footrests to prevent injuries, yet observations showed non-compliance with this safety protocol.
A resident with type 2 diabetes was prescribed 50 units of Lantus insulin daily. An LPN was observed drawing only 46 units, which was less than the prescribed dosage. Upon verification, the LPN corrected the dosage to 50 units before administration. The facility's policy requires checking the medication label three times to ensure correct administration, which was not followed in this instance.
The facility failed to serve mechanically altered roast beef at an appetizing temperature to three residents. During lunch service, Staff A served dishes that were below the acceptable temperature, with mechanical soft roast beef at 99 and 97 degrees, and pureed roast beef at 92 degrees. The facility's policy requires such foods to remain above 135 degrees or be reheated to 165 degrees. Staff A acknowledged the deficiency and reheated the dishes to the appropriate temperature. The Administrator confirmed the expectation for adherence to the policy.
A resident reported a missing cell phone, but the facility failed to maintain an accurate inventory sheet of her belongings. The resident, with normal cognitive function, had a history of reporting missing items. The Business Office Manager and Social Services Coordinator were unable to verify the missing phone due to the absence of an inventory sheet, which was required by facility policy.
A resident with COPD was observed receiving continuous oxygen at 3 liters per minute, contrary to physician orders specifying administration only during the night shift. The facility's policy requires adherence to prescriber orders, but staff interviews revealed inconsistencies in following these orders, and the DON and Administrator acknowledged the expectation for compliance.
A resident with mild cognitive impairment and multiple medical conditions missed a scheduled tele-medicine appointment with a nephrologist due to a lack of documentation and follow-up by the facility. The appointment was not recorded in the resident's progress notes or the facility's appointment book, and staff interviews revealed the oversight was discovered later. The facility's admission orders require staff to obtain essential care information, but this process was not followed.
Improper Insulin Pen Priming and Administration
Penalty
Summary
The facility failed to properly prime an insulin pen and administer insulin according to manufacturer instructions for one resident who had diabetes and was receiving Lantus insulin 14 units subcutaneously daily. During observation of the AM medication pass, an LPN attached a needle to the insulin pen, held the pen horizontally, dialed it to 2, and pushed the button before dialing it to 14. The LPN then administered the insulin to the resident’s left abdomen and held the pen in place for under 3 seconds before removing it from the insertion site. The resident’s MDS documented diabetes and insulin use, and the care plan identified diabetes with insulin medication. Staff interviews showed that another nurse described the correct pen technique as dialing to 2, holding the pen straight up to prime until a bubble appears, then dialing to the ordered dose and holding the pen in place for 10 seconds after injection. The DON stated the facility did not have a policy for insulin pens and expected staff to follow manufacturer instructions. The Lantus manufacturer instructions required dialing to 2 units, holding the pen with the needle pointed up to prime, confirming insulin comes out of the needle, then dialing to the prescribed dose and holding the pen in place for at least 10 seconds after injection.
Bare Hand Contact With Resident Food During Meal Service
Penalty
Summary
The facility failed to serve food to residents in a safe and hygienic manner by allowing bare skin contact with ready-to-eat foods during meal preparation, serving, and assistance with eating. During a continuous observation of meal preparation and service, a cook used her fingers to push and lift slices of cake from a spatula onto plates, held a grilled cheese sandwich down with her hands while cutting it in half, used her hand to separate and prepare a hamburger bun for a cheeseburger, placed premade bread and butter on a plate with her hands, and began preparing a peanut butter and jelly sandwich with bare hands. Although handwashing occurred at the start of the observation, no additional hand hygiene was performed until the dietary manager intervened and directed the sandwich be remade. The cook also touched contaminated surfaces, door knobs, and picked up an item from the floor during the observation, and later acknowledged she knew better than to touch food with bare skin and should perform hand hygiene more frequently. The deficiency also involved a resident with a history of CVA, non-Alzheimer's dementia, malnutrition, and severely impaired cognition who required partial to moderate assistance with eating. The resident's care plan identified left-sided weakness and directed staff to assist as needed, and the physician orders indicated a regular diet. During observation, a CNA sat next to the resident, picked up the bun on top of a sandwich with her bare hand, replaced it, cut the sandwich in half while her bare hand was over the bun, and then placed the sandwich in the resident's hand for the resident to eat. The DON stated she expected staff to wear gloves if handling or touching food for residents, and facility policies stated bare hand contact with food is prohibited and gloves are to be worn when food is handled directly.
Failure to Provide Dignified Care and Respect Resident Rights
Penalty
Summary
A deficiency occurred when a staff member failed to provide dignified care to a resident who required assistance with toileting hygiene due to multiple medical conditions, including fractures of the lumbosacral spine and pelvis, seizure disorder, and schizophrenia. The resident was documented as dependent on staff for toileting hygiene and lower body dressing, with frequent or constant incontinence. Despite these needs, the staff member repeatedly told the resident to clean himself after episodes of incontinence, using inappropriate and disrespectful language. Multiple staff members witnessed or were informed of these incidents, and the resident was observed to be visibly upset and crying as a result of the staff member's actions. Facility documentation, including care plans and staff statements, confirmed that the resident was dependent on staff for peri care and that the staff member in question had a pattern of refusing to assist and speaking disrespectfully to the resident. The facility's policies require staff to treat residents with dignity and respect, and to follow individualized care plans. The failure to provide necessary assistance and the use of demeaning language directly violated these policies and the resident's rights to dignity and respectful treatment.
Failure to Timely Report Alleged Verbal Abuse
Penalty
Summary
The facility failed to report an alleged incident of verbal abuse in a timely manner, as required by policy and regulation. Staff members observed a CNA making inappropriate and demeaning comments to a resident, including statements that the resident should clean himself after soiling and referring to the resident in a derogatory manner. Multiple staff members witnessed these interactions, and the resident was observed to be visibly upset and requested not to have further care from the involved CNA. Despite these observations, the incident was not immediately reported to the Director of Nursing (DON) or administration as required. Documentation and staff interviews revealed confusion regarding the date of the incident, with some staff initially reporting the event occurred on one day, while records and schedules indicated it happened the previous day. The DON and Administrator confirmed that the incident was not reported until after the CNA had completed her shift the following day, allowing the staff member to continue working with the resident in the interim. Facility policy required immediate reporting of all allegations of abuse, neglect, or mistreatment, but this protocol was not followed, resulting in a delay in notifying the appropriate authorities.
Inadequate Care Plan Implementation for Residents
Penalty
Summary
The facility failed to develop and implement comprehensive care plans for seven residents, leading to discrepancies between physician orders and care plans. For Resident #76, the care plan did not match the admission orders regarding oxygen settings, which could lead to potential issues in managing the resident's COPD effectively. The resident was observed using oxygen at a setting that did not align with the physician's orders, indicating a lack of proper care plan implementation. For Resident #10, the care plan lacked specific interventions and tasks related to the resident's target behaviors of depression and anxiety, despite the resident being on antidepressant and antipsychotic medications. The resident exhibited behavioral symptoms that interfered with care and social interactions, yet the care plan did not address these behaviors adequately. Similarly, Resident #11's care plan did not include focus areas, goals, or interventions related to the use of antipsychotic and antidepressant medications, despite documented behavioral issues such as care rejection and aggression. Residents #13, #17, #22, and #176 also had care plans that failed to address specific target behaviors or did not align with physician orders. For instance, Resident #13's care plan did not include interventions for behavioral disturbances, and Resident #176's care plan had incorrect oxygen settings. These deficiencies highlight a systemic issue in the facility's care planning process, where care plans are not accurately reflecting the residents' needs and physician orders, potentially impacting the quality of care provided.
Failure to Identify Target Behaviors for Psychotropic Medications
Penalty
Summary
The facility failed to identify target behaviors for the use of psychotropic medications for five residents, leading to a deficiency in medication management. The residents involved had varying degrees of cognitive impairment and were prescribed psychotropic medications such as antipsychotics and antidepressants. However, the physician orders for these medications did not specify the target behaviors they were intended to address, which is a critical component of ensuring appropriate use and monitoring of these medications. For instance, one resident with moderate cognitive impairment and diagnoses of anxiety, depression, and PTSD was prescribed fluoxetine and olanzapine, but the physician orders did not include target behaviors. Similarly, another resident with severe cognitive impairment and dementia was prescribed quetiapine for behavioral disturbances, yet the orders lacked specific target behaviors. The care plans for these residents also failed to identify target behaviors, which is essential for guiding staff in monitoring and managing the residents' conditions effectively. The deficiency was further highlighted by the facility's inability to provide a policy related to the identification of target behaviors for psychotropic medications. The lack of target behavior identification was acknowledged by the facility's administration, including the Administrator, Director of Nursing, and MDS Coordinator, indicating a systemic issue in the facility's medication management practices.
Deficiencies in Food Storage and Hygiene Practices
Penalty
Summary
The facility failed to adhere to professional standards for food storage and hygiene practices in the kitchen. Observations revealed multiple instances of open and undated food items, including sausage patties, prune juice, cranberry juice cocktail, and potato chips. Additionally, expired items such as strawberries and tomato juice were found in the refrigerator. Staff A, the Dietary Services Manager, acknowledged these issues and admitted to missing the expired Worcestershire sauce during her routine checks. The facility's policy requires all opened food items to be dated, and expired items to be disposed of, which was not consistently followed. Furthermore, the facility did not enforce the use of hair restraints in the kitchen, as required by their policy. Staff A admitted to observing staff, including herself, not wearing hair nets while in the kitchen. Staff C also acknowledged not wearing a hair net appropriately and confirmed that she had been verbally reminded of the requirement. Despite the facility's policy mandating hair nets to prevent food contamination, staff were observed without them, indicating a lapse in adherence to hygiene standards.
Failure to Revise Care Plan for Indwelling Catheter
Penalty
Summary
The facility failed to revise a resident's Care Plan to include a newly inserted indwelling catheter. The resident, who had an intact cognition with a BIMS score of 15 out of 15, had been using an indwelling catheter for about six months at his request. His medical history included hypertension, Diabetes Mellitus, pneumonia, Chronic Kidney Disease, hemiplegia, and difficulty walking. The resident was independent with eating, required set-up assistance with oral and personal hygiene, required maximum assistance with toilet transfers, and was dependent with lower body dressing and toileting hygiene. The resident was also frequently incontinent. A physician order for the indwelling catheter was dated 12/03/24, but the last Care Plan revision on 11/19/24 did not include this catheter. The Director of Nursing acknowledged that the Care Plan should have been revised following the insertion of the catheter. The facility's policy indicated that Care Plans should be reviewed and/or revised when there is a significant change in the resident's condition, among other criteria.
Failure to Use Wheelchair Footrests for Resident Safety
Penalty
Summary
The facility failed to protect a resident from potential accidents and injuries by pushing the resident in a wheelchair without footrests. Resident #11, who has moderate cognitive impairment and requires substantial assistance for transfers, was observed being pushed by staff members without footrests on two separate occasions. On the first occasion, a CNA pushed the resident approximately 50 feet from the dining room to his bedroom with the resident's feet touching the floor. On the second occasion, another CNA was observed assisting the resident by holding his hand while the resident attempted to move the wheelchair with his feet on the floor. Interviews with staff members, including CNAs and an LPN, confirmed that residents must have footrests on their wheelchairs when being pushed, as per facility training and guidelines. The facility's Nursing Guidelines and Procedure Manual also indicated that footrests should be in place to prevent injuries. Despite this, staff members acknowledged that they have observed residents being pushed without footrests, indicating a failure to adhere to established safety protocols.
Medication Error Due to Incorrect Insulin Dosage
Penalty
Summary
The facility failed to ensure that residents were free from significant medication errors, as evidenced by an incident involving a resident with type 2 diabetes mellitus and hyperglycemia. The resident, who had no cognitive impairment, was prescribed 50 units of Lantus insulin to be administered subcutaneously once daily in the morning. During an observation, a Licensed Practical Nurse (LPN) was seen drawing only 46 units of insulin from the medication cart, which was less than the prescribed dosage. Upon verification by the surveyor, the LPN acknowledged the discrepancy and corrected the dosage to 50 units before administering the insulin to the resident. The Director of Nursing (DON) confirmed that the nurse should have adhered to the facility's medication administration policy, which requires checking the medication label three times to ensure the right resident, medication, dosage, time, and method of administration. The policy, revised in April 2019, was not followed in this instance, leading to the medication error. This incident highlights a lapse in following established protocols for medication administration, which is critical for ensuring resident safety and compliance with physician orders.
Failure to Serve Food at Appetizing Temperature
Penalty
Summary
The facility failed to provide food at an appetizing temperature to three residents during a lunch service. On the specified date, Staff A was observed serving mechanically altered roast beef dishes that were not at the acceptable temperature. The mechanical soft roast beef was measured at 99 and 97 degrees, while the pureed roast beef was at 92 degrees. These temperatures were below the facility's policy requirement, which states that mechanically altered hot foods should remain above 135 degrees during preparation or be reheated to 165 degrees for at least 15 seconds. Staff A acknowledged the food was not at an acceptable temperature and subsequently reheated the dishes in the microwave to the appropriate temperature range. The Administrator confirmed that the facility's expectation was for the cook to adhere to the policy, ensuring the food remained above the required temperature or was reheated accordingly.
Failure to Maintain Accurate Resident Inventory Records
Penalty
Summary
The facility failed to maintain accurate and complete records for a resident, identified as Resident #22, who did not have an inventory sheet in her record. This deficiency was discovered through resident and staff interviews, clinical record reviews, and policy reviews. Resident #22, who had a BIMS score indicating normal cognitive function, reported losing a cell phone after returning from the hospital. The resident had previously reported a missing jacket, which was found, and was known to have a vehicle full of belongings and stacks of items in her room. The care plan did not address behaviors related to making false reports of missing items or the resident's refusal of assistance with organizing her belongings. The Business Office Manager (BOM) and Social Services Coordinator (SSC) were involved in the investigation of the missing phone. The BOM found a blue phone in the resident's room, which the resident claimed was an old phone, while the missing phone was also blue. The SSC was unable to locate an inventory sheet for the resident and noted the resident's history of making false claims about missing items. The facility's policy required personal belongings to be inventoried and documented upon admission and updated as necessary. The lack of an inventory sheet was confirmed by the Regional Consultant and acknowledged by the Administrator, who stated that without it, the facility could not verify the resident's belongings or determine the validity of claims about missing items.
Failure to Follow Physician Orders for Oxygen Administration
Penalty
Summary
The facility failed to adhere to professional standards by not following physician orders for a resident, leading to a deficiency. The resident, identified as Resident #176, had a care plan indicating the need for continuous oxygen at 3 liters per minute due to altered respiratory status and difficulty breathing related to COPD. However, the physician orders specified that the oxygen should be administered at 3 liters only during the night shift. Observations over several days showed the resident receiving oxygen continuously at 3 liters, contrary to the physician's orders. Additionally, the facility's policy on administering medications, which includes oxygen, requires adherence to prescriber orders. Staff interviews revealed a lack of clarity and consistency in following the orders, as the oxygen tubing was not dated or initialed by staff, and there was confusion about when the oxygen should be administered. The Director of Nursing and the Administrator acknowledged the expectation that care should be provided per physician orders, highlighting a lapse in ensuring compliance with prescribed treatments.
Missed Follow-Up Appointment for Resident Post-Hospitalization
Penalty
Summary
The facility failed to ensure that a resident attended a follow-up appointment post-hospitalization. The resident, who had a mild cognitive impairment and multiple medical conditions including sepsis, anemia, atrial fibrillation, heart failure, septicemia, stroke, malnutrition, anxiety, and depression, was scheduled for a tele-medicine appointment with a nephrologist. However, there was no documentation in the resident's progress notes or the facility's appointment book regarding this appointment, indicating it was missed. Interviews with facility staff revealed that the missed appointment was discovered when the Interim DON reviewed the resident's After-Visit Summary. The nephrology clinic confirmed the resident was a no-show and had not been contacted for rescheduling. The previous DON suggested the appointment might have been missed due to an IT issue, and the Administrator acknowledged that the admitting nurse should have reviewed the discharge paperwork to note any appointments. The facility's admission orders require staff to obtain essential care information from transfer forms, but this process was not followed in this instance.
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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 Corning
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lenox Care Center | 12 mi | ★★★★★ | 6 | 0 |
| Good Samaritan - Villisca | 13.8 mi | ★★★★★ | 12 | 0 |
| Creston Specialty Care | 18.7 mi | ★★★★★ | 2 | 0 |
| Accura Healthcare Of Stanton | 19.2 mi | ★★★★★ | 1 | 0 |
| Accura Healthcare Of Creston | 20.3 mi | ★★★★★ | 2 | 0 |
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