Above average — CMS composite of the measures below.
The next survey window likely opens around January 2027
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 Owen Valley Rehabilitation And Healthcare Center during CMS and state inspections, most recent first.
A resident with bipolar disorder, hoarding disorder, OCD, and PTSD did not have a new PASARR Level I completed after new mental health diagnoses and psychotropic medications were added. The record showed prior PASARR findings of no mental health disorder or meds, while the MAR and care plan documented ongoing psychotropic use and behavioral concerns. The SSD confirmed no updated PASARR Level I was on file.
Failure to obtain ordered weights for a resident with significant weight loss. A resident with vascular dementia and osteoporosis lost 10.1% of body weight in 30 days, and the care plan identified risk for malnutrition with instructions to obtain weights and report to the RD and MD. Although an order required weekly weights, the chart had no weights after the initial loss was identified. The Dementia Care Director said she was unaware of the weight-loss trigger, and the DON stated the order was entered in a way that staff could not see it as a task.
A resident with Parkinson's disease, catatonic disorder, and pain had a fentanyl patch order for every 72 hours, but the MAR and observation did not match. An LPN reported the patch was out of stock and the pharmacy required a new Rx before EDK use, while record review showed one LPN documented removing and applying a patch and another documented applying a new patch, even though the record lacked documentation that the prior patch was removed. The DON stated the second LPN had charted the action incorrectly.
The facility failed to complete admission MDS assessments within the required 14 days for four residents, including those with urinary tract infections, clostridium difficile, and mental health disorders. The MDS Coordinator confirmed the delays and noted the absence of a specific policy for MDS assessments, relying on the CMS RAI tool.
A facility failed to invite a resident with moderate cognitive impairment to her care planning conference. Despite the policy stating that residents or their representatives should be invited after MDS assessments, there was no documentation of an invitation or care plan conference for the resident following her October assessment. The resident reported not being invited, and the facility's policy lacked details on inviting residents to these meetings.
Failure to Complete New PASARR Level I After New Mental Health Diagnoses and Psychotropic Medications
Penalty
Summary
The facility failed to ensure a new PASARR Level I was completed when Resident 8 developed new mental health diagnoses and was placed on new psychoactive medications. Resident 8’s record showed diagnoses including bipolar disorder, hoarding disorder, obsessive-compulsive disorder, and post-traumatic stress disorder. The resident’s PASARR Level I dated 2/8/22 stated there were no mental health disorders and no mental health medications, and that if changes occurred or new information refuted those findings, a new screen must be submitted. The MAR showed multiple psychotropic medication changes over time, including quetiapine for schizoaffective disorder and later bipolar disorder, and Effexor XR for hoarding disorder and later obsessive-compulsive disorder. The care plan identified behavioral and psychosocial concerns, including behaviors, bipolar disorder, hoarding items in the room, insomnia/sleep disorder, refusal or resistance to showers and labs, and verbal/physical aggression toward others. The SSD stated a new significant mental health disorder or new psychotropic medication would trigger a new PASARR Level I review, and confirmed there was not a new PASARR Level I on file for Resident 8.
Failure to Obtain Ordered Weights for Resident With Significant Weight Loss
Penalty
Summary
The facility failed to ensure a resident with significant weight loss was weighed as ordered by the physician. The resident had diagnoses including vascular dementia and osteoporosis and was not on a physician-prescribed weight loss program. The resident weighed 138.6 pounds on 1/5/26 and 124.6 pounds on 2/5/26, reflecting a 10.1 percent weight loss in 30 days. The care plan, revised on 2/17/26, identified the resident as at risk for malnutrition and included the intervention to obtain weight as indicated and report to the RD and physician. A physician order dated 2/11/26 directed weekly weights for 4 weeks, but the clinical record contained no weights after 2/5/26. The Dementia Care Director stated she was unaware the resident had triggered for weight loss and there was no record of the resident being weighed after 2/5/26. The DON stated the weighing order was entered in a way that prevented staff from seeing it as a task to be completed, so staff would not have known to weigh the resident as ordered.
Incomplete and Inaccurate Documentation of Fentanyl Patch Administration
Penalty
Summary
The facility failed to ensure a resident's medical record was complete and accurately documented. Resident 40 had diagnoses including Parkinson's disease, catatonic disorder, and pain, and had a physician's order for a 25 mcg fentanyl patch to be applied every 72 hours at 6:00 a.m., with the old patch to be removed at 5:59 a.m. During an interview, an LPN stated the resident's fentanyl patch was out of stock and that the MAR showed another nurse had placed a new patch on the resident's left chest, but observation showed a patch on the right side of the chest signed by an LPN and dated 2/20/26. The nurse also stated no patches were administered from the EDK because the pharmacy needed a new prescription from the prescriber. Record review showed a progress note stating the fentanyl patch was due to be changed on the LPN's shift, that the pharmacy was contacted for a refill and EDK authorization code, and that a new prescription was needed. The MAR documented that on 2/20/26 an LPN removed and applied a new fentanyl patch, and on 2/23/26 another LPN applied a new fentanyl patch. However, the resident's record lacked documentation that the 2/20/26 patch was removed. The DON stated the second LPN had erroneously charted that she gave the resident a new patch when she should have charted that she removed the 2/20/26 patch, and that the facility had not applied a new patch because a new prescription had to be obtained from the doctor.
Failure to Complete Timely MDS Assessments for Residents
Penalty
Summary
The facility failed to complete the admission Minimum Data Set (MDS) assessments within the required 14 calendar days for four residents. Resident 132, diagnosed with a urinary tract infection, was admitted on an unspecified date, and their MDS assessment was still in progress past the due date of December 2, 2024. Similarly, Resident 133, with a diagnosis including clostridium difficile, was admitted on an unspecified date, and their MDS assessment was overdue, with a completion date that should have been December 1, 2024. Resident 282, who has multiple diagnoses including major depressive disorder, post-traumatic stress disorder, and schizoaffective disorder, was admitted on an unspecified date, and their MDS assessment was 28 days overdue as of November 21, 2024. Resident 75, diagnosed with encephalopathy, urinary tract infection, and escherichia coli, was admitted on an unspecified date, and their MDS assessment was completed 20 days after admission, which was late. The MDS Coordinator confirmed the delays and indicated that the facility lacked a specific policy for MDS assessments, relying instead on the CMS Resident Assessment Instrument (RAI) tool.
Failure to Invite Resident to Care Planning Conference
Penalty
Summary
The facility failed to ensure that Resident 67 was invited to participate in her care planning conference. On December 4, 2024, Resident 67 reported that she had not been invited to her care plan conferences. A review of her clinical record on December 5, 2024, revealed diagnoses including atrial fibrillation and major depressive disorder, and indicated moderate cognitive impairment as per the quarterly Minimum Data Set (MDS) assessment dated October 24, 2024. However, there was no documentation in the clinical record of an invitation to the care plan conference following this assessment. On December 9, 2024, the Social Service Designee (SSD) stated that residents or their responsible parties would be invited to care plan conferences after comprehensive or quarterly MDS assessments. Despite this, the clinical record for Resident 67 lacked evidence of such an invitation or a care plan conference after the October 2024 MDS assessment. The Director of Nursing (DON) provided the facility's Baseline Care Plan policy, dated October 20, 2023, which also lacked documentation regarding the invitation of residents or their representatives to care plan meetings after MDS assessments.
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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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Nursing homes near Spencer
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Mccormick's Creek Rehabilitation And Healthcare | 3.4 mi | ★★★★★ | 5 | 0 |
| Richland Bean Blossom Health Care Center | 8.8 mi | ★★★★★ | 11 | 0 |
| Stonecroft Health Campus | 13 mi | ★★★★★ | 0 | 0 |
| Majestic Care Of Bloomington | 14.2 mi | ★★★★★ | 5 | 0 |
| Aperion Care Summerfield | 15.3 mi | ★★★★★ | 0 | 0 |
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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.