Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Saline Care Nursing & Rehab during CMS and state inspections, most recent first.
Two residents with psychiatric and cognitive conditions were involved in separate physical altercations with peers, resulting in one resident being pushed and falling after a dispute over coffee, and another being pushed in the chest during a hallway encounter. Staff were present and attempted to intervene but were unable to prevent the incidents, despite existing care plans addressing behavioral risks.
A resident with severe cognitive impairment and multiple health conditions did not receive adequate fingernail care, resulting in a large amount of black substance under their nails. Despite requests from the family, staff failed to clean the nails, and interviews revealed inconsistencies in the facility's nail care practices. The facility's policy on regular nail cleaning and trimming was not followed.
A resident with multiple diagnoses, including pressure ulcers, was found to have several untreated and undocumented wounds during a survey. The facility staff failed to fully assess and document all wounds, and proper infection control procedures were not followed during treatment. The facility's documentation did not reflect all observed wounds, and the Director of Nurses acknowledged the need for proper assessment and reporting of new wounds.
The facility failed to provide the required 80 square feet of living space per resident for four residents, with rooms measuring only 150 square feet in total. The Administrator confirmed that certain rooms have a waiver assessment and are certified for two residents despite not meeting size requirements. Residents expressed no issues with the room size, and no concerns were noted in Resident Council meeting minutes.
The facility failed to maintain clean shower rooms, with surveyors observing black and orange substances in the shower areas. A family member had previously raised concerns about mold, but facility staff believed the discoloration was due to glue. Despite attempts to clean the areas, the issue persisted, and the facility was preparing for a remodel.
Failure to Prevent Resident-to-Resident Physical Abuse
Penalty
Summary
The facility failed to prevent resident-to-resident physical abuse involving two separate incidents among four residents. In the first incident, a male resident with a history of traumatic subdural hemorrhage, bipolar disorder, anxiety disorder, heart failure, osteoarthritis, and chronic kidney disease, and with moderately impaired cognition, was involved in an altercation in the dining room with another male resident diagnosed with major depressive disorder, anxiety disorder, insomnia, paranoid schizophrenia, and unspecified psychosis. The cognitively intact resident, who was on a fluid restriction, became agitated over not receiving additional coffee, exhibited delusional behavior, and after a verbal exchange, pushed the other resident, causing him to fall and complain of hip pain. Staff attempted to intervene but were unable to prevent the physical contact. The incident was witnessed by staff, and both residents were assessed for injuries. In the second incident, a female resident with Alzheimer's disease, major depressive disorder, schizophrenia, generalized anxiety, and pica, who exhibited wandering behavior and memory problems, was pushed in the chest by a male resident with schizoaffective disorder, vascular dementia, and anxiety. The male resident, who was cognitively intact and ambulatory, encountered the female resident in a hallway he considered to be for males only. After a verbal exchange, he pushed her in the chest to get her to leave the area. This event was witnessed by a housekeeper, and staff immediately separated the residents and assessed them for injuries. The male resident later stated he had a urinary tract infection at the time, which may have affected his behavior. In both cases, the facility's staff were present and attempted to intervene, but were unable to prevent the physical altercations. The residents involved had documented histories of cognitive impairment, psychiatric diagnoses, and behavioral issues, which contributed to the incidents. The facility's care plans for these residents included interventions for behavioral management and supervision, but these measures were not sufficient to prevent the physical abuse from occurring.
Failure to Provide Adequate Fingernail Care
Penalty
Summary
The facility failed to provide adequate fingernail care for a resident with severe cognitive impairment and multiple health conditions, including Type 2 Diabetes and psychomotor deficits. The resident required substantial assistance for personal hygiene, as documented in their care plan. Despite this, the resident's family member observed a large amount of black substance with a strong odor under the resident's fingernails, indicating neglect in nail care. The family member reported having asked for nail cleaning for two weeks without any action taken by the staff. Interviews with various Certified Nursing Assistants (CNAs) and the Director of Nursing revealed inconsistencies in the facility's approach to nail care. CNAs stated that nail cleaning typically occurs during showers, which are scheduled twice a week, but none could recall when they last cleaned the resident's nails. The Director of Nursing admitted there was no specific schedule for nail care, and it was dependent on staffing levels. The facility's policy on nail care, which emphasizes regular cleaning and trimming to prevent infections, was not adhered to, as evidenced by the lack of documentation on the resident's shower sheets regarding nail care.
Failure to Identify and Treat Resident Wounds
Penalty
Summary
The facility failed to properly identify, assess, and treat wounds for a resident, leading to a deficiency in care. The resident, who was admitted with multiple diagnoses including cellulitis, sepsis, and pressure ulcers, was observed to have several untreated and undocumented wounds during a survey. Despite having a care plan in place to address skin integrity, the staff did not fully assess or document all of the resident's wounds, including a skin tear in the groin and an open area below the buttock, until prompted by the surveyor. During the observation, the registered nurse and certified nursing assistant initially identified and treated pressure ulcers on the resident's sacrum but failed to notice other wounds until they were pointed out by the surveyor. The wound specialist was called multiple times to assess and provide treatment orders for these newly identified wounds. Additionally, the nurse did not follow proper infection control procedures, as they did not change gloves or sanitize hands between treating different wound sites on the resident's ankle. The facility's documentation was incomplete, as the resident's skin and wound evaluations did not reflect all the wounds observed during the survey. The Director of Nurses acknowledged that newly identified wounds should be measured, assessed, and reported, and that proper hand hygiene should be maintained during wound care. The facility's wound policy requires that any new areas identified should be reviewed and assessed within 24 hours, which was not adhered to in this case.
Deficiency in Room Size Requirements
Penalty
Summary
The facility failed to provide the required minimum living space of 80 square feet per resident for four residents in a sample of 41. During the survey, it was observed that rooms occupied by these residents were only 150 square feet in total, providing just 75 square feet per resident. The measurements were confirmed by the Maintenance Director using a measuring tape, and the dimensions did not include the closet and bathroom areas. The rooms in question contained two beds and two nightstands, indicating a lack of adequate space per resident. The Administrator acknowledged that certain rooms in the facility, specifically those on Side 2, have a room size waiver assessment and are Medicare/Medicaid certified for two residents despite not meeting the standard room size requirements. Residents in these rooms, who were alert and oriented, expressed no issues with the room size. Additionally, a review of six months of Resident Council meeting minutes showed no concerns related to room size, suggesting that the deficiency was not previously reported by the residents.
Deficiency in Maintaining Clean Shower Rooms
Penalty
Summary
The facility failed to maintain a clean and homelike environment in the resident care areas, specifically in the shower rooms, as observed during a survey. The surveyors noted a black and orange substance around the caulking strip area between the wall and the floor of the shower stall, as well as on the shower curtain liner and the legs of the shower chair. A family member expressed concerns about the cleanliness of the shower rooms, describing them as filled with mold, and had previously raised these issues during a care plan meeting. Despite these concerns, the facility staff, including the Director of Nursing and the Administrator, believed the discoloration was due to glue from the tiles and not mold. The Housekeeping Supervisor mentioned that the facility had attempted to clean the substance with various products, including bleach, but was unsuccessful. The facility was in the process of preparing to remodel the shower rooms, but the materials had not yet been delivered. The Administrator and Regional Nurse were shown the soap scum buildup on the shower curtain liner, which the Administrator was unaware of, and the buildup on the shower chair legs was identified as soap scum rather than mold. The facility's census sheet documented that several residents lived on the affected hall, but no specific medical history or conditions of the residents were mentioned in relation to the deficiency.
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What surveyors actually found near you
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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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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Harrisburg
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Axiom Healthcare Of Harrisburg | 0.5 mi | ★★★★★ | 5 | 0 |
| Carrier Mills Nsg & Rehab Ctr | 5.3 mi | ★★★★★ | 11 | 0 |
| Eldorado Rehab & Healthcare | 8 mi | ★★★★★ | 1 | 0 |
| Gallatin Manor | 16 mi | ★★★★★ | 19 | 0 |
| Integrity Hc Of Marion | 19.7 mi | ★★★★★ | 24 | 1 |
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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.