Above average — CMS composite of the measures below.
The next survey window likely opens 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 Silver Memories Health Care during CMS and state inspections, most recent first.
Improper Hair Net Use in Kitchen: A cook was observed on multiple occasions in the kitchen with long strands of hair hanging out of her hair net while stirring food and temping items for the steam table. The Administrator stated staff hair should be fully covered, and the facility policy required hair nets or caps to cover all hair at all times while on duty.
A resident with severe cognitive impairment and diagnoses including Huntington's disease, seizure disorder, anxiety, and depression slid from a Broda chair onto the floor with no injuries. The record did not show a documented fall intervention until a late entry by the DON more than a month later, and the DON stated the care planned intervention should have been documented and implemented sooner.
Pharmacy Recommendation Not Properly Addressed: A resident with anemia, COPD, hemiplegia, and depression had a consultant pharmacist MRR that recommended Benefiber be given with 8 oz of fluid and separated from other meds by 2 hours. The resident’s MAR showed the Benefiber was administered daily at the same time as several other morning meds, and the order lacked the fluid instruction.
Incomplete resident records were identified for two residents. One resident receiving an antipsychotic medication did not have the required AIMS assessment completed at the expected interval, despite daily Vraylar administration being documented. Another resident had duplicate Farxiga orders on the EMAR, and a consultant pharmacist noted one order needed to be removed; staff stated the resident was only given one tablet, but the order was not clarified and corrected on the EMAR.
Improper Pericare Technique During Incontinence Care: A CNA provided pericare to a resident with stool present and wiped from the back to the front multiple times instead of front to back. The CNA later acknowledged the incorrect technique, and the facility policy stated washing from front to back.
Insufficient square footage was identified in 2 resident rooms. One room measured 299 sq ft for four residents, and another measured 209 sq ft for three residents, resulting in less than the required 80 sq ft per resident. Residents in both rooms were observed to have adequate space to move about and store belongings, and the room sizes were verified by the Maintenance Director.
A resident with severe cognitive impairment and total dependence for mobility was transferred using a full body mechanical lift by a CNA without the required second staff member. During the transfer, the lift became entangled, leading to forceful handling and subsequent injury to the resident, including bruising and a cut. Facility policy required two staff for such transfers, but this was not followed.
The facility failed to maintain proper dishwasher temperatures and chemical sanitation levels, with the dishwasher's rinse cycle at 90°F instead of the required 120°F and chemical levels at 10 PPM instead of 50-100 PPM. Additionally, the resident snack refrigerator contained undated and unlabeled food items, contrary to facility policy.
A facility failed to follow infection control guidelines for a resident with ESBL in their urine. The resident, who was moderately cognitively impaired, used a public bathroom without the CNA wearing a gown, and the toilet was not disinfected afterward. The DON confirmed that residents with ESBL should be on Enhanced Barrier Precautions, requiring gowns and gloves during care and bathroom disinfection, which was not adhered to in this case.
The facility did not meet the required minimum square footage per resident in two rooms. One room, housing four residents, provided only 79 sq ft per resident, while another room with three residents offered 72 sq ft per resident. These measurements were confirmed by the Maintenance Director. Despite the space constraints, residents reportedly had adequate space to move and store belongings. The Administrator indicated a preference to continue with room waivers.
Improper Hair Net Use in Kitchen
Penalty
Summary
The facility failed to serve food in a sanitary manner because Cook 4 did not keep her hair fully covered while working in the kitchen. During three separate observations, she was seen standing and moving around the kitchen with approximately 6 inches of long hair hanging out on both sides of her face from under her hair net while stirring a pan of ham casserole and while temping food for the steam table. During interview, the Administrator stated that staff hair should be in a hair net and not hanging out. The facility policy titled Employee Sanitary Practices, revised 7/2023, stated that hair nets or caps covering all of the hair must be worn at all times while on duty.
Delayed Care Plan Intervention After Resident Fall
Penalty
Summary
The facility failed to implement an intervention after a fall for Resident 25, whose record showed severe cognitive impairment and diagnoses including Huntington's disease, seizure disorder, anxiety, and depression. A progress note documented that the resident slid from a Broda chair onto the floor on her buttocks and was assisted back into the chair with no injuries, but the clinical record did not contain a documented intervention for the fall until a late entry by the DON more than a month later. The late entry identified the root cause as movements related to Huntington's disease causing the resident to slide easily to the floor and added repositioning as needed as the intervention. During interview, the DON stated the care planned intervention should have been documented and implemented sooner.
Pharmacy Recommendation Not Properly Addressed
Penalty
Summary
The facility failed to accurately address a consultant pharmacist’s medication regimen review recommendations for one resident. The resident’s quarterly MDS dated 12/09/2025 indicated the resident was cognitively intact, and the resident’s diagnoses included anemia, COPD, hemiplegia, and depression. A consultant pharmacist’s medication regimen review dated 07/16/2025 noted that Benefiber had been started once daily and recommended adding directions to give it with 8 oz of fluid and to administer it 2 hours before or 2 hours after all other medications, with the recommendation also stating that if this was not possible, therapy should be changed with the physician. A handwritten note on the recommendation indicated the medication was discontinued on 06/25/2025. The resident’s current medication orders later included an open-ended order for Benefiber Powder, one tablespoon by mouth in the morning, with a start date of 07/16/2025. The eMAR from 07/16/2025 through 12/23/2025 showed the medication was administered daily at 8:00 A.M. at the same time as several other morning medications, and the order lacked directions to administer the medication with 8 ounces of fluid. The facility policy stated that the consultant pharmacist helps identify, communicate, address, and resolve concerns and issues related to pharmaceutical services.
Incomplete resident records for required assessments and medication orders
Penalty
Summary
The facility failed to maintain complete and accurate resident records related to timely clinical assessments and documented medication administration for 2 of 12 residents reviewed. For one resident with diagnoses including anxiety, depression, and major depressive disorder with psychotic symptoms, the record showed an order for Vraylar 4.5 mg daily and the EMAR documented daily administration, but the required AIMS assessment was not completed every six months as described by the DON. The DON stated the assessment had been completed in March 2025 and should have been completed again in September 2025, but it was not completed until the day of the interview. The DON also stated there was no facility policy related to AIMS assessments, and that the facility followed federal guidelines for residents receiving antipsychotic medications. For another resident with diagnoses including fractures, anemia, heart failure, hypertension, diabetes, hip fracture, and depression, the record contained two Farxiga 10 mg daily orders with overlapping dates, and the EMAR indicated the medication was administered daily as ordered. A consultant pharmacist’s medication regimen review noted that the Farxiga order had been entered twice on the EMAR and one needed to be removed. During interview, the DON and pharmacist reviewed delivery dates and medication amounts and stated the resident had not received the medication twice each day, but the order had not been clarified and corrected on the EMAR. An LPN stated the nurses knew to give only one Farxiga 10 mg tablet, not two tablets.
Improper Pericare Technique During Incontinence Care
Penalty
Summary
Provide and implement an infection prevention and control program was deficient when staff did not follow infection control guidelines during pericare for Resident 16. During an observation on 12/22/2025 at 10:40 A.M., CNA 2 and CNA 8 told the resident they were going to provide pericare. The resident was cleansed in the front appropriately, then turned to her right side where stool was present. CNA 2 wiped the resident from the back to the front multiple times before a new brief was applied and the resident was made comfortable in bed. During an interview on 12/22/2025 at 10:50 A.M., CNA 2 stated she should have wiped the resident from the front toward her back. The facility policy titled Perineal and/or Incontinence Care stated washing from front to back.
Insufficient Square Footage in Multiple Resident Rooms
Penalty
Summary
The facility failed to provide at least 80 square feet per resident in 2 of 11 resident rooms. One licensed SNF/NF room measured 299 square feet and housed four residents, providing 75 square feet per resident. Another licensed SNF/NF room measured 209 square feet and housed three residents, providing 69 square feet per resident. During observations, residents in both rooms were noted to have adequate space to move about the room and store their belongings. The room sizes were verified by the Maintenance Director, and the Administrator stated she would like to continue with the room waiver.
Failure to Provide Required Assistance During Mechanical Lift Transfer
Penalty
Summary
A deficiency occurred when a certified nursing assistant (CNA) used a full body mechanical lift to transfer a resident with severe cognitive impairment and total dependence for mobility without the required assistance of a second staff member. The resident, who had diagnoses including non-traumatic brain dysfunction and Alzheimer's disease, was transferred to bed and later from bed to a wheelchair by the CNA alone, despite facility policy mandating two staff for such transfers. During one of these transfers, the lift became entangled with a bed cord, causing the CNA to pull the lift away forcefully, which resulted in the lift bar spinning unexpectedly. Subsequently, the resident was observed by a registered nurse to have sustained a purple bruise around the left eye and a small cut over the bridge of the nose with dried blood. The CNA denied knowledge of how the injury occurred. The facility's policy, which was in effect at the time, clearly required at least two nursing assistants to safely operate a mechanical lift for resident transfers, and staff were available to assist if requested.
Dishwasher and Snack Refrigerator Sanitation Deficiencies
Penalty
Summary
The facility failed to adhere to the manufacturer's guidelines for dishwasher temperatures and chemical sanitation during a kitchen observation. The dishwasher's rinse cycle temperature was recorded at 90 degrees Fahrenheit, below the required 120 degrees Fahrenheit, and the chemical sanitation level was at 10 Parts Per Million (PPM), below the required 50-100 PPM. The Dietary Aide indicated that they only monitored chemical levels, not temperatures. The dishwasher was marked as out of order, and the facility resorted to using a three-sink sanitation system until repairs were made. The facility's records showed multiple instances where the dishwasher's wash temperature was below the recommended 120 degrees Fahrenheit. Additionally, the facility did not maintain the resident snack refrigerator in a sanitary manner. Observations revealed undated and unlabeled food items, including lunch bags and an open box of ice cream sandwiches, which were not identified as belonging to any resident. The facility's policy required that food brought in from outside sources be labeled with the resident's name, room number, and date, which was not followed. The Dietary Manager was unable to locate documentation of daily chemical level tests, indicating a lack of proper record-keeping.
Failure to Follow Isolation Protocols for Resident with ESBL
Penalty
Summary
The facility failed to adhere to infection control guidelines concerning isolation for a resident diagnosed with Extended-spectrum B-lactamase (ESBL) in their urine. During an observation, Resident 20, who was moderately cognitively impaired and had a history of hypertension, diabetes, non-Alzheimer's dementia, seizure disorder, depression, and schizophrenia, was seen using a public bathroom shared by other residents. The Certified Nurse Aide (CNA) assisting the resident did not wear a gown, and the toilet was not disinfected after use, despite the resident being on contact isolation for ESBL. The CNA was informed of isolation precautions through nurses and managers, but Resident 20 was not on any type of isolation at that time according to the CNA. The Director of Nursing (DON) confirmed that residents with ESBL in their urine should be placed on Enhanced Barrier Precautions (EBP), requiring staff to wear gowns and gloves during care and to disinfect the bathroom after use. The resident's clinical record indicated they were on contact isolation for ESBL and receiving antibiotics for a urinary tract infection. The facility's policy on Enhanced Barrier Precautions, dated August 2022, outlined the use of gowns and gloves during high-contact resident care activities to prevent the spread of multi-drug resistant organisms, which was not followed in this instance.
Facility Fails to Meet Minimum Space Requirements for Residents
Penalty
Summary
The facility failed to provide the required minimum square footage per resident in two of its rooms. In room [ROOM NUMBER], which housed four residents, the space was measured at 316 square feet, providing only 79 square feet per resident, falling short of the 80 square feet requirement. Similarly, room [ROOM NUMBER], accommodating three residents, was measured at 218 square feet, offering only 72 square feet per resident, below the mandated space. These measurements were confirmed by the Maintenance Director. Despite the space constraints, the residents reportedly had adequate space to move and store their belongings. The Administrator expressed a desire to continue with room waivers during an interview.
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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 Versailles
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Manderley Health Care Center | 4.3 mi | ★★★★★ | 11 | 0 |
| Ripley Crossing | 8.7 mi | ★★★★★ | 12 | 0 |
| Waters Of Dillsboro-ross Manor, The | 10.8 mi | ★★★★★ | 11 | 0 |
| St Andrews Health Campus | 15.8 mi | ★★★★★ | 7 | 0 |
| Waters Of Batesville, The | 16.4 mi | ★★★★★ | 15 | 0 |
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