Above average — CMS composite of the measures below.
A standard survey is most likely before around August 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 Aspen Place Health Campus during CMS and state inspections, most recent first.
The facility did not document or track antibiotic use for two months, contrary to its infection control policy. Additionally, staff failed to follow Enhanced Barrier Precautions by not wearing gowns during high-contact care for two residents with chronic wounds, despite physician orders and posted signage requiring this protective equipment.
Three certified nurse aides did not complete the required hours of dementia training before working with residents diagnosed with dementia. Training was distributed via email, and staff were responsible for completion, but records showed insufficient training hours for these aides. The facility did not have a specific policy on dementia training and relied on regulatory requirements.
A resident with multiple medical conditions reported that a CNA tossed a package of wet wipes at her, which she perceived as an act of anger. The incident was communicated to several staff members, but was not reported to the DON or Administrator in a timely manner. The DON later acknowledged that staff should have reported the allegation immediately, and the facility lacked a specific reporting policy.
A resident with severe cognitive impairment and multiple medical conditions did not have daily blood pressure checks documented as ordered by a physician over a specified period. Nursing staff confirmed that such monitoring should be recorded, but several days were missing documentation, and there was no facility policy for following physician orders, relying instead on standard practice.
Two residents with UTIs experienced delays in receiving antibiotic treatment due to late lab processing and medication unavailability. One resident with severe cognitive impairment had a delay between urine collection, lab reporting, and the start of antibiotics. Another resident with a urinary catheter did not receive prescribed antibiotics until several days after lab results were available. Staff interviews confirmed delays in lab result retrieval and treatment initiation, and the facility did not have a policy addressing timely lab processing.
The facility did not consistently monitor or document daily weights and PRN medication administration for a resident with heart disease and diabetes, nor did it consistently record meal intake for another resident with severe cognitive impairment and malnutrition, despite facility policy and physician orders requiring these actions.
A resident with severe cognitive impairment and multiple medical conditions missed several doses of prescribed tramadol because the medication was unavailable and a new prescription was not obtained in a timely manner. Documentation showed repeated missed doses and delays in communication with the provider, contrary to facility policy requiring advance reordering and prompt prescription renewal.
A QMA crushed and administered an extended-release Potassium Chloride tablet to a resident with severe cognitive impairment, despite the medication being on the facility's 'do not crush' list. The QMA was unaware of this restriction at the time, and the error was identified during a review of medication administration practices.
A medication cart was found to contain an insulin pen and a bottle of liquid fish oil for a resident, both of which were not labeled with the date they were opened. An RN confirmed that these medications should have been labeled according to facility policy and manufacturer instructions.
The facility failed to label and store medications properly, as observed with an insulin pen and TB serum in the 300 Hall. An LPN found an insulin pen without an opened-on date, and an RN found an undated TB serum vial. Both medications were used beyond their recommended periods, violating the facility's policy.
The facility failed to store food appropriately, with several items found in the walk-in refrigerator having expired use-by dates. The Dietary Manager indicated that it was the responsibility of the cooks, Assistant Dietary Manager, and herself to ensure outdated foods were discarded, with daily checks of the refrigerator. The weekend cook was responsible for checking the refrigerators on weekends.
A resident was observed with medications left at their bedside without a completed self-administration assessment, contrary to facility policy. The resident, who was cognitively intact, identified some medications but delayed taking a water pill. Staff interviews confirmed the lack of an assessment, which is required for self-administration of medications.
The facility failed to provide adequate bathing services for two residents, who were reviewed for Activities of Daily Living. A resident with atrial fibrillation, hypertension, and respiratory failure received only 6 out of 10 scheduled showers or complete bed baths. Another resident with a fracture, anemia, hypertension, and diabetes was non-compliant and refused showers, receiving or being offered a bath 11 out of 15 times. The facility's policy required bathing at least twice a week and proper documentation, which was not consistently followed.
A facility failed to follow infection control guidelines for a resident with an indwelling urinary catheter, leading to potential contamination. The resident, with a history of recurrent UTIs and requiring extensive assistance, was observed with catheter tubing and drainage bag touching the floor. Staff interviews confirmed the need for assistance and the facility's policy to keep catheter equipment off the floor, which was not adhered to.
A facility failed to follow hospital discharge orders and verify admission weights for a resident with conditions including atrial fibrillation and respiratory failure. The resident's discharge instructions required daily weighing, a low sodium diet, and fluid intake monitoring, which were not documented or followed by the facility. Staff interviews revealed lapses in transcribing and verifying physician orders, and the Director of Nursing acknowledged the oversight in addressing weight discrepancies.
Failure to Track Infections and Adhere to Enhanced Barrier Precautions
Penalty
Summary
The facility failed to adhere to infection control guidelines in two main areas: infection tracking and trending, and the implementation of Enhanced Barrier Precautions (EBP). Record review revealed that the facility did not document or track antibiotic use for the months of February and March 2025. The Infection Preventionist confirmed that no tracking occurred during this period, as she only began her role in April. This lack of documentation was inconsistent with the facility's own infection prevention and control policy, which requires ongoing surveillance and reporting of infections and antibiotic usage. Additionally, staff did not consistently follow EBP protocols for residents with chronic wounds. One resident with severe cognitive impairment and an unhealed pressure ulcer had a physician's order and signage indicating the need for staff to wear gowns and gloves during high-contact care. However, a registered nurse provided wound care without donning a gown. Similarly, another resident with pressure and venous ulcers had an order for EBP, but two registered nurses performed wound care without wearing gowns. Both instances were observed and acknowledged by the staff involved, and were not in accordance with the facility's EBP policy.
Failure to Provide Required Dementia Training to Nurse Aides
Penalty
Summary
The facility failed to ensure that nurse aides received the required six hours of dementia training within six months of hire and three hours annually, as evidenced by a review of 10 employee records. Specifically, three certified nurse aides working on the skilled unit did not have the mandated number of dementia training hours prior to working with residents diagnosed with dementia. One aide had only 1.5 hours, another had 1 hour, and a third had 1.5 hours of dementia training. The Employee Experience Manager confirmed that all documented dementia training was provided through email and it was the staff's responsibility to complete it, with department managers receiving reports on outstanding training. There was no facility policy on dementia training, and the facility relied on state and federal regulations.
Failure to Timely Report Alleged Abuse Incident
Penalty
Summary
The facility failed to report an allegation of abuse in a timely manner for one resident. The incident involved a cognitively intact resident with multiple diagnoses, including anemia, heart failure, hypertension, diabetes, malnutrition, depression, and bipolar disorder. The resident reported that a CNA tossed a package of wet wipes at her in the bathroom, which she perceived as an act of anger. The resident communicated her dissatisfaction to other staff members, but did not believe the issue was addressed. The CNA involved stated that she did not throw the wipes, but acknowledged the wipes hit the resident's wheelchair. The incident was discussed among staff, including a nurse and a Qualified Medication Aide, but the resident was unwilling to discuss the matter further in the presence of the CNA. The Director of Nursing (DON) became aware of the accusation several days after the incident and initiated an investigation. Statements were collected from the resident, CNA, LPN, and QMA, all confirming that the resident had reported the incident. However, the DON acknowledged that the staff should have reported the allegation of abuse immediately to her or the Administrator, as per facility expectations. The Administrator also indicated there was no specific policy for reporting, and that state guidelines would be followed. The delay in reporting the allegation constituted a failure to meet timely reporting requirements for suspected abuse.
Failure to Follow Physician Order for Blood Pressure Monitoring
Penalty
Summary
The facility failed to follow a physician's order for daily blood pressure monitoring for one resident who was severely cognitively impaired and had multiple diagnoses, including acute respiratory failure with hypoxia, hypertension, non-Alzheimer dementia, malnutrition, anxiety, depression, and psychotic disorder. The physician's order required daily blood pressure checks from 01/30/25 through 02/24/25, but the resident's clinical record lacked documentation of blood pressure readings on several specified dates within this period. Interviews with nursing staff confirmed that such monitoring should be documented in the Electronic Medication Administration Record, and the Corporate Clinical Support Nurse stated there was no specific policy for following physician orders, relying instead on standards of practice.
Delayed Antibiotic Treatment for UTIs Due to Lab and Medication Delays
Penalty
Summary
The facility failed to ensure timely antibiotic treatment for residents diagnosed with urinary tract infections (UTIs) for two of fifteen residents reviewed. For one resident with severe cognitive impairment and multiple comorbidities, urine was collected for a urinalysis and culture, but there was a delay in both the laboratory processing and the initiation of antibiotic therapy. The urine sample was collected and received by the lab two days later, with culture results reported four days after collection. Despite the positive UTI result, antibiotic treatment was not started until three days after the results were available. For another resident with neurogenic bladder and a urinary catheter, urine was collected and refrigerated for lab pickup, and the catheter was replaced due to leaking. The urine culture results were reported within three days, but the antibiotic prescribed was not administered until four days after the results were available due to medication unavailability. Interviews with nursing staff and the infection preventionist confirmed that there were delays in obtaining lab results and starting antibiotics, and the facility lacked a policy on the timeliness of lab processing and treatment initiation.
Failure to Monitor and Document Nutrition and Fluid Status for Two Residents
Penalty
Summary
The facility failed to adequately monitor and document the nutritional and fluid status of two residents with significant medical conditions. For one resident with diagnoses including heart disease, hypertension, and diabetes, there were multiple dates where daily weights were not recorded as ordered by the physician. Additionally, when the resident experienced weight gains of two pounds or more in a day, the prescribed PRN dose of Lasix was not administered as required. Staff interviews confirmed that weights were to be obtained daily and reported to the nurse, who would then determine if the PRN medication should be given, but this process was not consistently followed. The facility also lacked a policy for following physician orders, relying instead on standard practice. For another resident with severe cognitive impairment and a diagnosis of malnutrition, the clinical record was missing documentation of meal intake for numerous meals across several dates. Facility policy required that meal intake be recorded in the electronic health record, but this was not consistently done. Staff interviews confirmed that meal documentation was expected, but the records showed significant gaps, particularly for a resident at risk due to malnutrition.
Failure to Provide Timely Medication Due to Unavailability and Prescription Issues
Penalty
Summary
The facility failed to ensure that medications were available for a resident who was severely cognitively impaired and had multiple diagnoses, including acute respiratory failure with hypoxia, hypertension, non-Alzheimer dementia, malnutrition, anxiety, depression, and psychotic disorder. The resident had a physician's order for tramadol 50 mg twice daily, but the medication was not administered on several occasions due to it being unavailable. Documentation showed missed doses on multiple dates, with reasons including the medication being out of stock and the need for a new prescription. Progress notes indicated that staff recognized the need for a new prescription and attempted to communicate this to the provider, but there was no evidence in the physician progress notes that a new prescription was requested or provided in a timely manner. Facility policy required reordering medications several days in advance and obtaining new prescriptions as needed, but these procedures were not followed, resulting in the resident missing multiple doses of prescribed pain medication.
Significant Medication Error: Crushing of Extended Release Potassium Chloride
Penalty
Summary
A Qualified Medication Aide (QMA) was observed preparing and administering medications for a resident who required her medications to be crushed. During the process, the QMA included a 20 mEq Extended Release (ER) Potassium Chloride tablet among the medications to be crushed. The QMA removed a soft gel vitamin supplement, noting it could not be crushed, but proceeded to crush the remaining medications, including the ER Potassium Chloride tablet, and administered them to the resident with pudding. The QMA later acknowledged that some medications should not be crushed due to their coating and referred to a 'do not crush' list on the medication cart, which specifically included the ER Potassium Chloride tablet. She was unaware at the time of administration that this medication should not be crushed. The resident involved was severely cognitively impaired and had diagnoses including coronary artery disease, hypertension, and malnutrition. A review of the resident's most recent laboratory values showed her potassium level was within normal limits. The facility's 'Medications Not To Be Crushed' list, last revised in December 2022, confirmed that the ER Potassium Chloride tablet should not be crushed due to its extended-release formulation.
Failure to Label Opened Medications on Medication Cart
Penalty
Summary
Surveyors observed that the 100 Hall Medication Cart contained a Basaglar insulin pen and a bottle of liquid fish oil, both belonging to a resident, that were not labeled with the date they were opened. The insulin pen was half full and the fish oil bottle was two-thirds full at the time of inspection. During an interview, the RN confirmed that both medications should have been labeled with the date they were opened, in accordance with facility policy and the medication manufacturer's instructions. The facility's policy requires that a date opened sticker be placed on medications once the original seal is broken, and the Basaglar insulin pen's package insert specifies that it should be discarded 28 days after opening, regardless of remaining content.
Medication Labeling and Storage Deficiencies
Penalty
Summary
The facility failed to properly label and store medications, as observed in the 300 Hall Medication Cart and Medication Room. During an inspection, a Lispro insulin pen for a resident was found on the medication cart without an opened-on date. The LPN responsible indicated that the pen was delivered by the pharmacy a month prior and had been refrigerated until use, but it was not labeled when opened. The insulin pen, which is effective for 28 days after opening, was nearly full, suggesting it had not been in use for long. However, the lack of labeling violated the facility's medication storage policy. Additionally, the 300 Hall Medication Storage Room contained an opened vial of TB serum that was not labeled with an opened-on date. The RN present acknowledged that the TB serum should be used within 30 days of opening, but the vial was undated. Several residents had received TB tests using this serum, including tests conducted over a week prior to the inspection. The facility's policy mandates that opened medication containers be dated, which was not adhered to in these instances.
Inappropriate Food Storage
Penalty
Summary
The facility failed to store food appropriately as observed during a kitchen tour. In the walk-in refrigerator, several items were found with expired use-by dates, including five chuck roasts, a cantaloupe, a jar of maraschino cherries, a jar of jelly, and a prepared fruit cup. The Dietary Manager acknowledged that it was the responsibility of the cooks, Assistant Dietary Manager, and herself to ensure outdated foods were discarded, with the refrigerator being checked daily. The weekend cook was responsible for checking the refrigerators on weekends. The facility's policy on food labeling and dating was provided, indicating the procedure for properly labeling and dating food items.
Failure to Assess Resident for Self-Administration of Medications
Penalty
Summary
The facility failed to assess a resident for self-administration of medications, which was observed during a survey. Resident 43 was seen with a medicine cup full of pills on their over-the-bed table without any staff present. The resident identified some of the medications, including a blood thinner and an iron pill, and had a second cup with a reddish fluid. Despite being reminded by an LPN to take their medications, the resident delayed taking a water pill, which remained on the table for several hours. Interviews with staff revealed that there was no completed self-administration assessment for Resident 43, which is required for residents to self-administer medications. The facility's policy mandates an assessment and physician's order for self-administration, but this was not done for Resident 43. The resident's clinical record confirmed the absence of such an assessment, despite the resident being cognitively intact and having a history of various medical conditions.
Failure to Provide Adequate Bathing Services
Penalty
Summary
The facility failed to provide adequate bathing services for two residents, identified as Residents D and E, who were reviewed for Activities of Daily Living. Resident D, who was cognitively intact and had diagnoses including atrial fibrillation, hypertension, and respiratory failure, received only 6 out of 10 scheduled showers or complete bed baths from admission to discharge. The facility's policy required bathing at least twice a week unless otherwise preferred by the resident, but this was not consistently documented or adhered to. Resident E, also cognitively intact with diagnoses including a fracture of the right fibula, anemia, hypertension, and diabetes, was non-compliant with care at times and refused showers. Despite this, the facility's documentation showed that Resident E was given or offered a bath or shower 11 out of 15 times during the review period. The facility's policy required documentation of the type and amount of assistance provided for activities of daily living, but the records indicated inconsistencies in adherence to this policy.
Inadequate Infection Control for Urinary Catheter
Penalty
Summary
The facility failed to adhere to appropriate infection control guidelines for a resident with an indwelling urinary catheter, who had a history of recurrent urinary tract infections (UTIs). During multiple observations, the resident's catheter tubing and drainage bag were seen dragging on the floor or touching the floor while the resident was in their wheelchair. The tubing contained tan-colored debris and cloudy yellow urine, indicating potential contamination. The resident, who was moderately cognitively impaired and had diagnoses including stroke, neurogenic bladder, diabetes, dementia, and hemiplegia, required extensive assistance for transfers, yet was observed with their catheter improperly managed. Interviews with staff, including a CNA and the Therapy Manager, confirmed that the resident required assistance with transfers and that the catheter bag and tubing should not be touching the floor. The facility's Urinary Catheter Care policy, which was reviewed, explicitly stated that catheter tubing and drainage bags should be kept off the floor to prevent infection. Despite this policy, the resident's catheter care was not managed according to these guidelines, contributing to the deficiency noted in the report.
Failure to Follow Hospital Discharge Orders and Verify Admission Weights
Penalty
Summary
The facility failed to adhere to hospital discharge orders and verify admission weights for a resident, identified as Resident D, who was reviewed for hydration and nutrition. Resident D, who was cognitively intact, had diagnoses including atrial fibrillation, hypertension, and respiratory failure. The hospital discharge summary specified that the resident should be weighed daily, with any significant weight changes reported to the physician. The facility was also instructed to maintain a low sodium diet and limit fluid intake. However, the facility did not document daily weights until several weeks after admission, did not follow the prescribed diet and fluid restrictions, and did not address discrepancies between the hospital discharge weight and the facility's admission weight. Interviews with facility staff revealed that the process for transcribing and verifying physician orders was not followed correctly. The Director of Nursing acknowledged that the resident's discharge paperwork indicated daily weighing, which should have been transcribed upon admission. Despite the resident's significant weight decrease, the facility did not investigate the initial weight discrepancy. The facility's policy on notification of change was not adhered to, as there was no documentation of follow-up actions regarding the resident's weight management and dietary needs.
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 178 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 Greensburg
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Hickory Creek At Greensburg | 0.7 mi | ★★★★★ | 10 | 0 |
| Arbor Grove Village | 1.2 mi | ★★★★★ | 18 | 0 |
| Morning Breeze Retirement Community And Healthcare | 1.6 mi | ★★★★★ | 0 | 0 |
| Willows Of Greensburg | 2.3 mi | ★★★★★ | 15 | 0 |
| Waldron Rehabilitation And Healthcare Center | 12.5 mi | ★★★★★ | 7 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Aspen Place Health Campus.
100% money-back within 48 hours.
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.