Above average — CMS composite of the measures below.
A standard survey is most likely before around September 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 Timely Mission Nursing Home during CMS and state inspections, most recent first.
A resident with Parkinson's disease and a healing ankle fracture did not receive ordered physical and occupational therapy services upon admission, despite clear physician orders and care plan interventions. Documentation and interviews confirmed the therapies were not provided as required, and facility leadership acknowledged the lapse in following therapy orders.
The facility failed to complete Significant Change MDS assessments within the required 14-day period for two residents who experienced significant changes in their conditions. One resident was discharged from hospice care, and another was admitted to hospice care, but the facility did not complete the necessary assessments as mandated by the RAI Manual.
A resident with moderately impaired cognition developed two stage two pressure ulcers due to inadequate care and prevention measures. The facility failed to implement comprehensive interventions, such as pressure-reducing devices and nutritional supplements, and did not consistently document wound assessments or communicate dietary recommendations to the physician. Staff interviews revealed inconsistencies in care implementation, and the facility's policy on skin integrity was not consistently followed.
Failure to Provide Ordered Therapy Services Upon Admission
Penalty
Summary
A deficiency occurred when a resident admitted with diagnoses including Parkinson's disease, a healing left ankle fracture, weakness, and low back pain did not receive ordered physical and occupational therapy services upon admission. The resident's Minimum Data Set (MDS) indicated intact cognition and dependence on staff for mobility and transfers, with care plan interventions specifying the use of a walker, wheelchair, and assistance from staff. Physician orders and the inpatient summary documented the need for both physical and occupational therapy evaluations and treatments, as well as specific mobility aids and weight-bearing instructions. Despite these orders, the clinical record lacked documentation that the resident received the required therapy services on the day of admission. Both the resident and their family confirmed that no therapies were provided at that time. Facility leadership, including the DON and Administrator, acknowledged the absence of therapy documentation and confirmed that the expectation is for physician orders to be followed and therapies to be provided as ordered.
Failure to Complete Timely Significant Change MDS Assessments
Penalty
Summary
The facility failed to complete Significant Change Minimum Data Set (MDS) assessments within the required 14-day period for two residents who experienced significant changes in their conditions. Resident #20 was discharged from hospice care on November 22, 2023, but the facility did not complete a Significant Change MDS assessment following this change. Interviews with the MDS Coordinator and the Director of Nursing revealed that the facility did not have a specific policy for MDS completion and relied on the Resident Assessment Instrument (RAI) Manual, which mandates a Significant Change MDS when a resident enrolls in or is discharged from hospice care. Similarly, Resident #19 was admitted to hospice care on November 30, 2023, but the facility failed to complete a Significant Change MDS within the 14-day timeframe. Instead, an annual assessment was completed with an Assessment Reference Date (ARD) of December 28, 2023, on January 11, 2024. This oversight indicates a failure to adhere to the RAI Manual's guidelines, which require timely MDS assessments to ensure coordinated care between hospice services and the nursing home.
Inadequate Pressure Ulcer Care and Prevention
Penalty
Summary
The facility failed to provide adequate pressure ulcer care and prevention for a resident, leading to the development and inadequate treatment of two stage two pressure ulcers. The resident, who had moderately impaired cognition and required assistance with certain activities, was initially assessed as not at risk for pressure ulcers. However, an incident report documented a new pressure ulcer on the resident's right buttocks, which was not followed by new interventions to prevent further skin breakdown. The care plan for the resident was revised to include certain interventions, but it lacked comprehensive measures such as pressure-reducing devices for the bed or chair and nutritional supplements to aid in wound healing. The resident's clinical records did not include a Braden Scale assessment after the development of the pressure ulcer, and there was a lack of documentation regarding the size and characteristics of the new pressure ulcer that developed later. Additionally, the facility did not communicate dietary recommendations for a nutritional supplement to the physician, and there was no documentation of family notification regarding the new pressure ulcer and treatment orders. Interviews with staff revealed inconsistencies in the implementation of care interventions, such as encouraging the resident to reposition and walk. The Director of Nursing acknowledged missing documentation and communication regarding the resident's care, including wound measurements and family notifications. The facility's policy on skin integrity emphasized the need for regular assessments and documentation, which were not consistently followed in this case.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
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 5 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
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Buffalo Center
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Titonka Care Center | 11.5 mi | ★★★★★ | 0 | 0 |
| Accura Healthcare Of Bancroft | 14.5 mi | ★★★★★ | 0 | 0 |
| Lake Mills Care Center | 17 mi | ★★★★★ | 5 | 0 |
| Good Samaritan - Forest City | 18 mi | ★★★★★ | 0 | 0 |
| St Lukes Lutheran Care Center | 18.1 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.