Above average — CMS composite of the measures below.
The next survey window likely opens around November 2026
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 Eldora Specialty Care during CMS and state inspections, most recent first.
Failure to submit a Level II PASRR evaluation for a resident with a bipolar dx. The resident had severe cognitive impairment, dementia, depression, bipolar disorder, and major depressive disorder on the MDS, and was receiving an antipsychotic, antidepressant, and antianxiety med. The DON acknowledged the bipolar dx was active, appeared on successive MDS assessments, and that the facility did not submit the required Level II PASRR after the new dx was identified.
A resident with intact cognition, no teeth, and no dentures requested a dental visit to discuss dentures, but the facility did not arrange or document any dental care after admission. Social services acknowledged the request and a dental vendor contact, yet no appointment was made and no further steps were documented to obtain routine dental services.
An LPN administered PRN oxycodone via a resident’s PEG tube without applying PPE, despite the resident being on EBP for a PEG tube and tracheostomy stoma. The resident had cancer of the head, face, and neck, depended on staff to eat, and had a care plan directing medications to be given via the PEG tube. The facility policy required PPE for EBP during feeding tube care, and the DON stated EBP was expected during medication administration via a feeding tube.
A facility failed to submit a Level II PASRR evaluation for a resident diagnosed with bipolar disorder. The resident, with intact cognition and a history of behavior problems, was receiving antipsychotic medication. Despite the new diagnosis, the facility did not complete the required evaluation, as acknowledged by the DON, who noted the absence of a policy or protocol for PASRR completion.
Failure to Submit Level II PASRR for Resident With Bipolar Diagnosis
Penalty
Summary
The facility failed to submit a Level II PASRR evaluation for one resident who had a new mental health diagnosis of bipolar disorder. The resident’s MDS documented severe cognitive impairment with a BIMS score of 3, along with diagnoses including medically complex conditions, non-Alzheimer’s dementia, depression, bipolar disorder, and major depressive disorder. The care plan also identified behavior problems related to unspecified dementia, psychotic disturbance, mood disturbance, and anxiety, and the resident was receiving an antipsychotic, antidepressant, and antianxiety medication during the lookback period. The clinical record showed the bipolar disorder diagnosis became effective and remained active, but no Level II PASRR evaluation was submitted after that diagnosis was added. During interview, the DON acknowledged the resident had an active bipolar disorder diagnosis, that the diagnosis appeared on the MDS and subsequent MDS assessments, and that a new bipolar diagnosis would qualify for a new PASRR. The DON also acknowledged the facility did not submit a Level II PASRR for the resident after the bipolar diagnosis was identified. The facility policy stated that if the Level I PASARR screen indicates a possible mental disorder, intellectual disorder, or related disorder, the individual is referred for the Level II evaluation and determination process.
Failure to Assist Resident With Dental Services
Penalty
Summary
The facility failed to assist one resident in obtaining routine dental care. Resident #10 had a BIMS score of 15, indicating intact cognition, and the MDS documented diagnoses including heart failure, anxiety disorder, depression, and bipolar disorder. The care plan noted the resident ate independently with set-up and needed partial assistance of one for oral hygiene. During interview, the resident stated she had no upper or lower teeth, had no dentures, and wanted a dental appointment to discuss getting dentures. She reported she had been waiting a long time for an appointment and had not seen a dentist since admission to the facility in May 2024. The clinical record contained no documentation of dental services or dental appointments for the resident, despite Medicaid funding being listed. Social Services staff acknowledged the resident requested a dental appointment for dentures and that a dental company comes to the facility, but the resident had not received dental services from that company or any other dental provider since admission. Staff could not identify any completed appointment or additional steps taken after an email from the dental company with treatment authorization and fee information was located. The Administrator stated the facility expected to provide prompt dental services when requested and acknowledged the resident was not promptly provided or assisted with dental needs.
Failure to Use EBP During PEG Tube Medication Administration
Penalty
Summary
The facility failed to implement enhanced barrier precautions (EBP) while administering medication via a peg tube for a resident with malignant neoplasm of the head, face, and neck who had a feeding tube and depended on staff to eat. The resident’s care plan directed staff to give medications via the peg tube, and physician orders included EBP due to the peg tube and a tracheostomy stoma. During an observation, an LPN administered as-needed oxycodone 5 mg via the resident’s peg tube without applying PPE. The LPN later acknowledged that the resident had been on EBP and that PPE was not applied during the medication administration. The facility’s policy stated that PPE is required for EBP during high-contact care activities, including device care or use of feeding tubes, and the DON stated she expected EBP to be implemented when staff administered medication via a feeding tube.
Failure to Submit Level II PASRR Evaluation for Resident with New Bipolar Disorder Diagnosis
Penalty
Summary
The facility failed to submit a Level II Preadmission Screening and Resident Review (PASRR) evaluation for a resident with a new mental health diagnosis. The resident, identified as having intact cognition with a Brief Interview for Mental Status (BIMS) score of 13, was diagnosed with bipolar disorder on October 2, 2023. Despite this new diagnosis, the facility did not complete a Level II PASRR evaluation, which is required when a resident has a new or changed mental health condition. The resident's clinical record showed a negative Level I PASRR screening completed on July 31, 2023, which documented depression and altered mental status but did not reflect the new diagnosis of bipolar disorder. The resident's care plan, revised on September 5, 2024, noted behavior problems, including refusal to be checked and changed when wet, seeking out women, and pacing the halls. The care plan aimed to prevent negative outcomes from these behaviors. The resident was also receiving antipsychotic medication, aripiprazole, for bipolar disorder since June 11, 2024. The Director of Nursing (DON) acknowledged the oversight, stating that the facility did not have a policy or protocol for completing PASRRs and followed the regulations, which led to the failure to conduct the necessary Level II PASRR evaluation.
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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 Eldora
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Hubbard Care Center | 9.9 mi | ★★★★★ | 6 | 0 |
| The Village Of Ackley | 13.8 mi | ★★★★★ | 8 | 0 |
| Scenic Manor | 14 mi | ★★★★★ | 0 | 0 |
| Oakview Nursing Home | 15.6 mi | ★★★★★ | 1 | 0 |
| Zearing Health Care, Llc | 16.4 mi | ★★★★★ | 9 | 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.