Average — CMS composite of the measures below.
The next survey window likely opens around October 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 Fellowship Village during CMS and state inspections, most recent first.
The facility inaccurately submitted the PBJ Staffing Data Report for Q2 2024, failing to report 24-hour licensed nursing coverage on several days due to unlogged agency staff hours by the previous administration. The current administrator acknowledged the error and implemented a new reporting process.
The facility did not follow the menu and failed to serve bread to 11 residents who requested it during lunch. The menu included garlic bread, but it was not served due to an oversight by the kitchen staff. The facility's policy requires menus to be followed unless specific exceptions apply, which was not the case here.
A resident with no cognitive impairment required a pureed diet, but the facility failed to provide the correct serving size. Staff A used a 1/3 cup scoop instead of the required 1/2 cup, resulting in leftover food. The Certified Dietary Manager confirmed that all food should have been used, and the facility's policy required correct portioning. The Administrator acknowledged the expectation for appropriate serving sizes.
Inaccurate PBJ Staffing Report Due to Unlogged Agency Staff Hours
Penalty
Summary
The facility failed to submit accurate staff reports for the CMS Payroll Based Journal (PBJ) Staffing Data Report for Quarter 2, 2024. The PBJ report indicated a failure to maintain licensed nursing coverage 24 hours a day for four or more days within the quarter, specifically on 01/27, 02/25, 03/02, 03/10, 03/24, and 03/31. However, a review of the facility's daily assignment sheets showed that there was indeed 24-hour licensed nursing coverage on those dates. The discrepancy arose because invoices for agency staff were not logged by the previous administration, leading to inaccurate PBJ submissions. The current administrator acknowledged the error and mentioned a new process for reporting agency staff hours.
Failure to Serve Menu-Listed Bread at Lunch
Penalty
Summary
The facility failed to follow the menu and prepare food to meet the nutritional needs of 11 out of 31 residents. During a continuous observation of the lunch meal service, it was noted that no bread or garlic bread was served to the residents, despite being requested on the menu sheets. Specifically, 11 residents had requested garlic bread, and the Week 4 Menu documented that bread was to be served at the lunch meal. Staff B, a Certified Dietary Manager, acknowledged that garlic bread was mistakenly offered on the menu and was not served. Furthermore, the kitchen staff forgot to serve any bread as a substitute. The facility's policy on Nutrition and Menu Planning requires that menus be followed as written, except for specific exceptions such as ethnic, cultural, geographic, religious practices, or dislikes of a resident that require substitutions. The Administrator confirmed that the facility's expectation was for the lunch meal to be served according to the menu, ensuring residents who wanted bread would receive it.
Incorrect Serving Size for Pureed Diet
Penalty
Summary
The facility failed to provide a well-balanced diet that meets the nutritional and special dietary needs of a resident by using incorrect serving size portions for meals. Specifically, Resident #4, who had no cognitive impairment as indicated by a BIMS score of 15, was affected. The resident's dietary orders required a pureed consistency. During an observation of the puree food process, it was noted that Staff A processed a breaded chicken patty, a piece of bread, and half a cup of gravy together, resulting in three-quarters of a cup of pureed food. However, during the lunch meal service, Staff A used a heaping green-handled scoop, which was a 1/3 cup, instead of the required 1/2 cup scoop for the pureed portion, leading to leftover food. Staff B, the Certified Dietary Manager, confirmed that all the food should have been used when processing a pureed diet, and there should not have been any leftovers. The facility's policy on altered texture diets stated that altered textures should have equal nutritive value to regular texture diets and should be portioned correctly. The policy also indicated that after pureeing, the food should be divided evenly among the portions prepared. The Administrator acknowledged that the facility's expectation was for the appropriate serving to be provided to residents, and the lunch meal should have been served according to the menu.
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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 Inwood
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Good Samaritan Society Canton | 8 mi | ★★★★★ | 0 | 0 |
| Hegg Memorial Health Center | 10.2 mi | ★★★★★ | 4 | 0 |
| Lyon Specialty Care | 15 mi | ★★★★★ | 3 | 0 |
| Tuff Memorial Home | 15.6 mi | ★★★★★ | 9 | 0 |
| Pleasant Acres Care Center | 16.5 mi | ★★★★★ | 14 | 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.