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 Swiss Village during CMS and state inspections, most recent first.
A resident with a history of falls and a prior healed traumatic humerus fracture had a care plan and MD order directing staff to lock the walker in front of the resident when sitting in a recliner. During observations, the resident was sitting in the recliner while the walker was found several feet away in other locations, and an LPN stated it should have been positioned in front of the recliner with the seat facing the resident.
A resident with a T11-T12 fracture, low back pain, and a pinched nerve reported uncontrolled pain and said only medication was used for pain relief. The MAR showed repeated PRN oxycodone use, but the progress notes did not document any non-pharmacological pain interventions, and the care plan did not include non-medication pain measures. The MDS also indicated constant pain and no non-medication interventions for pain.
A resident with dementia, psychotic disturbance, mood disturbance, and anxiety had an influenza vaccine refusal signed by the resident's representative, but the chart lacked progress note documentation showing the representative was educated about the refusal. The DON stated she spoke with the representative, who declined the flu vaccine, and the facility policy required refusals to be documented in the medical record.
Failure to document education for COVID-19 vaccine refusal. A resident with dementia, psychotic disturbance, mood disturbance, and anxiety had a COVID-19 vaccine refusal signed by the resident's representative, but the chart lacked progress note documentation showing the representative was educated on the risks and benefits of refusal. The DON stated she spoke with the representative, but that discussion was not documented in the medical record.
The facility did not promptly report suspected abuse, neglect, or theft, nor did it communicate the results of its investigation to the proper authorities as required.
Fall Intervention Not Followed for Resident With Prior Fracture
Penalty
Summary
The facility failed to follow fall interventions for one resident who had a history of falling and a personal history of a healed traumatic fracture from a fall on 7/24/2025 that caused an upper right humerus fracture. The resident’s current care plan directed staff to lock the walker in front of the resident when sitting in a recliner, and a physician order dated 11/30/2025 also directed that the walker be locked in front of the resident when sitting in a recliner. During observations on 12/15/2025 and 12/17/2025, the resident was sitting in her recliner while the walker was found several feet away, first in front of the bed and later in front of the closet. During interview, an LPN observed the walker and stated it should have been positioned in front of the recliner with the seat facing the resident so that it would be there when the resident attempted to get up. The facility policy dated November 2025 stated that appropriate interventions, including adequate supervision, monitoring, and assistive devices when necessary, would be implemented consistent with the resident’s needs.
Failure to Document Non-Medication Pain Interventions
Penalty
Summary
Provide safe, appropriate pain management for a resident who requires such services was deficient for one resident. Resident 5 reported in interview that her pain was not controlled and that the only intervention used for pain control was medication. Her diagnoses included stable fracture of T11-T12 vertebra, low back pain, and pinched nerve. The record showed physician orders for oxycodone 5 mg every 8 hours as needed for pain rated 6-10, gabapentin 100 mg two tablets three times daily, and Tylenol Arthritis Pain 650 mg every 24 hours for pain rated 1-5. Review of the MAR showed Resident 5 received oxycodone multiple times in November and December 2025, but the progress notes for those administrations did not document any non-pharmacological pain interventions. The resident’s current care plan did not include non-medication pain interventions. The MDS assessment indicated as-needed pain medication was given, pain frequency was constant, and the resident did not receive non-medication interventions for pain.
Failure to Document Education for Influenza Vaccine Refusal
Penalty
Summary
The facility failed to provide education regarding influenza vaccine refusal for 1 of 5 residents reviewed, Resident 13, whose diagnoses included dementia, psychotic disturbance, mood disturbance, and anxiety. The influenza immunization consent form documented a refusal dated 5/21/24 and was signed by the resident's representative, and the form included education and information on potential adverse reactions. However, a review of progress notes found no documentation that the resident's representative was educated about the refusal, including the risks and benefits associated with declining the influenza vaccine. During interview on 12/16/25 at 12:05 PM, the DON stated she spoke with the resident's representative, who declined the influenza vaccine. The facility policy, Immunization Program for Residents, stated that if vaccines are refused, the refusal shall be documented in the resident's medical record.
Failure to Document Education for COVID-19 Vaccine Refusal
Penalty
Summary
The facility failed to provide education regarding COVID-19 vaccine refusal for 1 of 5 residents reviewed, Resident 13, who had diagnoses of dementia, psychotic disturbance, mood disturbance, and anxiety. The resident's COVID-19 immunization consent record showed education and information on potential adverse reactions and documented a refusal signed by the resident's representative on 5/21/24. However, review of the progress notes found no documentation that the resident's representative was educated about the refusal, including the risks and benefits associated with declining the vaccine. During interview, the DON stated she spoke with the resident's representative, who declined the COVID-19 vaccine, but there was no progress note documentation of that education. The facility policy stated that if vaccines are refused, the refusal shall be documented in the resident's medical record.
Failure to Timely Report Suspected Abuse, Neglect, or Theft
Penalty
Summary
The facility failed to timely report suspected abuse, neglect, or theft and did not report the results of the investigation to the proper authorities. This deficiency was identified based on the facility's lack of prompt action in notifying the appropriate agencies when an incident of suspected abuse, neglect, or theft occurred. The report indicates that the required notifications and investigation results were not communicated as mandated.
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Illustrative
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.
Illustrative
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Illustrative
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Nursing homes near Berne
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Envive Of Berne | 0.6 mi | ★★★★★ | 15 | 0 |
| Adams Woodcrest | 11.4 mi | ★★★★★ | 2 | 0 |
| Christian Care Retirement Community | 11.9 mi | ★★★★★ | 7 | 0 |
| River Terrace Health Care Center | 14.5 mi | ★★★★★ | 30 | 0 |
| Persimmon Ridge Rehabilitation Centre | 15.5 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.