Below average — CMS composite of the measures below.
A standard survey is most likely before 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 Mcgivney Health Care Center during CMS and state inspections, most recent first.
A resident with dementia, bipolar disorder, and COPD had conflicting code status documentation: the chart showed full code, while a POST form and signed resuscitation declination indicated DNR/no CPR. The SSD stated the resident should have been DNR since admission, but the physician order was not updated until later, and the care plan continued to list the resident as full code.
Psychotropic medication management was deficient for two residents. One resident had an as-needed Xanax order without a required stop date that remained active for over 90 days, and another resident receiving antipsychotics did not have a baseline AIMS completed at initiation. Staff stated the PRN Xanax needed a 14-day stop date, and an LPN said AIMS should be completed when antipsychotic therapy starts or on admission.
Failure to provide written transfer and bed-hold notices to a resident and the resident's representative when the resident was sent to the hospital. The resident had multiple chronic conditions, including acute respiratory failure with hypoxia, COPD, CHF, dementia, and diabetes, and was transferred by ambulance after worsening SOB and O2 saturation dropped to 81%. Staff stated the paperwork was sent with the resident and the family was called, but the SSD said the facility did not document that the required written notices were given directly to the resident or representative.
PASARR was not updated for two residents when new diagnoses and a new antipsychotic medication were added. One resident had dementia and bipolar disorder documented in the chart, but those diagnoses were not reflected in the PASARR level II. Another resident was started on Risperdal, but the PASARR was not updated after the new psychotropic was ordered. The SSD stated the PASARR should have been resubmitted, and the ED said the facility did not have a PASARR policy.
Incomplete Care Plans for Medical Needs: The facility failed to develop comprehensive care plans for two residents. One resident had a urinary catheter and oxygen therapy with physician orders for daily catheter flushing and oxygen saturation monitoring, but no care plan was found for either intervention. Another resident had diagnoses including schizoaffective disorder, HTN, and HLD and received medications for parkinsonism, dyskinesia, constipation, HTN, and HLD, but no related care plans were located in the record.
Care plans were not reviewed and updated after MDS assessments for two residents. One resident with encephalopathy, COPD, epilepsy, schizophrenia, repeated falls, alcohol dependence, and CHF had fall events documented, but the care plan did not reflect those incidents or add new interventions. Another resident with intracranial injury, COPD, hemiplegia, dementia, TBI, delusional disorders, and alcohol abuse had a quarterly MDS completed, but the comprehensive care plan was not reviewed again for several months and was not reviewed with the IDT care plan meetings.
The facility failed to obtain ordered daily weights for a resident with edema and acute kidney failure, with several missed weights not found in the chart. The facility also failed to assess and treat another resident for constipation despite prolonged periods without a BM, no constipation care plan, and no documentation that PRN Miralax was administered as ordered.
A resident with a urinary catheter and diagnoses including BPH, prediabetes, and age-related physical debility had an order to flush the catheter daily, but no routine catheter care order or catheter care documentation was found in the record. Staff were unclear whether CNAs or nurses were responsible for catheter care, and the MDS Coordinator stated the care should have been documented in a health status note.
Failure to date and change oxygen tubing and humidification supplies: Two residents receiving respiratory therapy were observed with oxygen tubing that was not dated, and one resident's humidifier bottle had low water and was not bubbling. An LPN stated the tubing should be dated and changed weekly, while the DON noted that working humidification should bubble; one resident's record had an order for nebulizer tubing changes, but no order was found for changing the oxygen line.
RN Not on Duty for Required 8 Consecutive Hours. The facility failed to ensure an RN was on duty for 8 consecutive hours. During observation, no RN was on duty during the day shift, and staffing records did not show RN coverage for the day, evening, or night shift. The facility had two RNs employed, including the DON and the IP, but could not provide documentation of RN coverage for that day.
Spoiled food was not discarded in 1 of 2 dry food storage areas, the basement food storage area. During observation, bananas with a received date of 8/6/25 were brown and black with white growth on the stem, and had spots oozing liquid with some bubbles forming. The kitchen manager later stated the bananas needed to be thrown away because they were spoiled. The facility policy on expired food addressed disposal of spoiled or possibly contaminated food.
Failure to implement EBP for two residents with urinary catheters. One resident had diagnoses including BPH, prediabetes, and debility, and an LPN performed catheter care without a gown even though PPE was supposed to be worn. The other resident had diagnoses including acute kidney failure, neuromuscular bladder dysfunction, and HTN. No EBP orders or room/door signage were found, and the DON and Activity Director stated they did not know what EBP were.
Room Size Below Required Square Footage: A room occupied by two residents contained two beds, two nightstands, two wardrobes, and one dresser. Surveyors measured the room at 153.83 sq. ft., which equaled 76.9 sq. ft. per resident for double occupancy, below the required 80 sq. ft. per resident. The ED stated there had been no physical changes to the room and that the facility followed state regulations.
The facility failed to create comprehensive care plans for two residents, neglecting to address specific medical conditions such as constipation, hyperlipidemia, insomnia, and pain. Despite having physician orders for medications like Linzess, Miralax, Lipitor, Melatonin, and Tramadol, the care plans were not developed, as confirmed by the MDS Nurse. This oversight contravened the facility's policy requiring individualized care plans based on diagnoses and physician's orders.
A facility failed to monitor the effectiveness of a cholesterol medication for a resident with mixed hyperlipidemia. The resident was prescribed Lipitor, but no lipid profile tests were conducted after February 2022 to assess cholesterol levels. Interviews revealed the absence of a policy for monitoring lab results related to medications, and a nurse practitioner indicated that cholesterol levels should be checked annually.
A facility failed to monitor and document a resident's delusions related to antipsychotic medication use. Despite being prescribed Zyprexa for a psychotic disorder, there was no documentation of delusions in the behavior notes from May to October 2024. Interviews with staff confirmed awareness of the delusions, but the facility's policy on behavior tracking was not followed, leading to the deficiency.
The facility failed to properly store food in the kitchen refrigerator, with thawing meat placed above milk and next to unlabeled resident-owned green bell peppers. The Kitchen Manager confirmed the improper storage and noted that residents' food should be stored in a designated refrigerator. The facility's policy requires raw animal products to be stored separately and below ready-to-eat foods, and residents' food to be labeled, which was not followed.
A room in the facility failed to meet the required 80 square feet per resident, providing only 76.9 square feet per resident. Despite the shortfall, both residents expressed satisfaction with their space. The Executive Director confirmed the room should meet the 80 square feet requirement.
Inaccurate Physician Order for Advance Directive Status
Penalty
Summary
The facility failed to ensure that a physician's order for advance directive status was accurate for one resident reviewed for advance directives. The resident had diagnoses including vascular dementia with behavioral disturbance, bipolar disorder severe depressed without psychotic features, mood affective disorder, intermittent explosive disorder, alcohol abuse with intoxication, and chronic obstructive pulmonary disease. The clinical record showed a physician's order indicating the resident was full code, while a POST form and a signed consent/declination to resuscitate form both indicated the resident did not want CPR and did not want to be resuscitated if he had no pulse and was not breathing. The care plan, initiated and last reviewed later, also indicated the resident was full code and to honor the resident's code status and review it quarterly. The physician's order showing the resident as full code was not discontinued until a later date. During interview, the Social Services Designee stated the resident should have had DNR code status since January and that the facility had received the signed code status forms at admission, with the physician order expected to be based on those forms so staff would know how to proceed in an emergency.
Psychotropic Medication Orders Lacked Required Stop Dates and Baseline AIMS Assessments
Penalty
Summary
The facility failed to ensure psychotropic medications ordered as needed had a 14-day stop date and failed to complete baseline Abnormal Involuntary Movement Scale (AIMS) assessments for 2 of 5 residents reviewed for unnecessary medications. One resident with diagnoses including intracranial injury with loss of consciousness, chronic obstructive pulmonary disease, hemiplegia and hemiparesis affecting the left non-dominant side, dementia, traumatic brain injury, delusional disorders, and alcohol abuse had a physician’s order dated 2/14/25 for Xanax 0.25 mg every 8 hours as needed for anxiety. The order did not include a stop date and remained current for over 90 days before it was discontinued on 5/23/25. During interview, the Social Services Designee stated the as needed Xanax required a 14-day stop date. Another resident with diagnoses including vascular dementia with other behavioral disturbance, bipolar disorder without psychotic features, mood affective disorder, intermittent explosive disorder, alcohol abuse with intoxication, and chronic obstructive pulmonary disease was admitted to the facility and had physician’s orders for paliperidone 3 mg at bedtime and Rexulti 0.5 mg daily. The resident’s AIMS assessment was not completed until 3/24/25. An LPN stated that an AIMS assessment must be completed at the start of an antipsychotic medication or on admission to the facility. The facility indicated it did not have a policy for psychoactive medications or as needed medications, and a current AIMS policy stated the AIMS shall be completed within 14 days of initiation of psychotropic medication (baseline).
Failure to Provide Written Transfer and Bed-Hold Notices
Penalty
Summary
The facility failed to ensure that a resident and the resident's representative were provided written transfer and bed hold notices when the resident was hospitalized. Resident 5 had diagnoses including acute respiratory failure with hypoxia, COPD, disorder of the brain, type 2 diabetes mellitus, conversion disorder with seizures or convulsions, asthma, CHF, dementia, pseudobulbar affect, acute necrotizing hemorrhagic encephalopathy, and localized edema. On 6/3/25, the resident complained of shortness of breath and difficulty breathing, and despite interventions the oxygen saturation continued to decrease to 81%, after which the resident was transported to the hospital by ambulance and the resident's mother was notified. During interviews, an LPN stated that when the resident was sent to the hospital, the transfer paperwork was sent with the resident and the family was called. The Social Services Designee stated the facility had not documented that the written transfer notice and bed hold notice were given directly to the resident, and that the notices were often sent in the hospital paperwork packet. She indicated she did not realize the notices had to be sent to the family member or representative when the resident was able to sign for himself, and that the facility gave verbal notice that the resident was being sent to the hospital. Facility policies required written notice to the resident and resident representative before transfer and written bed-hold information at the time of transfer.
PASARR Not Updated for New Diagnoses and Antipsychotic Medication
Penalty
Summary
The facility failed to ensure Preadmission Screening and Resident Review (PASARR) information was updated when new diagnoses were added for Resident 30. The resident’s record included diagnoses of vascular dementia with other behavioral disturbance, bipolar disorder current episode severe depressed without psychotic features, mood affective disorder, intermittent explosive disorder, alcohol abuse with intoxication, and chronic obstructive pulmonary disease with acute exacerbation. A PASARR level II dated 11/7/24 listed intermittent explosive disorder, intellectual disability, mood disorder, and schizophrenia, but did not include dementia or bipolar disorder. A psychosocial note dated 4/23/25 documented dementia and bipolar diagnoses, which were not reflected in the PASARR. The facility also failed to update PASARR after an antipsychotic medication was added for Resident 3. The resident’s record included anxiety disorder, major depressive disorder, and affective mood disorder. A PASARR level II dated 2/17/22 stated there were no mental health medications listed and that an updated level I screening was required if there was a significant change in physical or mental health. A physician’s order dated 4/10/25 added Risperdal 0.5 mg, but the PASARR was not updated after the new antipsychotic medication was ordered. The Social Services Designee stated the facility should have resubmitted a PASARR after the new psychotropic was added, and the Executive Director stated the facility did not have a PASARR policy.
Incomplete Care Plans for Medical Needs
Penalty
Summary
The facility failed to ensure comprehensive care plans were developed to address the medical needs of 2 of 14 residents reviewed. For Resident 12, the clinical record showed diagnoses including benign prostatic hyperplasia with lower urinary tract symptoms, prediabetes, age related physical debility, COPD, and chronic respiratory failure. During observation, the resident had a urinary catheter and was receiving oxygen therapy. Physician orders directed daily flushing of the urinary catheter with 40 ml of fluid and oxygen saturation checks every shift with oxygen titrated to 4L to maintain saturation above 90%, but no care plan for the urinary catheter or oxygen therapy was located in the medical record. The MDS Coordinator stated she could not locate a care plan for either intervention and that residents with catheters and oxygen therapy should have care plans. For Resident 22, the clinical record showed diagnoses including schizoaffective disorder bipolar type, hypertension, and hyperlipidemia. The resident received medications related to parkinsonism, drug induced subacute dyskinesia, constipation, hypertension, and hyperlipidemia, but no care plans were located in the medical record related to those medications. The MDS Coordinator stated nursing should have developed care plans for the medications. The facility policy titled Care Plans stated that collaboration of the care plan team is used to analyze data from the resident's diagnosis and physician's orders to develop individualized care plans specific to each resident.
Care plans not updated after MDS assessments
Penalty
Summary
The facility failed to ensure care plans were reviewed and updated after MDS assessments were completed for 2 of 14 residents reviewed for care planning. For Resident 4, the record showed diagnoses including encephalopathy, COPD, epilepsy, schizophrenia, repeated falls, alcohol dependence, and CHF. The resident had a fall on 1/26/25, when he was found on the floor with a swollen raised bump on his forehead, and an incident on 4/6/25, when he was found walking on his knees. An MDS assessment was completed on 6/2/25, but the care plan last reviewed on 7/22/25 did not include either of those fall events, and the fall-related care plan noted the resident was at high risk for falls related to gait and balance problems without any new interventions after the multiple fall events. For Resident 6, the record showed diagnoses including intracranial injury with loss of consciousness, COPD, hemiplegia and hemiparesis affecting the left non-dominant side, dementia, traumatic brain injury, delusional disorders, and alcohol abuse. A quarterly MDS assessment was completed on 6/8/25, but the comprehensive care plans were reviewed on 3/31/25 and not again until 8/8/25. During interview, the Social Services Designee stated she conducted the care plan meetings with the IDT team, but the MDS Coordinator reviewed the care plans, and they were not reviewed with the care plan meetings. The facility policy stated care plans should identify areas of concern triggered on the MDS, evaluate the resident's wishes, strengths, and needs, and that care plans are living documents that may require updates following the mandated care plan completion date.
Failure to Follow Weight Orders and Assess Constipation
Penalty
Summary
The facility failed to ensure daily weights were obtained according to a physician’s order for a resident with type 2 diabetes, edema, and acute kidney failure. A physician ordered daily weights related to edema, but the record showed no weight documented on 7/18/25, 7/20/25, 8/1/25, 8/2/25, and 8/6/25. During interviews, an LPN and a QMA stated they could not locate the missing weights in the charting, and the LPN acknowledged that the 8/2 and 8/6 weights were missed. The facility also failed to assess and treat another resident for constipation. The resident had orders for Sennosides-Docusate Sodium twice daily for constipation and Miralax every 12 hours as needed, but there was no documented bowel movement for 7 days in July and 4 days in August. The record showed a physician note stating there were no bowel-related concerns on 7/21/25, but no other assessments were found before that date, and no documentation was found showing an assessment on the fourth day without a bowel movement in August. The resident had no care plan addressing constipation, and the MAR showed Sennosides-Docusate Sodium was administered, but there was no documentation that Miralax was given per the physician’s order.
Unclear Responsibility and Missing Documentation for Catheter Care
Penalty
Summary
The facility failed to ensure staff were aware of who was responsible for completing urinary catheter care and failed to document that catheter care was provided for 1 of 2 residents reviewed for urinary catheters, Resident 12. During observation, Resident 12 was noted to have a urinary catheter. The clinical record showed diagnoses including benign prostatic hyperplasia with lower urinary tract symptoms, prediabetes, and age-related physical debility. A physician's order dated 8/6/25 directed that the urinary catheter be flushed daily with 40 milliliters of fluid, but no physician's order for routine catheter care was located in the record. Catheter care documentation was also not found in the medical record. Staff interviews showed they were unclear about who was responsible for catheter care: a CNA stated nurses completed catheter cleaning, an LPN stated CNAs completed it, the DON stated CNAs completed it, and another LPN stated nurses usually completed it. The MDS Coordinator stated catheter care should be documented in a health status note and did not see any documentation of catheter care. A facility policy titled Suprapubic Catheter Care indicated the resident's orders should be reviewed and the date and time of the procedure should be recorded in the medical record.
Failure to Date and Change Oxygen Tubing and Humidification Supplies
Penalty
Summary
The facility failed to ensure physician's orders were obtained for changing and dating oxygen tubing and failed to ensure humidified water was changed and dated for 2 of 2 residents reviewed for respiratory therapy. Resident 1, who had diagnoses including dementia, hypertension, and a history of pneumonia, was observed on multiple occasions with a portable oxygen tank set at 2 liters per minute, and the oxygen line did not have a date showing when it had last been changed. An LPN stated the oxygen line was supposed to be dated, but it was not, and the clinical record contained an order to check oxygen saturation every shift and titrate oxygen to 4 liters per minute to maintain saturation above 90 percent, with no physician's order located for changing the oxygen line. Resident 12, who had diagnoses including chronic respiratory failure, COPD, and dementia, was observed receiving humidified oxygen with approximately a centimeter of water left in the humidification bottle, and the bottle was not bubbling. The oxygen tubing and humidifier bottle did not have dates showing when they were last changed. An LPN stated the water level in the humidifier bottle was low and there was no date on the tubing or bottle, while the DON stated that if the humidification was working, the water would be bubbling. The clinical record included a physician's order dated 9/23/24 to change and date the nebulizer tubing every Sunday night, and an LPN stated the tubing was supposed to be changed weekly and dated, with humidification water changed when it was about 1/2 to 1/4 full.
RN Not on Duty for Required 8 Consecutive Hours
Penalty
Summary
The facility failed to ensure a Registered Nurse (RN) was on duty for eight consecutive hours on 8/22/25. During observation between 8:00 a.m. and 4:00 p.m., the facility did not have an RN on duty. Staffing records from 8/16/25 through 8/26/25 listed two RNs as currently employed, the Director of Nursing and the Infection Preventionist, but the records did not show that an RN was on duty on 8/22/25. The facility was unable to provide documentation showing that an RN had been on duty for the night, day, or evening shift on that date. During interview on 8/26/25, the Executive Director stated the facility followed state regulations. A facility policy titled Nursing Staffing Hours, dated 2020, indicated that skilled nursing facilities require 24-hour licensed nursing services and an RN for eight consecutive hours a day.
Spoiled Food Left in Basement Storage
Penalty
Summary
The facility failed to ensure spoiled food was discarded in 1 of 2 dry food storage areas reviewed, specifically the basement food storage area. During observation on 8/19/25 at 11:12 a.m., bananas with a received date of 8/6/25 were observed to be brown and black with a white growth substance on the stem, and the bananas had spots that were oozing liquid with some bubbles forming. During an interview on 8/21/25 at 11:40 a.m., the kitchen manager indicated the bananas needed to be thrown away because they were spoiled. A facility policy titled Expired Food, last revised on 3/2/21, stated that spoiled or possibly contaminated food should be disposed of in a heavy opaque or black garbage bag.
Failure to Implement Enhanced Barrier Precautions for Residents with Urinary Catheters
Penalty
Summary
The facility failed to ensure enhanced barrier precautions (EBP) were in place and followed for 2 of 2 residents reviewed for EBP. Resident 12 had a urinary catheter and diagnoses that included benign prostatic hyperplasia with lower urinary tract symptoms, prediabetes, and age-related physical debility. A physician order dated 8/6/25 directed daily flushing of the urinary catheter with 40 ml of fluid, but no physician order for EBP was found in the medical record, and there were no EBP signs in the room or on the door. During an observation, an LPN completed catheter care for Resident 12 without wearing a gown. The LPN later stated he forgot to wear a gown and that PPE was supposed to be worn during catheter care. Resident 31 also had a urinary catheter and diagnoses that included acute kidney failure, neuromuscular dysfunction of the bladder, and hypertension. No physician order for EBP was found in the medical record, and there were no EBP signs in the room or on the door. The DON and Activity Director stated they did not know what EBP were, and the DON later stated the facility never received information about EBP and did not know what it was until the survey.
Room Size Below Required Square Footage
Penalty
Summary
The facility failed to provide at least 80 square feet per resident in 1 of 18 rooms, specifically room [ROOM NUMBER], which housed two residents. During observation on 8/19/25 at 3:04 p.m., the room contained two beds, two nightstands, two clothing wardrobes, and one dresser. Resident 21 stated he liked his room and had no concerns with the size, and Resident 23 also stated he liked the room and had no concerns with its size. On 8/25/25 at 11:05 a.m., the Executive Director stated there had been no physical changes to the room, which had a previous room waiver since the last survey. A bed inventory form dated 8/25/25 indicated the room contained two beds, and facility measurements showed the room was 153.83 square feet, which calculated to 76.9 square feet per resident for double occupancy. The room was identified as a Title 19 NF Medicaid room certified for two resident beds, and facility documentation reflected the same room size calculation. On 8/26/25 at 9:47 a.m., the Executive Director stated the facility followed state regulations.
Failure to Develop Comprehensive Care Plans for Residents
Penalty
Summary
The facility failed to develop comprehensive care plans for two residents, addressing their specific medical conditions and treatment needs. Resident 11, who suffered from chronic idiopathic constipation, had physician orders for Linzess and Miralax to manage this condition. However, there was no care plan in place to address the resident's constipation or the use of these medications. The MDS Nurse acknowledged the absence of a care plan for constipation, indicating a lapse in the facility's care planning process. Similarly, Resident 26, diagnosed with hyperlipidemia, insomnia, and joint pain, had physician orders for Lipitor, Melatonin, and Tramadol to manage these conditions. Despite these orders, there were no care plans addressing the use of these medications for the resident's conditions. The MDS Nurse confirmed that care plans should have been developed for these issues. The facility's policy on care plans emphasized the need for collaboration among the care plan team to develop individualized care plans based on the resident's diagnosis and physician's orders, which was not adhered to in these cases.
Failure to Monitor Cholesterol Medication Effectiveness
Penalty
Summary
The facility failed to obtain necessary laboratory results to monitor the effectiveness of a cholesterol medication for a resident diagnosed with mixed hyperlipidemia, among other conditions. The resident had been prescribed Lipitor, a medication for high cholesterol, with a physician's order dating back to August 2021. The last recorded laboratory result was from February 2022, which showed a high triglyceride level, but no subsequent lipid profile tests were conducted to monitor the resident's cholesterol levels. Interviews with facility staff revealed that there was no policy in place for monitoring laboratory results related to medications, and the facility was unable to provide any current laboratory results or pending orders for such monitoring. A nurse practitioner confirmed that cholesterol levels should be checked at least annually, highlighting the oversight in the resident's care.
Failure to Monitor and Document Resident's Delusions
Penalty
Summary
The facility failed to adequately monitor and document a resident's delusions related to the use of an antipsychotic medication. Resident 28, who had diagnoses including unspecified dementia and psychotic disorder with delusions, was prescribed Zyprexa to manage his psychotic disorder. Despite the presence of delusions, as confirmed by interviews with the Director of Nursing (DON) and a Licensed Practical Nurse (LPN), there was no documentation of these delusions in the resident's behavior notes from May to October 2024. The facility's policy required behavior tracking through the Point of Care (POC) system, but this was not adhered to in the case of Resident 28. Interviews with facility staff, including the Minimum Data Set (MDS) Coordinator and the DON, revealed that although they were aware of the resident's delusions, there was a lack of documentation in the clinical notes. The facility's policy on the use of antipsychotic medications and behavior tracking was not followed, as evidenced by the absence of recorded delusions in the POC response history. This oversight in monitoring and documenting the resident's condition led to the deficiency identified by the surveyors.
Improper Food Storage in Kitchen Refrigerator
Penalty
Summary
The facility failed to ensure proper food storage in the kitchen refrigerator, as observed during a survey. Thawing meat was stored above a gallon of milk and next to yogurt and a grocery sack of green bell peppers, which belonged to a resident and were unlabeled. The Kitchen Manager acknowledged that the milk should not be stored under thawing meat and that residents' food should not be stored in the kitchen refrigerator, as there is a designated refrigerator for residents' food in storage downstairs. The facility's current Food and Nutrition Policy, last revised in 2017, states that uncooked and raw animal products should be stored separately in drip-proof containers and below fruits, vegetables, and other ready-to-eat foods. Additionally, all foods belonging to residents must be labeled with the resident's name, the item, and the use-by date. This policy was not adhered to, leading to the deficiency noted by the surveyors.
Deficiency in Resident Living Space
Penalty
Summary
The facility failed to provide the required minimum living space of 80 square feet per resident in one of the rooms reviewed. Room [ROOM NUMBER] was observed to contain two beds and two free-standing wardrobes for the personal items of its two occupants. The room measured 153.83 square feet, which allowed only 76.9 square feet per resident, falling short of the required space according to the Life Safety code. Despite this, both residents occupying the room expressed satisfaction with the space available to them during interviews. The Executive Director acknowledged that the room should provide 80 square feet per resident. The room was certified for two resident beds under Title 18/19 SNF/NF (Medicare and Medicaid).
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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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Illustrative
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Nursing homes near Carmel
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Restoracy Of Carmel | 2.4 mi | ★★★★★ | 8 | 0 |
| Bridgewater Healthcare Center | 2.4 mi | ★★★★★ | 8 | 0 |
| Carmel Health & Living Community | 2.7 mi | ★★★★★ | 17 | 0 |
| Allisonville Meadows | 3 mi | ★★★★★ | 25 | 0 |
| Barrington Of Carmel, The | 3.3 mi | ★★★★★ | 0 | 0 |
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