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 Rose Haven Nursing Home during CMS and state inspections, most recent first.
The facility failed to use TBP and monitor COVID-19 exposure after a resident returned from the hospital with ongoing respiratory symptoms and after two CNAs developed symptoms and tested positive while working. The resident had COPD, chronic respiratory failure, and pneumonia history, continued with cough and wheezing after readmission, and was not placed on isolation. Two CNAs were told to keep working 12-hour shifts on all three hallways after positive tests, and no resident testing, contact tracing, or additional monitoring was initiated. Another resident with chronic respiratory disease later developed worsening respiratory symptoms, tested positive for SARS-CoV-2, and died at the hospital from chronic hypoxic respiratory failure due to viral pneumonia.
A resident with COPD, heart failure, and diabetes was observed self-administering a nebulizer treatment after stating he had already added medication from a vial kept in his pocket. Although the resident had intact cognition, the record lacked documentation of an assessment showing it was clinically appropriate and safe for him to self-administer the medication, and the care plan directed staff to administer medications as ordered.
Failure to document GDR or contraindication for psychotropic meds: A resident with severe cognitive impairment, intellectual disabilities, hearing loss, and CAD was receiving Trazodone and Duloxetine. The facility had no documented GDR attempts or provider rationale showing why dose reduction was clinically contraindicated, and the provider later only checked boxes on a pharmacist recommendation form without explaining the reason.
Delayed Blood Sugar Checks Before Sliding Scale Insulin: A resident with diabetes and intact cognition received sliding scale Humalog based on blood sugar readings obtained on the night shift and used later by day shift staff for breakfast insulin dosing. The MAR showed repeated instances where blood sugars were checked hours before insulin administration, and staff stated that third shift obtained most readings while day shift used them to determine the dose. The ADON and DON stated blood sugar should be obtained about 30 minutes before sliding scale insulin, but the facility policy did not give timing guidance.
A resident with severe cognitive impairment and hearing loss was involved in an abuse allegation after a fall when an LPN became tearful, spoke loudly, and was reported by multiple CNAs to have yelled at him and poked or jabbed him in the chest or shoulder while expressing frustration about staying late. The resident denied being poked or yelled at and said he was not fearful, but the facility’s investigation documented conflicting staff accounts and an allegation of physical abuse.
Failure to Report Allegation of Abuse: A resident with severe cognitive impairment, hearing loss, and intellectual disability was involved in an incident after a fall in which multiple staff later alleged an LPN yelled at him and poked him in the chest while upset about having to stay late. Although the facility investigated and interviewed staff, it had no documentation that the allegation of abuse was reported to the State Agency within the required timeframe.
Failure to Separate Alleged Abuser From Residents: A resident with severe cognitive impairment, hearing loss, and intellectual disability was involved in an abuse allegation after staff reported that an LPN yelled at him and poked him in the chest/shoulder following a fall. Multiple staff statements described the LPN as upset, tearful, and verbally harsh, while the LPN denied physical contact. The facility’s abuse policy required separating the accused employee from all residents, but the LPN continued working after the allegation was reported.
Failure to timely assess and follow up on a resident's reported infection symptoms. A resident with diabetes, dementia, and depression complained of burning, itching, redness, and discomfort consistent with a yeast infection, but the record showed a fax to the provider and then no documented follow-up or assessments until the antifungal order was received. Staff stated they were expected to assess, notify the provider, and follow up within 24 hours, but the documentation did not show that occurred.
A resident who was dependent on staff for toileting and had multiple medical conditions was told by a CNA to have a bowel movement in bed instead of being assisted to the bathroom, contrary to the care plan and resident rights. This action was confirmed by the resident and an RN, and did not meet the facility's standards for dignity and respect.
A resident with moderate cognitive impairment and multiple medical conditions reported being slammed onto the toilet by a CNA, resulting in pain. Although the allegation was communicated among CNAs, there was uncertainty about whether it was promptly reported to nursing leadership, leading to a delay in the required abuse reporting process.
A resident with moderate cognitive impairment and significant care needs reported being slammed onto the toilet by a CNA, resulting in pain. The facility's investigation did not document follow-up on the staff member described by the resident, nor did it show that all required investigative steps were completed according to facility policy.
Multiple residents with varying levels of mobility and medical complexity were not safely transferred by staff, resulting in injuries and distress. Staff failed to consistently use gait belts as required by facility policy, instead relying on manual lifting techniques or improper use of transfer equipment. These actions led to incidents including bruising, pain, and a fall during a stand lift transfer.
The facility did not adequately address previously cited deficiencies related to F609 and F610 through its QAPI program, as the same violations were identified in consecutive surveys despite having a policy for identifying and correcting quality issues.
The facility failed to properly store and label medications, leading to several deficiencies. An LPN found a medication cup with pills not stored in their original packaging, involving a resident with multiple diagnoses. Additionally, an unlocked refrigerator contained insulin pens and other medications, raising concerns about drug diversion. A RN also failed to date an insulin pen after opening it, which is crucial for medication safety. These incidents highlight deficiencies in the facility's medication storage and administration processes.
A resident's prescribed Hydrocodone/Acetaminophen was missing and replaced with an unauthorized Acetaminophen 500 mg tablet. The facility's investigation was inadequate, as it did not involve all potential witnesses, and the established abuse prevention and investigation protocols were not fully followed.
A medication error occurred when a resident with multiple health conditions received the wrong medication due to a mix-up in appearance between acetaminophen and a prescribed narcotic. The facility's investigation was incomplete, as it did not include interviews with all relevant staff, particularly CNAs, and the policy on medication storage was inadequate.
Failure to implement COVID-19 transmission precautions and exposure monitoring
Penalty
Summary
The facility failed to implement transmission-based precautions and infection monitoring for residents and staff with COVID-19 symptoms or exposure. Resident #2, who had a history of acute and chronic respiratory failure, COPD, malnutrition, anxiety disorder, and pneumonia, was transferred to the hospital after developing fever, confusion, dusky color, accessory muscle use, low oxygen saturation, and tachycardia. The hospital documented septic shock in the setting of COVID-19 infection, acute hypoxemic respiratory failure, productive cough, and thick sputum. After returning to the facility on oxygen, Resident #2 continued to have a productive cough, loose cough, wheezing, green/yellow sputum, and diminished lung sounds, but the facility did not place the resident on transmission-based precautions on readmission. The facility also failed to respond appropriately when two CNA staff developed respiratory symptoms while working and tested positive for COVID-19 during their shifts. Both staff reported symptoms including sore throat, body aches, cough, congestion, fever, dizziness, and loss or change of taste and smell, yet they were instructed to continue working 12-hour shifts and provide direct care on all three hallways. Staff interviews confirmed that the positive tests were known to nursing and management, but no resident testing, monitoring, or contact tracing was initiated in response to the exposure. The DON and Administrator stated they did not have documentation of additional COVID-19 testing or monitoring after the positive staff and resident cases were identified. Resident #1, who had respiratory failure, anemia, malnutrition, anxiety disorder, and a history of pneumonia and interstitial lung disease, had ongoing fatigue, weakness, diminished lung sounds, head congestion, and worsening respiratory complaints before being sent to the hospital. The hospital documented progressive fatigue, dyspnea, productive cough, tachypnea, rhonchi, diminished lung sounds, and a positive SARS-CoV-2 test, with diagnoses including acute on chronic respiratory failure with hypoxia, nursing home-acquired pneumonia, and COVID-19. Resident #1 later died at the hospital from chronic hypoxic respiratory failure due to viral pneumonia. The facility’s infection surveillance report did not identify the COVID-19 cases during the reviewed period, and staff and leadership reported no current COVID-19 policies or procedures and no guidance on monitoring or testing exposed residents and staff.
Failure to Assess Safe Self-Administration of Nebulizer Medication
Penalty
Summary
The facility failed to determine that it was clinically appropriate and safe for a resident to self-administer medications for 1 of 1 residents reviewed for self-administration of medications. Resident #13 had diagnoses including COPD, heart failure, and diabetes, and the Quarterly MDS dated 9/30/25 listed a BIMS score of 15 out of 15, indicating intact cognition. The facility policy on self-administration of medications stated residents had the right to self-administer medications if the interdisciplinary team determined it was clinically appropriate and safe, but the record contained no documentation of an assessment showing the resident was safe to self-administer his medication. The December 2025 MAR included an order for Ipratropium-Albuterol Solution, 0.5-2.5 mg/ml, 3 ml inhaled orally four times daily for COPD. The care plan identified the resident as at risk for altered respiratory status and difficulty breathing related to COPD, a history of respiratory failure, and a history of pneumonia, and directed staff to administer medications as ordered and monitor for effectiveness. During observation, an LPN went to administer the resident's nebulizer treatment and found the resident putting the cap on his nebulizer medicine cup after stating he had already added medication from a vial he kept in his pocket. Staff later stated the resident was not supposed to carry out nebulizer treatments on his own, and the ADON and DON stated residents without a self-administration assessment should not keep medications in their rooms and nurses should administer the nebulizer treatment.
Failure to Document GDR or Contraindication for Psychotropic Medications
Penalty
Summary
The facility failed to carry out a gradual dose reduction (GDR) or ensure the provider documented why a reduction would be clinically contraindicated for one resident reviewed for psychotropic medication use. The resident had diagnoses including unspecified intellectual disabilities, hearing loss, and coronary artery disease, and the MDS listed a BIMS score of 6 out of 15, indicating severely impaired cognition. The December MAR showed orders for Trazodone 100 mg daily and Duloxetine 120 mg daily, both started in March 2025. As of the survey date, the facility had no documentation of an attempted GDR for either medication and no provider documentation explaining why a reduction was contraindicated. The Administrator later provided a pharmacist recommendation form dated 9/26/25, and on 12/10/25 the provider checked boxes indicating reduction was contraindicated, but did not document the reason. The ADON stated that during the first year of a psychotropic medication, two GDR attempts in two separate quarters or provider documentation of contraindication were needed, and that the facility had faxed the provider multiple times without receiving a response.
Delayed Blood Sugar Checks Before Sliding Scale Insulin
Penalty
Summary
The facility failed to administer insulin in a timely manner in relation to the obtainment of blood sugar readings for 1 of 2 residents reviewed for insulin administration. Resident #2 had diagnoses including diabetes, arthritis, and anxiety, and had a BIMS score of 15 out of 15, indicating intact cognition. The resident’s blood sugar summary showed multiple instances in which blood sugar was obtained on the night shift and then repeated later on the day shift, including readings on 11/23/25, 11/24/25, 11/25/25, 11/26/25, 11/29/25, and 11/30/25. The November 2025 MAR showed an order dated 11/21/25 for Humalog per sliding scale, with 20 units for blood sugar between 60 and 150 mg/dl and 40 units for blood sugar between 151 and 400 mg/dl, and directions to call the provider for blood sugar under 60 or over 400 mg/dl. The MAR documented that nurses used the night shift blood sugar readings to determine the resident’s breakfast sliding scale insulin dose. Staff E RN and Staff A LPN stated that third shift staff obtained most blood sugars and day shift nurses used those readings to determine the insulin amount to give, with day shift nurses entering the third shift blood sugars into the electronic record when administering insulin. The ADON stated best practice would be to check blood sugar within 30 minutes of sliding scale insulin administration, and the DON stated staff should obtain blood sugar around 30 minutes prior to sliding scale insulin administration or as close as possible. The facility policy Insulin Pen Administration did not provide guidelines for the timing of blood sugar obtainment in relation to sliding scale insulin administration.
Physical Abuse Allegation During Resident Fall Response
Penalty
Summary
The facility failed to ensure a resident with severely impaired cognition was free from physical abuse when staff interactions during and after a fall were reported as aggressive and disrespectful. The resident had diagnoses including unspecified intellectual disabilities, hearing loss, and coronary artery disease, and his MDS showed a BIMS score of 6 out of 15. His care plan noted impaired cognitive function and hearing loss that impeded communication, and directed staff to orient him as needed, keep his routine consistent, and use simple structured activities. After the resident slid out of bed and was found sitting on the floor without observable injury, multiple staff members entered the room. Several staff statements described an LPN becoming upset, crying, speaking loudly, and making comments about being sicker than the resident and having to stay late because of the fall. Some staff stated the LPN poked or jabbed the resident in the chest or shoulder while speaking to him, while another staff member stated she did not see the LPN poke him and believed the event was being exaggerated. The resident denied that anyone poked him or yelled at him and denied being fearful or afraid of the nursing staff. The facility’s own investigation collected conflicting accounts from staff and the LPN. Some staff reported the LPN was stern, angry, and physically touched the resident in a rough manner while expressing frustration about the fall and the late shift. The LPN stated she was tearful, frustrated, and spoke loudly because of the resident’s hearing loss, but denied yelling at him or poking him. The Administrator was told by two CNAs that the LPN was in the resident’s face and yelling at him, and the DON and Administrator acknowledged that allegations of abuse should be reported and that the staff member would be removed from resident care pending investigation.
Failure to Report Allegation of Abuse
Penalty
Summary
The facility failed to report an allegation of abuse to the State Agency for one resident who had unspecified intellectual disabilities, hearing loss, coronary artery disease, and severely impaired cognition with a BIMS score of 6 out of 15. The facility’s abuse policy stated that all allegations of abuse would be reported to the State Agency within 2 hours, but the record contained no documentation that this occurred after the incident involving Staff A and the resident. On the day of the event, the resident was found on the floor after sliding out of bed and denied injury. During the response to the fall, multiple staff members later gave statements describing Staff A as upset, crying, and speaking loudly to the resident. Several staff stated that Staff A yelled at the resident, said she was sicker than him and had to stay late because of him, and poked or jabbed him in the chest or shoulder while he was on the floor or being assisted up. Other staff stated they saw Staff A assess the resident and did not observe physical contact, while Staff A denied yelling at or poking the resident and said her comments were directed to staff, not the resident. The facility completed an internal investigation and interviewed the resident and staff, but the record did not show that the allegation of abuse was reported to the State Agency. The Administrator, DON, and ADON stated that allegations of abuse should be reported and that the staff member would be removed from resident care pending investigation, but the deficiency was based on the failure to make the required report after the allegation was raised.
Failure to Separate Alleged Abuser From Residents
Penalty
Summary
The facility failed to separate an alleged perpetrator of abuse from residents after an allegation involving Resident #35. Resident #35 had unspecified intellectual disabilities, hearing loss, coronary artery disease, and a BIMS score of 6 out of 15, indicating severely impaired cognition. His care plan noted impaired cognitive function, intellectual disability, and hearing loss that impeded communication, and directed staff to orient him as needed, keep his routine consistent, and use simple structured activities. On the day of the incident, Resident #35 was found on the floor after sliding out of bed and denied injury. Multiple staff statements described Staff A, an LPN, entering the room after the fall and becoming upset because she had to stay late and because another resident had also fallen. Several staff reported that Staff A yelled at the resident, got in his face, and poked or tapped him in the chest or shoulder while speaking to him about falling. Staff A denied poking the resident or yelling at him, stating she was frustrated, tearful, and spoke loudly because of his hearing loss. The facility’s investigation documented that staff notified the Administrator of the allegation that Staff A yelled and poked the resident in the chest. The Administrator, DON, and ADON stated staff should remove the accused employee from resident care and report allegations of abuse to the State Agency. However, Staff A’s archived time card showed she continued to work at the facility from the date of the allegation until later in December. The facility’s abuse policy stated the facility would separate the employee accused of abuse from all residents, but Staff A was not separated from residents when the allegation was reported.
Failure to Timely Assess and Follow Up on Infection Symptoms
Penalty
Summary
The facility failed to assess and intervene in a timely manner after a resident complained of signs and symptoms of a possible infection. Resident #26 had diagnoses including diabetes, non-Alzheimer's dementia, and depression, and had a BIMS score of 15 out of 15, indicating intact cognition. The resident stated that it took the facility a week to obtain medication for a yeast infection and reported burning, itching, and significant discomfort. A nurses note documented that the facility faxed the provider about a possible yeast infection because the resident's vaginal area was red and she had discomfort when using the bathroom and sitting, and the resident requested Diflucan. The record lacked documentation of follow-up to the fax between the initial report and the receipt of the Diflucan order, and it also lacked documentation of assessments related to the resident's concern during that period. Staff interviews indicated that nurses were expected to assess residents with signs and symptoms of infection, notify the provider, and follow up on faxes within 24 hours, using a clipboard system to track communication. The DON stated staff should follow up on a fax to a provider within 24 hours, and the facility policy stated that assessments should be facilitated when a resident had physical changes.
Failure to Provide Dignified Toileting Assistance
Penalty
Summary
A resident with diagnoses including neurogenic bladder, pressure ulcer, diabetes mellitus, anxiety, and depression, and who was cognitively intact, was dependent on staff for toilet transfers and hygiene. The resident's care plan specified that staff should assist with toileting upon request and provide peri care every morning, evening, and as needed for incontinence. Despite these directives, the resident reported that a CNA instructed her to have a bowel movement in her bed if she needed to go immediately, rather than assisting her to the bathroom as required. This incident was confirmed by both the resident and a registered nurse, who expressed shock at the CNA's direction and reported the event to the Director of Nursing. The facility's policies and resident rights documents require staff to treat residents with dignity and respect, and to provide care that maintains or enhances quality of life. The CNA's actions did not align with these requirements, resulting in a failure to honor the resident's right to a dignified existence and self-determination.
Failure to Timely Report Alleged Abuse
Penalty
Summary
The facility failed to report an allegation of abuse in a timely manner for one resident. The resident, who had diagnoses including respiratory failure, heart failure, and diabetes mellitus, and who required substantial assistance with toileting and transfers, reported that a CNA had slammed her down on the toilet, causing pain. The incident was reported by the resident to staff a few days after it occurred, and staff interviews revealed that the complaint was communicated among CNAs, but there was uncertainty about whether it was reported to a nurse immediately. The facility's policy required prompt reporting and investigation of abuse allegations, including documentation, assessment, and notification to appropriate authorities. Despite these requirements, the report indicates a delay in the reporting process, as staff were unsure if the complaint was escalated to nursing leadership in a timely manner. The Director of Nursing and Administrator both stated that staff are expected to report concerns to nurses and ensure they are heard, or to escalate to the DON if necessary. The deficiency was identified through review of clinical records, resident and staff interviews, and facility policy, showing a breakdown in the timely reporting of suspected abuse.
Failure to Thoroughly Investigate Alleged Abuse Incident
Penalty
Summary
The facility failed to conduct a thorough investigation into an allegation of abuse involving a resident with moderate cognitive impairment and multiple medical diagnoses, including respiratory failure, heart failure, and diabetes mellitus. The resident, who required substantial assistance with toileting and transfers, reported that a CNA slammed her down on the toilet, causing pain. The facility's documentation showed that while several residents were interviewed about staff treatment, there was no evidence that the specific description of the staff member provided by the resident was followed up on or investigated further. The facility's abuse prevention policy requires a designated management member to investigate all alleged incidents, collect supporting documents, review resident records, assess for injury, obtain witness statements, and preserve physical evidence. However, the investigation notes lacked documentation of these required steps, particularly regarding follow-up on the staff member described by the resident. The facility did not provide evidence that the investigation was comprehensive or that all protocols outlined in their policy were followed.
Failure to Ensure Safe Resident Transfers and Proper Use of Gait Belts
Penalty
Summary
The facility failed to ensure safe transfer practices for multiple residents, resulting in improper use of gait belts and manual handling that led to resident injury and distress. One resident, with diagnoses including pulmonary hypertension and hyperthyroidism, was assessed as independent with transfers and ambulation but required some assistance with toileting. Despite this, a CNA gripped the resident's arm with excessive force during a transfer, causing a visible bruise. Staff interviews confirmed that gait belts were not consistently used as required by facility policy, and manual lifting techniques were employed instead. Another resident, with respiratory failure, heart failure, and diabetes, required substantial assistance for toileting and transfers. This resident reported being handled roughly during a transfer, resulting in pain. Staff interviews revealed inconsistent use of gait belts during stand pivot transfers, with some staff admitting they did not always use the gait belt as directed by policy. The care plan specified one-person assistance with a walker for transfers, but staff actions did not consistently align with these instructions. A third resident, dependent on staff for all transfers and requiring a stand lift, experienced a fall during a transfer when two CNAs were using the stand lift. The resident became unresponsive and fell through the lift, with staff attempting to lower her to the floor. Staff interviews indicated uncertainty about proper strap placement and use of the stand lift. Facility policy required the use of gait belts for hands-on assistance and specified correct use of the stand lift, but these protocols were not consistently followed, leading to unsafe transfer events.
Failure to Address Repeated Deficiencies in QAPI Program
Penalty
Summary
The facility failed to address previously cited deficiencies related to F609 and F610 in its Quality Assessment and Performance Improvement (QAPI) program. Despite having a QAPI policy that outlines the process for identifying and correcting quality deficiencies, including developing and implementing corrective actions and monitoring their effectiveness, the same violations were identified in consecutive surveys. The facility's records and staff interviews confirmed that these deficiencies had not been adequately addressed through the QAPI process, as the same issues were cited in both the prior and current surveys.
Medication Storage and Labeling Deficiencies
Penalty
Summary
The facility failed to properly store and label medications, leading to several deficiencies. In one instance, a Licensed Practical Nurse (LPN) discovered a medication cup containing pills with the first name of a resident, indicating that the medications were not stored in their original packaging as required. This incident involved a resident with multiple diagnoses, including cancer, diabetes, and dementia, who was prescribed various medications for pain management and other conditions. The medications found in the cup were from the evening medication pass, and the issue was reported to the charge nurse and the Director of Nursing (DON). Another deficiency was observed when a refrigerator in the nurse's area was found unlocked, containing a box with several insulin pens and other medications. The DON expected the refrigerator to be locked, but a staff member admitted to forgetting to lock it after accessing it. This oversight raised concerns about the potential for drug diversion, particularly for insulin and Lorazepam stored in the refrigerator. The facility's policy on medication storage did not adequately address the storage of prescription medications, contributing to this deficiency. Additionally, a Registered Nurse (RN) failed to date an insulin pen after opening it, which is a critical step to ensure the medication's efficacy and safety. The insulin pen was used for a resident with type 2 diabetes, and the RN acknowledged the oversight, stating she would have discarded the undated pen if she had noticed. The Assistant Director of Nursing (ADON) confirmed that insulin pens must be marked with the date they are opened, and any undated pens should be discarded immediately. This failure to date the insulin pen was identified as a deficiency in the facility's medication administration process.
Failure to Investigate Missing Narcotic Medication
Penalty
Summary
The facility failed to adhere to its abuse policy and procedures following the identification of a missing narcotic medication for a resident. The resident, who had a history of cancer, diabetes mellitus, and dementia, was prescribed various medications, including Hydrocodone/Acetaminophen for pain management. On a particular day, it was discovered that the resident's scheduled Hydrocodone/Acetaminophen was missing from the medication cup, and instead, an unauthorized Acetaminophen 500 mg tablet was present. This discrepancy was noted by a staff member who reported the issue, highlighting the similarity in appearance between the two medications. The investigation into the missing medication was insufficient, as it did not involve interviews with all potential witnesses. The previous administrator conducted an investigation but only spoke with the nurses and not the Certified Nursing Assistants (CNAs) who were on duty at the time. This lack of thorough investigation was confirmed by the current administrator, who acknowledged that the medication carts were always located at the nurse station, suggesting that other staff might have observed something related to the missing narcotic medication. The facility's policy on abuse prevention, identification, investigation, and reporting was not fully implemented. The policy mandates the protection of residents and the prevention, identification, investigation, and timely reporting of abuse, neglect, and misappropriation of property. However, the investigation into the missing medication did not follow these protocols, as it failed to gather comprehensive witness statements and did not preserve potential physical evidence. This oversight in following the established procedures contributed to the deficiency identified in the report.
Incomplete Investigation of Medication Error
Penalty
Summary
The facility failed to conduct a thorough investigation into a medication error involving a resident with multiple health conditions, including cancer, diabetes, and dementia. The resident's care plan required pain management, including prescribed narcotics. However, a medication cup found in the medication cart contained an incorrect medication, acetaminophen 500 mg, instead of the prescribed Hydrocodone/Acetaminophen 10-325 mg. The error was discovered by staff members who noted the similarity in appearance between the two medications. Despite this discovery, the facility's investigation was incomplete, as it did not include interviews with all relevant staff members, particularly the Certified Nurses Aides (CNAs) who were on duty at the time of the incident. The facility's policy on medication storage, dated May 1, 2022, did not adequately address the storage of prescription medications other than controlled substances. The investigation conducted by the previous administrator was limited to discussions with nurses and did not involve CNAs, who might have had relevant observations. The resident involved could not recall the incident due to the time elapsed. This lack of comprehensive investigation and policy oversight contributed to the deficiency identified by the surveyors.
What surveyors are citing around you — mapped
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Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 78 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
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Marengo
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Colonial Manor Of Amana | 7.8 mi | ★★★★★ | 0 | 0 |
| Highland Ridge Care Center, Llc | 8.8 mi | ★★★★★ | 11 | 0 |
| Belle Plaine Specialty Care | 13.7 mi | ★★★★★ | 6 | 0 |
| Keystone Nursing Care Center Inc | 16.8 mi | ★★★★★ | 4 | 0 |
| The Gardens Of Cedar Rapids | 18.6 mi | ★★★★★ | 3 | 0 |
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