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 Logan Manor Community Health Services during CMS and state inspections, most recent first.
Surveyors found that food items in multiple kitchenettes and a pantry were not labeled or dated, and daily temperature logs for dishwashers were not maintained. Administrative staff confirmed that these practices did not align with facility policies requiring proper labeling, dating, and documentation for food safety and sanitation.
The facility did not ensure RN coverage for at least eight consecutive hours each day, as required, on multiple occasions. Staffing records and schedules confirmed repeated days without an RN present, and administrative staff acknowledged the ongoing difficulty in maintaining RN staffing levels.
Staff did not date an opened insulin pen and failed to remove an expired bottle of stock medication from the medication cart. A nurse and administrative staff confirmed that medications should be dated and expired items discarded, in accordance with facility policy.
A resident's blood sugar was checked by a nurse in a common dining area, and the result was announced aloud in front of other residents and staff, violating the facility's policy on privacy and dignity.
A resident with anxiety, dementia, and major depressive disorder received PRN Ativan cream for agitation without a 14-day stop date or documented physician rationale for ongoing use. Staff administered the medication in response to agitation, but the order and medical record lacked required documentation, contrary to facility policy.
A resident with impaired mobility and multiple diagnoses experienced a fall while being loaded into a facility van without foot pedals on her wheelchair, resulting in minor injuries. The facility did not complete an investigation or root cause analysis of the incident, despite policy requirements and staff acknowledgment that these steps were not taken.
The facility did not provide a resident with written information about the bed-hold policy when transferred to the hospital, and failed to complete a required recapitulation in the discharge summary for another resident discharged home. Both deficiencies were confirmed through record review and staff interviews, with missing documentation and notifications as required by facility policy.
Three residents experienced falls due to the facility's failure to provide adequate supervision, ensure the use of required safety devices such as alarms and wheelchair foot pedals, and complete required fall risk assessments and investigations. In each case, staff did not follow individualized care plans or facility policy, resulting in preventable accidents and injuries.
A resident with anxiety, dementia, and major depressive disorder received PRN Ativan cream without a 14-day stop date or specified duration, as required by policy. The Consultant Pharmacist did not identify or report the missing stop date or rationale for continued use during monthly drug regimen reviews, and administrative staff confirmed the oversight. Facility policies requiring periodic reassessment and documentation for such medications were not followed.
The facility did not accurately submit direct care staffing information through PBJ, as required, resulting in reported gaps in licensed nurse coverage that did not reflect actual staffing. The issue was attributed to incomplete documentation of agency nurse hours, despite facility policy requiring all staffing, including agency and contract staff, to be reported.
A resident with cognitive impairment and a history of confusion was able to exit the facility unsupervised on two occasions by using unlocked doors, despite being identified as a fall risk. The care plan did not include interventions for wandering or elopement, and staff were unaware of the resident's absence until after the events. The facility's elopement policy was not followed for this individual prior to the incidents.
Failure to Properly Label, Date, and Store Food Items and Maintain Dishwasher Temperature Logs
Penalty
Summary
Surveyors observed that the facility failed to store food according to professional food service safety standards in two kitchenettes and one pantry room. Multiple food items, including potato salad, chicken patties, pancakes, vegetable beef soup, cranberries, strawberry yogurt, shredded American cheese, sliced Swiss cheese, chicken tenders, and diced chicken, were found in refrigerators and were not labeled or dated. Additionally, the facility did not maintain daily temperature logs for dishwashers in the kitchenettes since moving into the new facility, as staff believed that the use of low temperature dishwasher detergent eliminated the need for temperature documentation. Administrative staff confirmed these findings and acknowledged that food items should be labeled and dated before refrigeration or freezing. The facility's own policies required all products to be labeled with the date received and for food to be rotated appropriately, as well as for dishwashing and food storage practices to meet sanitary standards. However, these procedures were not followed, resulting in the cited deficiencies.
Failure to Provide Required RN Coverage
Penalty
Summary
The facility failed to provide Registered Nurse (RN) coverage for at least eight consecutive hours a day, seven days a week, as required by regulation and the facility's own policy. Payroll Based Journal (PBJ) records and nursing schedules documented multiple days across several months when there was no RN present in the building for the required duration. Administrative staff confirmed these absences and attributed the issue to difficulty in recruiting RNs due to the facility's rural location. The deficiency affected all residents in the facility, which had a census of 32, and was identified through interviews and record reviews, including a sample of 12 residents.
Failure to Properly Label and Remove Expired Medications
Penalty
Summary
Staff failed to properly label and store medications and biologicals as required by facility policy and professional standards. During an observation of the medication room refrigerator, an opened insulin glargine pen belonging to a resident was found without an open date or discard date. Additionally, a medication cart inspection revealed a bottle of Thera High Potency Vitamin Dietary Supplement that had expired, yet remained in use. The bottle had been dated when placed in the cart, but the expiration date had passed. Licensed nursing staff confirmed that insulin pens are to be dated when opened and expired medications are to be discarded. Administrative staff also verified that medications should be removed once expired and that insulin pens require both an open date and an expiration date. Facility policies on medication administration and pharmacy services require all drugs and biologicals to be labeled according to accepted professional principles, including expiration dates, and to be stored and administered safely.
Failure to Protect Resident Dignity During Blood Glucose Testing
Penalty
Summary
A deficiency occurred when a licensed nurse checked a resident's blood sugar using a glucometer in a common dining area, rather than in a private setting. The nurse announced the resident's blood sugar result aloud in the presence of other residents who were seated at the dining table and in adjacent hallways. This action was observed by surveyors and was later confirmed by administrative staff to be contrary to facility policy, which requires such procedures to be conducted in private to protect residents' dignity, privacy, and confidentiality. The facility's policy specifically states that residents have the right to a dignified existence and privacy, which was not upheld in this instance.
Failure to Specify Duration and Rationale for PRN Antianxiety Medication
Penalty
Summary
The facility failed to ensure that a resident's as-needed (PRN) antianxiety medication, Ativan (lorazepam) cream, had a 14-day stop date or a specified duration with a physician's rationale for ongoing use. The resident, who had diagnoses of anxiety, dementia, and major depressive disorder, was noted to have severely impaired cognition and required extensive assistance with activities of daily living. The care plan indicated the resident received antianxiety medication and mental health consults, but the physician's order for Ativan cream lacked a stop date or documented rationale for continued PRN use. Observations showed the resident exhibiting agitation and resistance to redirection, leading to the administration of Ativan cream by staff. Review of the electronic medical record confirmed the absence of a specified duration or physician rationale for the extended use of the PRN medication. Administrative staff verified that the required stop date or justification for continued use was not obtained, which was inconsistent with the facility's policy on antipsychotic medication use that requires periodic reassessment and documentation.
Failure to Investigate and Analyze Resident Fall Incident
Penalty
Summary
The facility failed to complete an investigation, including a root cause analysis, after a resident experienced a fall while being loaded into a facility van. The resident, who had diagnoses of hypertension, transient ischemic attack, and chronic kidney disease, was documented as having impaired mobility and required substantial staff assistance for transfers and ambulation. On the day of the incident, the resident was being assisted by a licensed nurse and the activity director, but did not have foot pedals on her wheelchair, which made it more difficult to push her. As the staff attempted to pull the resident up the ramp, she slid forward out of the wheelchair and onto the ramp, resulting in two small skin tears on her left elbow. The incident was documented in the nurse's note, and the resident was treated for her injuries. Despite the fall and resulting injury, the electronic medical record lacked documentation that an investigation or root cause analysis was completed for the incident. Interviews with staff confirmed that a full investigation was not conducted, and administrative staff acknowledged the absence of a root cause analysis. The facility's policy required that investigations begin immediately and include a root cause analysis, but this was not followed in this case. The failure to investigate the fall and analyze its causes constituted a deficiency in responding appropriately to an alleged violation.
Failure to Provide Bed-Hold Policy Notification and Discharge Recapitulation
Penalty
Summary
The facility failed to provide a resident with written information regarding the bed-hold policy when the resident was transferred to the hospital. The resident in question had multiple diagnoses, including congestive heart failure, edema, GERD, and anxiety, and was noted to have moderately impaired cognition and required staff assistance with activities of daily living. During an acute episode involving fever and respiratory distress, the resident was transferred to the hospital, but the clinical record did not contain documentation that the bed-hold policy was provided to the resident or their representative, as required by facility policy. Administrative staff confirmed that there was no evidence of a signed bed-hold policy being given or acknowledged at the time of transfer. Additionally, the facility failed to complete a required recapitulation as part of the comprehensive discharge summary for another resident who was discharged home. This resident had a history of a femur fracture, anxiety, major depressive disorder, and hypertension, and required significant staff assistance with daily care. The care plan included arrangements for community resources and home health services upon discharge. However, review of the electronic medical record revealed that a discharge summary, including a recapitulation of the resident's stay, was not completed as required by facility policy. Administrative staff were unable to locate the required documentation. Both deficiencies were identified through record review and staff interviews, which confirmed the absence of required documentation and notifications related to resident needs, appeal rights, and bed-hold policies. The facility's own policies specify the need for written information and documentation in these situations, but these procedures were not followed in the cases reviewed.
Failure to Prevent Falls and Ensure Safe Environment
Penalty
Summary
The facility failed to ensure a safe environment and adequate supervision to prevent falls for three residents. One resident with a history of multiple fractures, severe cognitive impairment, and high fall risk was found on the floor in her room after a fall. Her care plan required the use of bed and chair alarms, but at the time of the incident, the alarm was not attached, and staff were unaware of the correct alarm type to use. The resident's environment also had poor lighting during the fall, and her medical record lacked a documented fall risk assessment. Another resident, who was dependent on staff for mobility and transfers and had a history of falls, slipped out of her wheelchair while being loaded into a facility van. Staff failed to ensure the use of foot pedals on the wheelchair, which contributed to the resident sliding forward and falling. The incident resulted in skin tears, and there was no documentation of a completed investigation or root cause analysis for the fall, despite facility policy requiring such actions after every fall. A third resident, with osteoarthritis and a moderate fall risk, experienced a fall when he was lowered to the floor by staff and subsequently dropped himself to the floor again. His care plan did not include new interventions after the fall, and there was no documentation of an investigation or root cause analysis. Staff interviews confirmed that the resident had a history of not using his call light and getting up on his own, which contributed to his fall risk. The facility's fall prevention policy required assessment and care plan review after each fall, which was not consistently followed.
Failure to Identify and Report Missing Stop Date for PRN Antianxiety Medication
Penalty
Summary
The facility failed to ensure that the Consultant Pharmacist identified and reported the absence of a 14-day stop date or specified duration for a resident's as-needed (PRN) antianxiety medication, as required by facility policy and federal regulations. The resident in question had diagnoses of anxiety, dementia, and major depressive disorder, with severely impaired cognition and required extensive assistance with activities of daily living. The physician's order for Ativan (lorazepam) cream, to be administered every six hours as needed for anxiety or aggression, did not include a stop date or documented rationale for continued use beyond 14 days. The resident's electronic medical record also lacked evidence of a specified duration or physician justification for the ongoing PRN use of lorazepam. During the monthly drug regimen review, the Consultant Pharmacist did not identify or report the missing stop date or rationale for the extended use of the PRN antianxiety medication to the Director of Nursing, medical director, or physician. Administrative staff confirmed that the facility did not obtain the required 14-day stop date or appropriate rationale for continued use, and that the pharmacist's monthly reviews did not include recommendations regarding this issue. Facility policies required that antipsychotic and antianxiety medications be prescribed for the shortest effective duration and reassessed periodically, but these procedures were not followed in this case.
Failure to Accurately Report Licensed Nurse Staffing in PBJ Submission
Penalty
Summary
The facility failed to submit complete and accurate direct care staffing information through Payroll Based Journaling (PBJ) as required. The PBJ report for a specific fiscal quarter indicated that there was no licensed nurse coverage on five dates. However, a review of the facility's licensed nurse payroll data for those dates showed that a licensed nurse was on duty 24 hours a day, seven days a week. Administrative staff confirmed that the discrepancies were likely due to the use of agency nurses whose hours were not properly documented in the PBJ system. The facility's policy required the submission of complete staffing information, including agency and contract staff, but this was not followed, resulting in inaccurate data being reported to CMS.
Failure to Prevent Resident Elopement Due to Inadequate Supervision and Lacking Care Plan Interventions
Penalty
Summary
A deficiency occurred when the facility failed to provide adequate supervision and prevent a resident from exiting the building unsupervised. The resident had a history of nontraumatic brain dysfunction, dementia, anxiety, depression, and psychotic disorder, and was assessed as having impaired decision-making skills and confusion, despite an MDS score indicating intact cognition. The care plan did not include interventions for wandering or elopement prior to the incident, although it did note the resident was a fall risk and required alarms for bed and chair mobility. On two separate occasions, the resident was able to leave the facility without staff awareness. In the first incident, the resident exited through unlocked double doors in a wheelchair while a maintenance staff member briefly left the room. The resident was later found outside on the sidewalk near a generator and was brought back inside by staff. In the second incident, the resident again exited the building, this time by kicking open a west door, and was found outside on the grass by a CNA taking out the trash. In both cases, the resident was unsupervised outside the facility for a period of time before being located and returned by staff. Observations and staff interviews confirmed that the doors used by the resident did not lock from the inside and that the resident's care plan lacked specific interventions for elopement risk prior to these events. The facility's elopement policy required identification and precautions for residents at risk, but these measures were not implemented for this resident before the incidents occurred.
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We read the 51 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.
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Nursing homes near Logan
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Phillips County Retirement Center | 15.1 mi | ★★★★★ | 11 | 0 |
| Andbe Home, Inc | 20.8 mi | ★★★★★ | 23 | 0 |
| Solomon Valley Manor | 22.7 mi | ★★★★★ | 0 | 0 |
| Dawson Place | 24.9 mi | ★★★★★ | 17 | 0 |
| Good Samaritan Society - Colonial Villa | 32.3 mi | ★★★★★ | 12 | 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.