Above average — CMS composite of the measures below.
The next survey window likely opens around March 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 Eagle Point Nursing And Rehabilitation during CMS and state inspections, most recent first.
Food was served at inconsistent temperatures and poor texture, with residents reporting cold, dry, chewy, and tough meals, including chicken, pork chops, steaks, eggs, soup, pasta, and vegetables. During observation, residents struggled to cut dry chicken, and a test tray showed hot items below the facility’s stated standard; Resident Council minutes and grievances also documented repeated complaints about cold food, scorched soup, and limited meal variety.
Infection control was not followed during wound care for a resident with an unhealed Stage 3 pressure ulcer and MRSA, as an LPN moved from dirty to clean tasks without changing gloves or performing hand hygiene and used a pen from her pocket while still gloved. The facility also failed to use proper aseptic technique when preparing insulin from a multiuse vial for a resident with diabetes, as the LPN did not clean the vial stopper before drawing up Humalog.
A resident with moderate cognitive impairment reported peeling paint in her room, and surveyors observed multiple areas of bubbled, peeled, and damaged paint on the walls, including a framed picture used to cover one area. A plastic strainer that had reportedly been used months earlier was also found on the bathroom floor and appeared soiled, while staff said the room was on a repair list.
The facility failed to maintain proper infection control measures, including inadequate PPE use during laundry handling, improper water temperature management for legionella prevention, and insufficient catheter care. Staff did not consistently use barriers when handling urine collection bags, and enhanced barrier precautions were not followed during wound care. These deficiencies were observed across multiple residents and confirmed by staff interviews.
The facility failed to maintain a homelike environment in resident rooms, with issues such as missing paint, splintering doors, and exposed plaster observed in six rooms. Despite these deficiencies, the Maintenance Supervisor, the only staff member in the department, claimed no repairs were needed. The facility lacked a formal policy for reporting repair needs, relying instead on a software system and occasional text messages for task identification.
The facility failed to develop comprehensive care plans for several residents, omitting critical information related to diabetes management, anticoagulant use, and dialysis. A resident with intact cognition and a history of diabetes and paraplegia had an incomplete care plan despite long-term medication orders. Another resident with severe cognitive deficits lacked care plan details for diabetes and anticoagulant use, while a third resident's plan did not address diabetes or anticoagulant orders. Additionally, a resident receiving dialysis had no related care plan information.
A facility failed to conduct necessary dialysis care for a resident with end-stage renal disease, including assessments of the dialysis access site and post-dialysis vital signs. The resident's care plan lacked dialysis information, and records showed no documentation of required assessments. Interviews revealed that the dialysis center performed these checks, but facility staff did not, unless directed. The facility's policy did not address the need for these assessments, leading to the deficiency.
A facility failed to document an assessment for a resident with severe cognitive impairment before transferring them to the hospital. Despite observing a decline in the resident's condition, including poor intake and sleepiness, the facility did not record a comprehensive assessment, decision-making process, or physician's orders for the transfer. Staff confirmed the absence of required documentation, including an SBAR form, in the resident's clinical record.
Food Served at Improper Temperature and Texture
Penalty
Summary
The facility failed to ensure food was served at a palatable temperature and texture. Multiple residents reported that meals were cold, dry, overcooked, chewy, or tough, including pork chops, chicken, steaks, eggs, soups, pasta, bread, and carrots. One resident stated the food had been served cold, overcooked, and chewy, and another said the food could be cold at times and that reheated food was not the same as freshly cooked food. A resident also reported that the facility often served eggs for breakfast and offered limited alternatives such as toast and oatmeal. Observations and record review supported these concerns. During a dining room observation, several residents attempted to cut chicken breast and reported it was difficult to cut, very dry, and tough, and another resident was heard saying the chicken was dry. A test tray taken from a food cart showed temperatures of 135 F for a patty melt, 127 F for sweet potato puffs, and 133 F for buttered peas; the Dietary Manager acknowledged the sweet potato puffs did not meet the stated standard and said hot foods should be around 135 F to 140 F. Resident Council minutes and grievance forms documented repeated complaints about cold food, tough meat, scorched soup, overcooked pasta, and limited variety, while the facility policy required hot foods to be maintained at proper temperatures and test trays to be recorded as items were served.
Infection Control Failures During Wound Care and Insulin Preparation
Penalty
Summary
The facility failed to ensure infection control techniques were used during wound care for a resident with an unhealed Stage 3 pressure ulcer and MRSA in the wound. The resident’s record showed diagnoses including cutaneous abscess of the buttocks, diabetes mellitus, and renal insufficiency. The care plan directed staff to use Enhanced Barrier Precautions, follow facility treatment protocols, provide dressing changes per physician’s order, and use contact isolation measures for the MRSA wound, including gowns, masks, gloves, hand hygiene, and cleaning of resident care equipment. During observation of the wound treatment, an LPN donned gown, gloves, mask, and goggles before entering the room and removed the old dressing from the coccyx wound. After cleansing the wound, the LPN did not change gloves or perform hand hygiene before opening the Vashe bottle and pouring solution onto gauze, placing the gauze into the wound bed, and covering the wound with clean dressings. The LPN then used a pen from her pocket to date the dressing without changing gloves or performing hand hygiene, and only completed hand hygiene after removing PPE and before exiting the room. The facility also failed to ensure proper technique when preparing insulin from a multiuse vial for a resident with diabetes mellitus who received daily insulin injections. During observation, the LPN removed an insulin syringe from sterile packaging and inserted the needle into the Humalog multiuse vial without cleaning the stopper first. The LPN drew up 12 units and administered the insulin subcutaneously. The LPN stated she did not clean the stopper because the resident was the only person using the vial, and the DON stated she expected the stopper to be cleaned before the syringe was inserted to prevent infections.
Peeling Paint and Soiled Bathroom Item Left Unrepaired in Resident Room
Penalty
Summary
The facility failed to repair peeling and bubbled paint in Resident #11’s room, despite the resident’s report that areas of paint were peeling from the walls and that a framed picture had been placed on the wall to cover one of the damaged areas. Resident #11’s MDS assessment dated 4/09/26 showed a BIMS score of 12 out of 15, indicating moderate cognitive impairment. During observation on 4/21/26, multiple areas of bubbled, peeled, and damaged paint were seen on the east and north walls of the room, including discoloration and peeling near the floor on the north wall. Resident #11 also reported that a plastic strainer had been kept on the bathroom floor for months after being used when she passed kidney stones in November 2025. During the room observation, the strainer was seen on the bathroom floor and appeared soiled with a red/brown substance, with a date label of 11/23/25. Staff interviews showed the Maintenance Director had made a list of room repairs earlier in the year and the Administrator stated the resident’s room was on the list to be fixed.
Infection Control Deficiencies in LTC Facility
Penalty
Summary
The facility failed to maintain appropriate infection prevention and control measures, as evidenced by several deficiencies observed during the survey. Staff handling contaminated linens did not wear the required personal protective equipment (PPE), such as gowns and masks, which is contrary to the facility's policy on handling contaminated items. This lapse was confirmed by both the laundry staff and the housekeeping supervisor, who acknowledged that the practice of wearing gowns and masks had been discontinued after the COVID-19 pandemic. The facility also failed to maintain appropriate water temperatures to prevent the growth of legionella bacteria. The weekly water temperature logs showed that the hallway boiler consistently tested below the recommended 140 degrees Fahrenheit. The administrator admitted to a lack of knowledge regarding legionella prevention and acknowledged the absence of documentation or a clear water management plan. The facility's Legionella Water Management Plan policy was outdated and did not specify the correct water temperatures required to prevent bacterial growth. Additionally, the facility did not adhere to proper catheter care protocols for residents with indwelling catheters. Observations revealed that staff placed urine collection bags and tubing on the floor without using barriers, increasing the risk of contamination. This was observed in multiple instances, and staff interviews confirmed a lack of consistent training and adherence to infection control procedures. Furthermore, enhanced barrier precautions were not utilized during wound care for a resident with an unhealed pressure ulcer, despite the facility's policy requiring such precautions for residents with wounds or catheters.
Facility Fails to Maintain Homelike Environment in Resident Rooms
Penalty
Summary
The facility failed to maintain a homelike environment in resident rooms, as observed in six out of six rooms reviewed. Specific deficiencies included missing paint and splintering on bathroom doors, missing baseboards, and exposed plaster and metal in various areas of the rooms. These issues were reported by residents, with one resident noting that the condition of her bathroom door had remained unchanged since her move-in three years ago. The facility had a census of 52 residents at the time of the survey. Interviews with the Maintenance Supervisor and the Administrator revealed a lack of a formal policy for reporting room repair needs. The Maintenance Supervisor, who was the sole staff member in the department, relied on a software application to receive repair requests, which were supposed to be entered by staff through electronic resident charting software. However, the Maintenance Supervisor claimed that no repairs were needed and that everything was up to date, despite the observed deficiencies. The Administrator confirmed the use of a software system for task identification and mentioned that repair requests were sometimes communicated via text messages.
Incomplete Care Plans for Residents
Penalty
Summary
The facility failed to develop and implement comprehensive care plans for four residents, leading to deficiencies in addressing their medical needs. Resident #13, with intact cognition, required significant assistance with daily activities and had a history of diabetes mellitus, paraplegia, and arthritis. Despite having an order for Ozempic since 2022, the care plan lacked information related to diabetes management and interventions. Observations revealed that Resident #13 had been living at the facility for six years and reported issues with diabetes and pressure ulcers. Resident #31, with a severe cognitive deficit, was dependent on staff for most activities and had diagnoses of coronary artery disease, diabetes mellitus, and hip fracture. The care plan initiated in February 2024 did not include the diagnosis of diabetes mellitus or the use of an anticoagulant, despite the resident's medication orders for Metformin and Eliquis. Interviews with staff indicated that the MDS Coordinator was responsible for updating care plans, but the necessary interventions for diabetes and anticoagulant use were missing. Resident #34, with intact cognition, required moderate assistance and had diagnoses of coronary artery disease, peripheral vascular disease, and diabetes mellitus. The care plan failed to address the resident's diabetes diagnosis and anticoagulant use, despite orders for Glipizide, Lispro Insulin, and Eliquis. Similarly, Resident #21, with no cognitive impairment, had diagnoses of end-stage renal disease, anemia, and diabetes mellitus, and received dialysis three times a week. However, the care plan lacked information related to dialysis, highlighting a pattern of incomplete care planning across multiple residents.
Failure to Conduct Dialysis Assessments and Post-Dialysis Vitals
Penalty
Summary
The facility failed to provide appropriate dialysis care for a resident, identified as Resident #21, who required such services. Resident #21, with a BIMS score of 13 indicating no cognitive impairment, had diagnoses of end-stage renal disease, anemia, and diabetes mellitus. The resident's care plan, dated November 2, 2023, lacked information related to dialysis care. The facility did not conduct necessary assessments of the dialysis access site or post-dialysis vital signs, as evidenced by the absence of documentation in the resident's electronic medical record and the Dialysis Communication notes from March 4, 2024, to June 3, 2024. Additionally, the June 2024 Medication Administration Record and Treatment Administration Record did not include interventions for post-dialysis vitals or access site assessments. Interviews with Resident #21 and facility staff revealed that the dialysis center performed the necessary assessments and vital checks, but the facility staff did not. The resident confirmed receiving dialysis three times a week, and the dialysis center checked his vitals and access site. Staff A, an LPN, and the Director of Nursing (DON) both indicated that the facility staff did not perform post-dialysis vitals or access site assessments unless directed by the dialysis center. The facility's Peritoneal Dialysis policy, revised in October 2010, did not address the need for the facility to complete these assessments, contributing to the deficiency.
Failure to Document Resident Assessment Before Hospital Transfer
Penalty
Summary
The facility failed to document an assessment of a resident prior to their transfer to the hospital. Resident #6, who had a severely impaired cognition with a BIMS score of 0, required total assistance with most activities of daily living and had diagnoses of renal insufficiency, diabetes mellitus, and non-Alzheimer's dementia. On the day of the incident, the resident was observed to be awake, alert, and comfortable in the morning. However, later that day, the resident's family member reported that the resident was hospitalized in January 2024 due to influenza A. The nurse's notes indicated a decline in the resident's condition, with poor fluid and meal intake, and the resident appeared sleepy but could be aroused. The nurse informed the resident's son about the condition and took actions such as placing a urinary catheter and starting antibiotics. Despite these actions, the progress notes did not document a comprehensive assessment of the resident's condition, the decision-making process for the transfer, the mode of transportation, or the physician's orders for the transfer to the emergency room. Staff interviews confirmed the lack of documentation, and the Director of Nursing verified that the expected documentation, including an SBAR form, was missing from the resident's clinical record. This lack of documentation constitutes a deficiency in maintaining medical records according to accepted professional standards.
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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 Clinton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Alverno Health Care Facility | 1.4 mi | ★★★★★ | 8 | 0 |
| La Bella Of Morrison | 13 mi | ★★★★★ | 24 | 0 |
| Resthave Home-whiteside County | 13.1 mi | ★★★★★ | 8 | 0 |
| Big Meadows | 15.3 mi | ★★★★★ | 5 | 0 |
| Fieldstone Of Dewitt | 18.9 mi | ★★★★★ | 2 | 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.