Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
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 Advena Living Of Clay Center during CMS and state inspections, most recent first.
A dietary staff member prepared food in the kitchen without wearing a hairnet, only donning it after leaving and returning to the cooking area. Facility policy requires immediate use of hairnets in food preparation and service areas, and this lapse resulted in noncompliance with sanitary dietary standards.
A facility-wide assessment failed to specify required staffing levels for each unit and shift, omitting details on the number of RNs, LPNs/LVNs, CMAs, and CNAs needed based on patient acuity and census. The assessment also did not address staffing for evenings and weekends, impacting all residents in the facility.
The facility did not submit accurate PBJ staffing data to CMS, failing to properly report licensed nurse coverage and weekend staffing hours. Although internal records showed no missed coverage, some agency and fill-in shifts were not accurately reflected in the PBJ submissions, resulting in the facility being flagged for low weekend staffing and lack of 24-hour licensed nurse coverage.
Surveyors found that two residents' respiratory equipment, including a CPAP device and nasal cannula tubing, were not stored in a sanitary manner, and that staff did not have access to PPE in the soiled laundry sorting area. Staff interviews confirmed that proper storage and PPE use were not consistently followed, in violation of the facility's infection control policies.
A resident with multiple chronic conditions did not have fully developed Care Area Assessments (CAAs) in their MDS documentation, with missing analysis for areas such as self-care mobility, urinary incontinence, pain, and pressure ulcers. The administrative nurse confirmed that CAAs should include analysis, and the facility could not provide a policy for MDS or CAA development.
A resident with cognitive impairment and speech difficulties did not have their care plan updated to include specific strategies for effective staff communication when stuttering was not understood. Despite staff awareness of the resident's communication challenges and facility policy requiring person-centered care plans, the plan lacked guidance on how staff should interact with the resident to address these needs.
Two residents at risk for pressure ulcers did not receive proper care when their low air-loss mattresses were not set to the correct weight and pressure-relieving boots were not applied as required. Staff relied on the equipment provider to set mattress settings and only checked the devices if alarms sounded, with no consistent monitoring or documentation. Care plans lacked specific instructions for these interventions, and the facility could not provide a policy on pressure ulcer prevention.
A resident with dementia, muscle weakness, and a history of falls was found multiple times with their soft-touch call light on the floor and out of reach, despite care plan and facility policy requiring it to be accessible at all times. Staff interviews confirmed the call light should have been within easy access, but this was not maintained, placing the resident at risk for preventable accidents.
A resident with multiple chronic conditions, including COPD, was found with her CPAP mask placed on her bed and between the side rail and mattress, rather than stored in a sanitary container as required. Staff interviews confirmed that respiratory equipment should be kept in plastic bags, but the facility lacked a policy and the care plan did not address proper cleaning or storage of the CPAP mask.
A resident with a history of PTSD and anxiety did not have trauma-informed care strategies included in their care plan, despite documented symptoms and facility policy requiring such interventions. Staff were unaware of trauma-specific needs, and assessments were not consistently updated to address ongoing concerns, resulting in unmet psychosocial needs.
Two residents using bed rails with low air-loss mattresses did not receive required safety assessments addressing the specific risks of this combination. Documentation and care plans lacked evidence of risk evaluation or education for residents or their representatives, and staff interviews revealed uncertainty about responsibilities for ensuring bed system safety. Facility policy requiring interdisciplinary assessment of bed system risks was not followed.
A resident with severe cognitive impairment and a history of behavioral issues did not have adequate interventions in place to address wandering, aggression, and distress caused by other residents entering his room. Despite documented behavioral episodes and staff awareness of these concerns, the care plan lacked specific strategies, and staff were not consistently present to monitor or intervene, resulting in ongoing behavioral disturbances and unmet care needs.
A resident with moderate cognitive impairment, hallucinations, and daily wandering was repeatedly able to enter another resident's room, attempt to undress, and interact with personal belongings without effective staff intervention. Despite care planning and staff redirection efforts, the interventions were not successful in preventing these behaviors, and the resident continued to wander unmonitored, causing distress to others.
The facility did not consistently post daily nurse staffing reports that included the required resident census. On several occasions, either no staffing documentation was posted or the posted reports lacked census data. An administrative nurse confirmed that the census was only recorded on a dry-erase board and not included in the official staffing report, contrary to facility policy.
A resident with a history of heart conditions was found unresponsive and later pronounced dead after the facility staff failed to respond to the resident's call light for nearly two hours. Despite the resident's request for assistance, communicated through a laundry person, the nurse continued with other duties. The resident's call light went unanswered, and when the nurse finally attended, she did not initiate CPR, citing the resident's cold body temperature. The facility's staffing was insufficient, and the failure to follow CPR protocols resulted in the resident's death.
A resident with a full code status was found unresponsive and without a pulse, but the nurse on duty failed to initiate CPR or call emergency services, instead pronouncing the resident dead. The resident's call light had been on for nearly two hours without response, and the facility's staffing was limited to one nurse and one CNA for 18 residents. This failure to follow emergency procedures and respond to the resident's needs placed the resident and others in immediate jeopardy.
A resident with a history of heart conditions and depression died after her call light went unanswered for nearly two hours in a facility with insufficient staffing. Despite being a full code, CPR was not initiated by the licensed nurse who found her unresponsive. The facility had only one nurse and one CNA on duty for 18 residents, leading to critical deficiencies in care.
A resident with a history of heart conditions was found unresponsive and pulseless by a nurse who failed to initiate CPR, leading to the resident's death. The resident's call light went unanswered for nearly two hours despite multiple requests for assistance. The facility had only one nurse and one CNA on duty for 18 residents, which was insufficient to meet the residents' needs.
Failure to Follow Sanitary Food Preparation Standards
Penalty
Summary
During a kitchen inspection, sausages were observed cooking on the stove while a dietary staff member prepared food without wearing a hairnet. The staff member only put on a hairnet after leaving and then returning to the cooking area. According to the facility's policy, all food service employees are required to wear hairnets and follow safe sanitary practices when handling food. An interview with another dietary staff member confirmed that immediate use of hairnets is mandatory in food preparation and service areas. These actions were not in compliance with the facility's food preparation and service policy, resulting in a failure to follow sanitary dietary standards during food preparation.
Incomplete Facility-Wide Assessment of Staffing and Resource Needs
Penalty
Summary
The facility failed to conduct a comprehensive facility-wide assessment to determine the necessary resources for competent resident care during both routine operations and emergencies. The assessment provided by the administrative nurse was last updated on 11/13/24 and did not specify the required staffing levels for each unit, nor did it identify the number of RNs, LPNs/LVNs, CMAs, and CNAs needed based on patient acuity and census. Additionally, the assessment lacked details regarding staffing requirements for each shift, including evenings and weekends. When questioned, administrative staff indicated that staffing information might be in a separate report, which was subsequently provided but was created after the initial request. This deficiency affected all 13 residents included in the sample, out of a total census of 23 residents.
Failure to Accurately Report Staffing Data in PBJ Submissions
Penalty
Summary
The facility failed to submit accurate direct care staffing information to the federal regulatory agency through Payroll Based Journaling (PBJ), specifically regarding licensed nurse coverage and weekend staffing hours. CMS reports for two consecutive fiscal quarters indicated the facility was flagged for low weekend staffing and for not providing licensed nurse coverage 24 hours per day. However, a review of the facility's working schedules, time sheets, clock in/out records, and posted staffing hours for the identified dates did not reveal any missed coverage or gaps. During an interview, the administrative nurse confirmed that there were no missed licensed nurse shifts, as agency staff were used to fill any gaps. She acknowledged that some shifts may not have been accurately reported in the PBJ submission, particularly those involving agency and shift fill-ins. The facility's PBJ policy requires submission of complete and accurate payroll data that is verifiable and auditable, but the facility did not ensure the accuracy of the data submitted, specifically related to weekend staffing and licensed nurse coverage.
Infection Control Deficiencies in Respiratory Equipment Storage and Laundry Practices
Penalty
Summary
Surveyors identified multiple infection control deficiencies related to the handling and storage of respiratory equipment and the use of personal protective equipment (PPE) in the facility. One resident's continuous positive airway pressure (CPAP) device was found lying on her bed, stuffed between the side rail and her low air loss mattress, rather than being stored in a sanitary manner. Another resident's nasal cannula tubing was observed draped over the back of her wheelchair, also not stored appropriately. Staff interviews confirmed that respiratory equipment not in use should be kept in a bag, and that it is the responsibility of nursing staff to ensure this practice is followed. Additionally, during a tour of the laundry room, cleaning rags were found left in the washer overnight, and the soiled laundry sorting area did not have PPE available for staff to use while sorting dirty laundry. The housekeeping supervisor confirmed the absence of PPE in the soiled sorting area. The facility's infection control monitoring policy requires regular surveillance of adherence to infection prevention practices, including the availability and use of PPE, but these practices were not followed as observed during the survey.
Incomplete Care Area Assessments in Resident MDS Documentation
Penalty
Summary
The facility failed to ensure that a resident's Admission Minimum Data Set (MDS) included fully developed Care Area Assessments (CAAs). Record review and interviews revealed that the CAAs for functional abilities (self-care mobility), urinary incontinence and indwelling catheter, pain, and pressure ulcer/injury lacked analysis or further development. The resident in question had a complex medical history, including multiple sclerosis, diabetes mellitus, edema, hypokalemia, COPD, muscle weakness, overactive bladder, urinary retention, anxiety, dementia, behavioral disturbance, hypertension, major depressive disorder, and obesity. During an interview, the administrative nurse confirmed that all CAAs should include analysis of findings and that this documentation flows into the plan of care. The absence of analysis in the CAAs could result in unidentified care needs for the resident. Additionally, the facility was unable to provide a policy regarding the development of MDS or CAAs.
Failure to Revise Care Plan for Effective Communication
Penalty
Summary
The facility failed to revise the care plan for a resident with anoxic brain damage, irritability/anger issues, developmental disorder of speech and language, and weakness, to address effective communication strategies. The resident had a documented history of stuttering and difficulty communicating, which sometimes led to frustration when staff could not understand them. The resident's care plan, although updated to address behavioral issues and medication administration, did not include specific preferences or directions for staff on how to communicate effectively with the resident when stuttering occurred. Staff interviews confirmed that all nursing staff had access to care plans and that communication strategies should be included in the care plan for this resident. Documentation in the medical record and communication notes indicated ongoing communication challenges and a request for speech therapy. The facility's policy required comprehensive, person-centered care plans to address each resident's physical, psychosocial, and functional needs, but the care plan lacked guidance for staff on effective communication with the resident.
Failure to Ensure Proper Use of Pressure-Relieving Devices for Residents at Risk of Pressure Ulcers
Penalty
Summary
The facility failed to ensure that two residents at risk for pressure ulcers received appropriate care related to the use of low air-loss mattresses and pressure-relieving devices. For one resident with multiple diagnoses including obesity, schizoaffective disorder, and limited mobility, the low air-loss mattress was not set to the correct weight according to the manufacturer's guidelines. The mattress remained set at a higher weight than the resident's actual weight for several days, and staff reported that they only checked the mattress if an alarm sounded, relying on the equipment provider to set and manage the settings. The resident's care plan did not include specific instructions regarding the mattress settings. For another resident with multiple chronic conditions such as multiple sclerosis, diabetes, and obesity, the low air-loss mattress was observed to be set at a generic setting, and pressure-relieving boots intended to protect the resident's heels were not applied while the resident was in bed. The boots were found at the bottom of the bed on multiple occasions, leaving the resident's heels in direct contact with the mattress. Staff interviews revealed inconsistent practices regarding monitoring and application of pressure-relieving devices, and there was no documentation or sign-off process to ensure the correct use of the mattress or boots. Additionally, the facility was unable to provide a policy related to pressure ulcer prevention and care when requested. Both residents' care plans lacked direction for staff to monitor or adjust the low air-loss mattress settings, and there was no evidence of routine checks or documentation to ensure that pressure-relieving interventions were consistently implemented as required.
Failure to Ensure Call Light Accessibility for High Fall Risk Resident
Penalty
Summary
A deficiency occurred when staff failed to ensure that a resident's call light was within reach, as required by the resident's care plan and facility policy. The resident in question had diagnoses including dementia, muscle weakness, and a history of repeated falls, and was assessed as having severe cognitive impairment and a high risk for falls. The care plan specifically instructed staff to keep the resident's soft-touch call light within reach at all times. However, during multiple observations, the call light was found on the floor underneath the bed, out of the resident's reach, while the resident was in bed. Interviews with facility staff confirmed that the call light should have been placed within easy access for the resident, in accordance with both the care plan and facility policy. The failure to properly position the call light did not align with the instructions to provide a safe care environment and appropriate assistive devices for residents at risk for falls. This inaction placed the resident at risk for preventable accidents and injuries.
Failure to Store CPAP Mask in a Sanitary Manner
Penalty
Summary
The facility failed to ensure that a resident's continuous positive airway pressure (CPAP) mask was stored in a sanitary manner when not in use. The resident, who had a medical history including multiple sclerosis, diabetes mellitus, chronic obstructive pulmonary disease (COPD), and other chronic conditions, was observed resting on her bed with the CPAP mask placed on the bed and stuffed between the side rail and her low air-loss mattress. The resident reported that she removed the mask herself and was not provided with a bag for storage, nor was she informed by staff about the need to store the mask in a sanitary way. Interviews with facility staff, including a CNA, a licensed nurse, and an administrative nurse, confirmed that respiratory equipment was expected to be stored in a plastic bag when not in use, and that such bags were available in resident rooms. However, the facility did not provide a policy regarding the storage of respiratory equipment, and the resident's care plan lacked instructions for cleaning and storing the CPAP mask. This lapse in practice was identified during a review of the resident's records and direct observation.
Failure to Provide Trauma-Informed Care for Resident with PTSD
Penalty
Summary
The facility failed to identify, implement, and utilize trauma-based care strategies for a resident with a documented history of post-traumatic stress disorder (PTSD). The resident's electronic medical record (EMR) included diagnoses of general anxiety disorder, schizoaffective disorder, and PTSD. The resident was dependent on staff for all activities of daily living and had a history of depression, anxiety, and recent legal issues. Despite these documented concerns, the care plan did not include specific interventions or strategies related to trauma-informed care or address the resident's PTSD. Assessments in the EMR indicated the resident experienced symptoms such as nightmares, anxiety, and feelings of detachment, but there was no evidence of ongoing trauma or PTSD-related assessments beyond an initial screening. Staff interviews revealed a lack of awareness regarding the resident's trauma history and no knowledge of trauma-specific interventions. The care plan only referenced general behavioral health consults and did not provide guidance for staff on managing trauma-related symptoms or triggers. Observations showed the resident experiencing high anxiety and physical symptoms such as shaking, which she attributed to her PTSD and anxiety. The facility's policy required comprehensive trauma screening and individualized interventions, but these were not reflected in the resident's care plan or in staff practices. The lack of trauma-informed care placed the resident at risk for decreased psychosocial well-being and increased behavioral symptoms.
Failure to Assess Bed Rail Safety with Low Air-Loss Mattresses
Penalty
Summary
The facility failed to ensure that two residents who used bed rails in conjunction with low air-loss mattresses received appropriate safety assessments that acknowledged the specific risks associated with this combination. For one resident with diagnoses including general anxiety disorder, obesity, schizoaffective disorder, and post-traumatic stress disorder, documentation showed she was dependent on staff for all activities of daily living and used a low air-loss mattress with bilateral assist rails. However, her care plan and electronic medical record lacked any assessment or documentation addressing the risks of using bed rails with her low air-loss mattress, despite facility policy requiring such evaluation. Another resident with multiple diagnoses, including multiple sclerosis, diabetes, edema, COPD, muscle weakness, dementia, and obesity, also used half-bed rails on both sides of the bed to assist with repositioning. The care plan indicated the use of bed rails, but the side rail assessment did not include consideration of the low air-loss mattress. There was no evidence in the medical record that the risks and benefits of bed rail use with the low air-loss mattress were reviewed with the resident or representative, nor that education was provided regarding these risks. Interviews with staff revealed uncertainty about whether bed rail assessments covered the risks associated with low air-loss mattresses and who was responsible for ensuring the safety of the bed system after mattress changes. Observations confirmed that both residents were using bed rails with low air-loss mattresses, and staff acknowledged that safety checks and measurements specific to this setup were not consistently performed. The facility's own policy required interdisciplinary assessment of the sleeping environment, including bed system risks, but this was not followed in these cases.
Failure to Address and Monitor Behavioral Health Needs
Penalty
Summary
The facility failed to adequately identify, implement, and monitor the behavioral care needs of a resident with a history of post-traumatic stress disorder, traumatic brain injury, and severe cognitive impairment. Despite documentation in the resident's medical records and care assessments indicating significant cognitive and behavioral challenges, including confusion, disorientation, and use of multiple psychotropic medications, the care plan lacked specific interventions to address the resident's wandering, behavioral episodes, and issues with other residents entering his room. Multiple behavior notes in the electronic medical record documented repeated incidents of wandering, aggression, yelling profanity, throwing items, and urinating in inappropriate areas. These behaviors disturbed other residents and led to complaints. Staff interviews confirmed that the resident had exhibited aggressive and wandering behaviors, and that there were ongoing concerns about another resident entering his room and handling his belongings, which upset him. Observations showed that staff were not consistently present to monitor or intervene when the resident or others engaged in problematic behaviors. The facility's own policy required comprehensive assessment and behavioral interventions for residents in need, but these were not fully implemented or monitored for this resident. As a result, the resident was at risk for continued behavioral episodes and unmet care needs.
Failure to Provide Effective Dementia-Related Behavioral Services
Penalty
Summary
The facility failed to provide appropriate dementia-related behavioral services to a resident diagnosed with acute encephalopathy, abnormal behaviors, and acute kidney injury, who exhibited moderate cognitive impairment, hallucinations, delusions, and daily wandering. Despite being care planned as an elopement risk and requiring supervision for certain activities, the resident was repeatedly observed entering another resident's room, attempting to change clothes, and interacting with personal belongings without staff intervention. Progress notes and staff interviews confirmed ongoing incidents of the resident entering the same male resident's room, attempting to undress, and being redirected multiple times, with staff acknowledging the ineffectiveness of their interventions to prevent these behaviors. Observations documented that the resident was able to wander unmonitored into other residents' rooms, causing distress to the male resident involved, who reported the issue to staff on several occasions. The facility's policy required individualized care interventions and the use of the least restrictive approaches, but the interventions implemented were not successful in addressing the resident's wandering and inappropriate room entry behaviors. The lack of effective behavioral services and monitoring resulted in repeated incidents and placed the resident at risk for decreased quality of life and impaired dignity.
Failure to Post Complete Daily Nurse Staffing Information
Penalty
Summary
The facility failed to consistently post daily nurse staffing information that included the resident census, as required. On multiple occasions, surveyors observed that either no staffing documentation was posted in the facility or that the posted staffing reports did not include the daily census. Specifically, on two separate days, no staffing information was posted in the designated area, and on two other days, the posted reports were missing the required census data. An administrative nurse confirmed that the charge nurse was responsible for posting staffing information in the lobby, but stated that the census was only recorded on a dry-erase board and not included on the official staffing report. The facility's policy requires that staffing hours be maintained for at least 18 months and made available upon request.
Neglect and Mistreatment Leading to Resident's Death
Penalty
Summary
The facility failed to ensure a resident remained free from neglect and mistreatment, leading to a severe incident. The resident, who had a history of non-ST elevation myocardial infarction, cardiomyopathy, hypertension, depression, atrial fibrillation, and bradycardia, was found unresponsive and later pronounced dead. On the day of the incident, the resident was initially assessed by a licensed nurse at 07:39 AM, who noted the resident was in a panicked state due to breathlessness. Despite the resident's request for assistance at 09:30 AM, communicated through a laundry person, the nurse continued with other duties and did not attend to the resident promptly. The resident activated the call light at 09:42 AM, which went unanswered for one hour and forty-five minutes. During this time, a certified nurse aide acknowledged seeing the call light but did not respond, as she was occupied with other duties and assumed the resident only needed the nurse. The nurse eventually noticed the call light at 11:20 AM and found the resident unresponsive at 11:26 AM. The nurse did not initiate CPR, citing the resident's cold body temperature as an indication that resuscitation was impossible. The facility's staffing on the day of the incident included only one nurse and one CNA for 18 residents, which was deemed insufficient by the CNA. The facility's policies required CPR to be initiated unless a DNR order was in place, which was not the case for the resident. The failure to respond to the call light and initiate CPR as per policy resulted in the resident's death, highlighting a significant deficiency in care and response protocols.
Failure to Provide CPR to Full Code Resident
Penalty
Summary
The facility failed to provide cardiopulmonary resuscitation (CPR) to a resident who had a full code status, indicating a desire for resuscitative measures in the event of cardiac arrest. On the morning of the incident, the resident was found unresponsive, cold to the touch, and without a pulse by a licensed nurse. Despite the resident's full code status, the nurse did not initiate CPR or activate emergency medical services, instead pronouncing the resident dead. This failure to act according to the resident's advance directives and facility policy placed the resident and other residents with full code status in immediate jeopardy. The resident had a medical history that included non-ST elevation myocardial infarction, cardiomyopathy, hypertension, depression, atrial fibrillation, and bradycardia. Earlier that morning, the resident was alert and oriented, with vital signs taken by the nurse. However, the resident expressed feelings of breathlessness and panic, which were temporarily alleviated by the nurse's assistance. Despite these interactions, the resident's call light went unanswered for nearly two hours, during which time the resident's condition deteriorated. The facility's staffing on the day of the incident included only one nurse and one certified nurse's aide for 18 residents, which may have contributed to the delay in responding to the resident's call light. The nurse and aide were both certified in CPR, yet the nurse did not perform CPR when finding the resident unresponsive. The facility's policies on emergency procedures and abuse were not followed, as the nurse did not initiate CPR or call emergency services, and the resident's call light was neglected for an extended period.
Resident's Death Due to Inadequate Staffing and Unanswered Call Light
Penalty
Summary
The facility failed to provide sufficient nurse staffing with the appropriate competencies and skill sets, which resulted in a resident's needs not being met and ultimately led to the resident's death. The resident, who had a history of non-ST elevation myocardial infarction, cardiomyopathy, hypertension, depression, atrial fibrillation, and bradycardia, was found unresponsive and pulseless after her call light went unanswered for one hour and forty-five minutes. Despite being a full code, CPR was not initiated by the licensed nurse who found her. On the day of the incident, the facility had only one licensed nurse and one certified nurse aide on duty to care for 18 residents, including three residents requiring two-person assistance. The licensed nurse was informed by a laundry person that the resident needed her, but she continued with her duties without attending to the resident. The resident's call light was activated at 09:42 AM and remained unanswered until 11:27 AM when the licensed nurse finally entered the room and found the resident deceased. The facility's failure to respond to the resident's call light and the lack of immediate CPR initiation upon finding the resident unresponsive were critical deficiencies. The licensed nurse did not follow the facility's emergency procedure for cardiopulmonary resuscitation, which required CPR to be initiated unless a do-not-resuscitate order was in place. The incident highlighted a significant lapse in the facility's staffing and emergency response protocols, contributing to the resident's death.
Failure to Provide Competent Nurse Staffing Leads to Resident's Death
Penalty
Summary
The facility failed to provide competent nurse staffing, which resulted in a resident's needs not being met and ultimately led to the resident's death. The resident, who had a history of non-ST elevation myocardial infarction, cardiomyopathy, hypertension, depression, atrial fibrillation, and bradycardia, was found unresponsive and pulseless by a licensed nurse. Despite being certified in CPR, the nurse did not initiate cardiopulmonary resuscitation and instead pronounced the resident dead. On the day of the incident, the resident had requested assistance multiple times. At 9:30 AM, a laundry person informed the licensed nurse that the resident needed her, but the nurse continued with her duties without attending to the resident. The resident's call light was activated at 9:42 AM and went unanswered for one hour and forty-five minutes. During this time, the certified nurse aide also failed to respond to the call light, citing her duties in the COVID-19 rooms as the reason for not checking her pager. The facility's staffing on the day of the incident included only one nurse and one certified nurse aide for 18 residents, which was deemed insufficient by the certified nurse aide. The facility's emergency procedure policy required CPR to be initiated unless a Do Not Resuscitate order was in place, which was not the case for the resident. The failure to respond to the resident's call light and the lack of initiation of CPR were significant factors in the deficiency.
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 34 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 Clay Center
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Clay Center Presbyterian Manor | 0.9 mi | ★★★★★ | 0 | 0 |
| Wakefield Care And Rehab | 13.4 mi | ★★★★★ | 13 | 0 |
| Leonardville Nursing Home | 14 mi | ★★★★★ | 0 | 0 |
| Linn Community Nursing Home | 20 mi | ★★★★★ | 7 | 0 |
| Park Villa | 20.5 mi | ★★★★★ | 14 | 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.