Average — CMS composite of the measures below.
The next survey window likely opens around June 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Mcpherson Operator, Llc during CMS and state inspections, most recent first.
Unsanitary food storage, preparation, and serving practices were observed in the dietary dept. A steam table leaked water onto the floor, a power cord above served food had grey fuzzy buildup, shelving and piping had sticky and black/brown debris, and bug debris was seen in fluorescent lights. Dietary staff handled cup and glass drinking surfaces without hand hygiene or gloves between residents, wore a hairnet that did not fully contain hair, and prepared sandwiches and plated food without gloves while touching food-contact surfaces.
Unsafe flooring was observed throughout multiple resident rooms, the therapy room, and activity rooms, with black tape holding down wood-like laminate flooring and missing planks in several rooms. An admin staff member stated the flooring had been a concern for months and was being monitored through QA meetings, while the facility policy required floors to be maintained in a clean, safe, and sanitary manner.
A resident with dementia, major depressive disorder, stroke history, and other chronic conditions received routine Seroquel for behavior management without documentation of an appropriate indication, physician rationale, or attempted nonpharmacological interventions. The record showed intermittent verbal aggression, yelling, and inappropriate comments, but the EMR lacked evidence of a documented risks-versus-benefits review or a GDR attempt, and staff interviews showed uncertainty about the antipsychotic indication and behavior documentation.
Missing discharge recapitulation for a resident who left AMA. The resident had osteomyelitis, an acquired absence of the LLE below the knee, and type 2 DM, with intact cognition, a surgical wound, and a fall with injury. After stating he would leave to stay with family, he signed AMA paperwork and departed, but the EMR did not contain the required discharge recapitulation with the resident’s stay, treatment course, and final status.
Failure to use alternative communication methods for a resident with impaired speech. A resident with a tongue mass, submandibular mass, dysphasia, Parkinson’s disease, depression, and severe malnutrition had unclear, soft speech and relied on writing, head nods, and typing to communicate, but staff often could not decipher his messages and continued asking repeated questions. The care plan directed staff to allow time to speak, reduce noise, and validate his message, yet staff interviews showed they had not consistently provided or thought about alternative communication methods.
Failure to Provide ADL Assistance: A resident with Parkinsons disease, dysphasia, depression, and severe protein calorie malnutrition was observed unshaven, uncombed, without socks or shoes, and wearing a shirt soiled with dried sputum. His G-tube was unsecured, drool hung from his mouth, and he coughed up thick yellow sputum. Although the care plan called for staff help with bathing, personal hygiene, dressing, oral care, and grooming, staff statements and observations showed he was not receiving the needed shaving and grooming assistance.
Failure to provide individualized activities for a resident with depression, Parkinson’s disease, dysphasia, and impaired function. The resident’s MDS and care plan identified interests such as music, news, group activities, religious services, and going outside, and directed 1:1 in-room activities and assistance to attend events. However, the EMR lacked documentation that he was invited to or participated in activities, and staff reported he mostly stayed in his room, watched TV, or had family visits; the activity staff also stated she did not document routine activity attendance and had no in-room activities for him.
A resident with Parkinsons disease, dysphasia, severe malnutrition, and impaired safety awareness had repeated falls despite a fall care plan that included call light use, toileting assistance, footwear, bed rest, PT, and education. The resident was found on the floor or in unsafe positions multiple times, including in the bathroom, while trying to move furniture, and while attempting to get to the bathroom, with injuries such as skin tears and an abrasion. Staff documented reminders, signage, and orange tape on the call light, but the resident continued to fall and was also observed walking with an unsecured G-tube hanging between his legs.
Unsecured G-tube During Enteral Feedings: A resident with dysphagia, Parkinsons disease, severe malnutrition, and a G-tube for most of his nutrition had his tube repeatedly observed unsecured while sitting, walking, and after an enteral feeding. An LPN administered the tube feeding and then placed the tube under the resident’s shirt without securing it, and an admin nurse stated the resident had previously used a binder but the facility had not tried another method to secure the tube.
A resident with dementia, agitation, major depressive disorder, and other chronic conditions received Seroquel on a routine basis, with orders later increased for agitation. The EMR lacked documentation of nonpharmacological interventions tried before the antipsychotic was started and lacked a physician-documented rationale with risks versus benefits. The CP’s monthly medication regimen reviews did not identify or report the missing indication for the antipsychotic, and staff interviews showed the resident’s calling out behaviors were usually redirectable and documented in progress notes.
A resident with multiple health conditions and a high risk for falls independently accessed an unsecured shower room after staff failed to ensure the door was properly closed. The resident, who required assistance with bathing and was known to self-transfer, entered the shower room unsupervised, fell, and sustained a fractured wrist. The incident occurred because the shower room door, though equipped with a keypad lock, was not fully shut, allowing entry without staff assistance.
The facility did not consistently record food temperatures at mealtimes, nor did it document refrigerator and freezer temperatures during the evening shift. Logs were found to be incomplete or filled in with identical, potentially inaccurate values. Staff also failed to regularly document the chemical PPM of sanitizing solutions, and there were observations of dirty dishes being used for meal service. These actions were not in accordance with the facility's policies for safe food handling and sanitation.
A Certified Medication Aide was allowed to work without a completed criminal background check, contrary to facility policy and state guidelines. This oversight meant the facility could not confirm whether the employee had any history of abuse, neglect, exploitation, or related offenses before granting them access to residents.
Staff failed to immediately report an incident where a resident with dementia and significant care needs was physically contacted by another resident during a supervised smoke break. The certified medication aide who witnessed the event delayed reporting it to the charge nurse, contrary to facility policy requiring prompt notification of suspected abuse or mistreatment.
A resident receiving hospice care for multiple chronic conditions did not have a facility care plan that included specific details coordinating with the hospice plan, such as visit frequency, equipment, medications, and hospice contact information, despite facility policy requiring this integration. Staff confirmed the lack of coordinated care planning.
Unsanitary food storage, preparation, and serving practices
Penalty
Summary
The facility failed to store, prepare, and serve food under sanitary conditions for residents receiving meals from the kitchen. During a follow-up tour of the dietary department/kitchen, the steam table was observed leaking water onto the floor without containment, and a black power cord hanging above food being served had grey fuzzy material on it. The metal shelving next to the steam table, which stored steam table pans and other dishes, had a sticky, grease-like feel, and the water piping below the dishwasher and three-compartment sink had black and brown buildup of debris. Fluorescent lights throughout the kitchen and dining room also had bug debris in them. Dietary staff were observed handling food and beverages in ways that did not follow sanitary practices. One dietary staff member prepared and served beverages by handling the drinking surface of cups and glasses without washing hands between residents or wearing gloves, and the staff member's hairnet did not fully cover or contain hair while moving in and out of the kitchen during food and drink preparation and service. Another dietary staff member prepared two peanut butter sandwiches without gloves and, while plating food, handled plates with a thumb touching the surface on which the food was placed. The facility's sanitation policy required kitchen and dining areas to be kept clean and free from litter, rubbish, rodents, roaches, flies, and other insects, and the foodborne illness policy required proper hygiene, sanitary procedures, hair restraints, and no contact between food and bare hands.
Unsafe Flooring in Resident and Therapy Areas
Penalty
Summary
The facility failed to maintain a homelike environment free of unsafe flooring. Observations from 07/12/26 through 07/14/206 showed black tape holding down wood-like laminate flooring in various places in rooms [ROOM NUMBER], and missing wood-like laminate planks in rooms 12, 26, 35, and 36. The therapy room and activity rooms also had black tape holding down wood-like laminate planks throughout the entire rooms. On 07/14/26 at 01:00 PM, Administrative Staff A stated that a contractor was scheduled to evaluate the flooring for replacement and that the flooring had been a concern, and also stated it had been monitored through QA meetings for several months. The facility's Floor policy, dated 12/2009, stated that floors shall be maintained in a clean, safe, and sanitary manner.
Unnecessary Psychotropic Medication Use Without Documented Rationale
Penalty
Summary
The facility failed to ensure that Resident 6 was free from antipsychotic medication use without an appropriate indication or a physician-documented rationale, including risks versus benefits and review of nonpharmacological interventions that had been attempted and failed. Resident 6’s record showed diagnoses including major depressive disorder, cerebral infarction, dementia with agitation, chronic pulmonary edema, Alzheimer’s disease with late onset, and dysphagia. The quarterly MDS documented intact cognition with inattention and disorganized thinking that fluctuated, no exhibited behaviors, substantial to maximal support needs, dependence for mobility, and receipt of an antipsychotic on a routine basis without a gradual dose reduction attempt or documented contraindication. The care plan initiated on 01/15/2026 identified psychotropic medication use, including Seroquel and Depakote, for behavior management related to dementia with agitation and major depressive disorder. It directed staff to administer medications as ordered, consult with pharmacy and the physician regarding dosage reduction when clinically appropriate, and monitor target behaviors, side effects, and adverse effects. The record included a progress note on 02/18/2026 documenting verbal aggression, cursing, yelling, and banging on the wall after staff attempted to assist with care. A physician order on 02/20/2026 directed Seroquel 25 mg at bedtime for a mood disorder and discontinued Abilify. Subsequent notes documented additional behaviors, including yelling out after meals, inappropriate sexual comments, and increased agitation with verbally abusive behavior. Orders later increased Seroquel to twice daily and then to morning and evening dosing. The EMR lacked documentation of nonpharmacological interventions attempted before Seroquel was started and lacked a physician-documented rationale that included risks versus benefits for its use. During interviews, staff reported that Resident 6 could be verbally and physically abusive at times, was often redirectable, and that behaviors and interventions were documented in progress notes, while an administrative nurse stated she was unaware of the indications for antipsychotic use.
Missing discharge recapitulation for resident who left AMA
Penalty
Summary
The facility failed to complete a recapitulation of Resident 46’s stay and course of treatment upon discharge from the facility. Resident 46’s EMR documented diagnoses of osteomyelitis of the lower leg, acquired absence of the left leg below the knee, and type 2 DM. The admission Medicare 5 Day MDS documented intact cognition, need for supervision with toileting hygiene and lower body dressing, setup assistance with eating, upper body dressing, personal hygiene, and mobility, as well as lower functional impairment on both sides, a surgical wound, and a fall with injury. Resident 46’s care plan included goals for discharge to home with home health services and interventions for blood work, blood cultures, wound treatments, and medications as ordered. On 04/28/2026, the resident stated he was going to stay with a family member until an upcoming appointment, was told a physician’s order was required to leave, and then stated he would leave anyway. He signed AMA paperwork, packed his belongings, and waited outside for his family to arrive. The EMR lacked a complete recapitulation of his stay, and the Administrative Nurse verified that the recapitulation was not completed. The facility’s Discharge Summary and Plan policy required a discharge summary to include a recapitulation of the resident’s stay and final status, including diagnoses, course of illness, treatment or therapy, pertinent results, medication reconciliation, and a final summary paragraph.
Failure to Use Alternative Communication Methods for a Resident With Speech Difficulty
Penalty
Summary
The facility failed to ensure staff used alternative communication methods for a resident with difficulty speaking. The resident had diagnoses including a left submandibular gland mass, tongue mass, dysphasia, Parkinson’s disease, depression, and severe protein calorie malnutrition. The Quarterly MDS documented intact cognition, unclear speech, and that he usually made himself understood, while the care plan directed staff to allow him time to speak, reduce noise, anticipate needs, focus on meaningful words or phrases, monitor nonverbal indicators, wait before providing words, document communication abilities, and validate his message by repeating it aloud. During observation, the resident was seen in his recliner with poor grooming, dried sputum on his shirt and cushion, an unsecured G-tube lying on his lap, drooling from his mouth, and unclear, soft speech. He coughed up a large amount of thick yellow sputum and attempted to discard it, missing the trash can. He also had a pad of paper with writing that appeared unclear. On another observation, when asked how he was doing, he leaned to the pad and wrote, but the writing was shaky, misspelled, and partly illegible, though it eventually communicated that he had had a bad night. Staff interviews showed ongoing difficulty understanding the resident and a lack of consistent alternative communication support. An LN stated she tried to ask about pain and whether he was okay, but could not understand his speech or decipher what he wrote, and she continued asking the same questions. She said she had tried to give him a paper with words but was unsure where it was, and that understanding him had become like playing charades as the tongue mass enlarged. Other staff stated he sometimes wrote words, shook his head yes or no, or typed on his phone, but they often had to guess what he wanted. An administrative nurse stated the tongue mass had increased over the last couple of weeks, he could say yes or no answers but was very soft spoken, and she had not thought about providing alternative communication methods.
Failure to Provide ADL Assistance
Penalty
Summary
The facility failed to provide assistance with ADLs for one resident who required staff help with dressing, grooming, shaving, bathing, personal hygiene, mobility, and transfers. The resident had diagnoses including left submandibular gland mass, tongue mass, dysphasia, depression, Parkinsons disease, and severe protein calorie malnutrition. The quarterly MDS documented intact cognition and need for partial staff assistance with showers, lower body dressing, shoes, mobility, and transfers, and the care plan directed staff to provide one-person assistance with bathing and personal hygiene, allow sufficient time for dressing and undressing, provide frequent oral care due to dry mouth, and report any decline in function. During observations, the resident was found sitting in a recliner unshaven, with a t-shirt containing several large areas of dried sputum, no socks or shoes, uncombed hair, and a pressure-reducing cushion with dried sputum and debris on it. His G-tube was unsecured and lying on his lap, his tongue protruded from his mouth, and drool hung down to his shirt. He had unclear, soft speech and coughed up a large amount of thick yellow sputum. Additional observations showed him without socks or shoes, leaning over with his chest on his knees, with a towel and washcloth left nearby, and later still unshaven with drool hanging from his mouth. A CNA stated he was a one-person assist and should not be up alone in his room, while an administrative nurse stated staff usually got him dressed, made sure he was clean, and combed his hair; however, an LPN stated he was never shaved by staff.
Failure to Provide Individualized Activities
Penalty
Summary
The facility failed to ensure that Resident 8 was invited to or provided with individualized, person-centered activities. Resident 8 had diagnoses including a left submandibular gland mass, tongue mass, dysphasia, depression, Parkinson’s disease, and severe protein calorie malnutrition. The Admission/5 Day Medicare MDS documented severely impaired cognition, dependence on staff for toileting hygiene, lower body dressing, shoes, mobility, and transfers, and depression, inattention, disorganized thinking, and fluctuating consciousness during the lookback period. The MDS also noted that listening to music, keeping up with news, going outside, doing things in groups, and religious services were somewhat important to him. The quarterly MDS later documented intact cognition and continued need for partial staff assistance with showers, lower body dressing, shoes, mobility, and transfers, along with feelings of being bad about himself and depressed during the lookback period. His care plan directed staff to provide cognitive stimulation, social interaction, 1:1 bedside or in-room visits and activities if he could not attend out-of-room events, assistance or escort to activity functions, an activity calendar, and activities based on his interests. The recreation assessment documented that he enjoyed music, news, group activities, religious services, and going outside, but the EMR lacked documentation that he was invited to or participated in activities. Staff interviews indicated he stayed in his room, watched television, or had family visits, and the activity staff stated she did not document when residents went to activities unless they went outside the facility and did not have in-room activities for him.
Repeated Falls With Ineffective Fall Interventions
Penalty
Summary
The facility failed to implement effective person-centered interventions and to review whether those interventions were effective after repeated falls for one resident with multiple risk factors. The resident had diagnoses including a left submandibular gland mass, tongue mass, dysphasia, depression, Parkinsons disease, and severe protein calorie malnutrition. The Admission/5 Day MDS documented severely impaired cognition, dependence on staff for dressing, shoes, mobility, transfers, and toileting, and no falls, while the Quarterly MDS later documented intact cognition, partial assistance needs, supervision with ambulation, and two or more falls with injury. Fall risk assessments identified the resident as high risk for falls. The care plan included interventions such as anticipating needs, ensuring the call light was ready, encouraging use of the call light, offering toileting, encouraging afternoon bed rest, physical therapy, reviewing the root cause of past falls, and ensuring appropriate footwear. Additional interventions documented over time included orange tape around the call light, verbal education to ask staff for help moving furniture, verbal education on call light use and toileting assistance, and signage in the room reminding the resident to use the call light. Despite these measures, the resident continued to fall repeatedly. The fall investigations documented multiple events in which the resident was found on the floor or in unsafe positions, including while trying to get changed, seated on wheelchair pedals in the bathroom, lying between the toilet and wheelchair without non-skid socks, falling while trying to move a dining chair, slipping while trying to get to the bathroom, and being found on all fours with an abrasion to the forehead and a skin tear to the elbow. Staff notes also documented the resident walking with a walker while his G-tube was unsecured and hanging between his legs. Staff interviews described the resident as weak, underweight, impulsive, and needing assistance, while the facility policy stated that if falling recurs despite initial interventions, additional or different interventions should be implemented or the current approach explained as still relevant.
Unsecured G-tube During Enteral Feedings
Penalty
Summary
The facility failed to provide necessary treatment and services to prevent complications of enteral tube feeding for one resident with a gastrostomy tube. The resident had diagnoses including dysphasia, Parkinsons disease, severe protein calorie malnutrition, depression, and masses in the left submandibular gland and tongue. Records showed the resident received 51% or more of calories via G-tube and did not eat, and the care plan directed staff to administer tube feedings, check residuals, flush the tube, and elevate the head of the bed during and after feedings. On multiple occasions, staff observed the resident’s G-tube unsecured: it was lying freely on his lap while he sat in a recliner, hanging between his legs while he walked with a walker, and again hanging between his legs after he walked out of the bathroom and later to his dresser. During a feeding, an LPN administered the enteral feeding after checking residual and flushing the tube, then placed the G-tube under the resident’s shirt but did not secure it. The LPN later stated she did not secure the tube and only put it under the shirt. An administrative nurse stated the resident had arrived with a binder, but the family took it home because he did not like it, and the facility had not tried anything else to secure the tube.
Pharmacist review failed to address antipsychotic use without documented indication
Penalty
Summary
The facility failed to ensure the Consultant Pharmacist completed and documented a monthly drug regimen review that identified and reported the resident’s antipsychotic use without an appropriate indication or a physician-documented rationale that included risks versus benefits and unsuccessful nonpharmacological attempts. The resident’s record showed diagnoses including major depressive disorder, cerebral infarction, dementia with agitation, chronic pulmonary edema, Alzheimer’s disease with late onset, and dysphagia. The quarterly MDS documented intact cognition with fluctuating inattention and disorganized thinking, no exhibited behaviors, dependence for mobility, substantial to maximal support for functional abilities, and receipt of an antipsychotic, antidepressant, anticoagulant, diuretic, and anticonvulsant. It also documented routine antipsychotic use with no GDR attempt or physician-documented contraindication. The care plan identified psychotropic medication use, including Seroquel and Depakote, for behavior management related to dementia with agitation and major depressive disorder, and directed staff to monitor behaviors, side effects, and adverse effects. Physician orders directed Seroquel 25 mg at bedtime for a mood disorder, then 25 mg twice daily for increased agitation, and later 25 mg in the morning and 50 mg in the evening. The EMR lacked documentation of nonpharmacological interventions attempted before Seroquel was started and lacked a physician-documented rationale with risks versus benefits for its use. The pharmacist medication regimen reviews dated from January through July 2026 did not mention the appropriate indication for the antipsychotic. Staff interviews indicated the resident had calling out behaviors, was usually redirectable, and that nursing staff documented behaviors and interventions in progress notes, while administrative nursing staff were unaware of the indications for antipsychotic use.
Failure to Secure Shower Room Door Results in Resident Fall and Fracture
Penalty
Summary
A deficiency occurred when staff failed to ensure that a shower room door was properly secured, resulting in a resident entering the room unsupervised and sustaining a fall that led to a fractured wrist. The resident involved had multiple diagnoses, including COPD, osteoporosis, delusional disorder, anxiety, and muscle weakness. She was assessed as having intact cognition but required partial to moderate assistance with most activities of daily living, including bathing and shower transfers. Her care plan noted a history of not waiting for assistance, self-transferring, and sometimes refusing staff help with ADLs. She was also identified as high risk for falls, with specific interventions outlined in her care plan, such as frequent staff checks and the use of non-slip materials. On the day of the incident, the resident requested a shower but was told by staff that assistance would be provided later. Despite this, she independently accessed the shower room, which was supposed to be locked but was left unsecured because the door was not fully closed. The resident entered the shower room, undressed, and attempted to shower without assistance. Staff discovered her on the floor of the shower room, having fallen and fractured her left wrist. The resident's wheelchair was found in the doorway, and her oxygen tank remained on her walker in her room across the hall. Interviews and documentation confirmed that the shower room door, although equipped with a keypad lock, was not pulled shut, allowing the resident to enter unassisted. The facility's policy required that accident hazards be minimized and that supervision and assistance be provided according to individual resident needs and environmental risks. The failure to ensure the shower room door was properly secured directly led to the resident's unsupervised access and subsequent injury.
Failure to Document Food and Equipment Safety Measures
Penalty
Summary
The facility failed to consistently measure and record food temperatures at mealtimes and to document daily refrigerator and freezer temperatures during the evening shift. Observations revealed that temperature logs for the refrigerator and freezer were missing entries for multiple days on the evening shift, and when these logs were later filled in, the entries contained identical temperatures for each day, raising concerns about their accuracy. Dietary staff confirmed that temperatures were supposed to be recorded daily, both in the morning and evening, and that meal temperatures were to be taken for every meal served. However, the logs lacked documentation for numerous meals throughout the month. Additionally, staff were observed plating meals using dishes that had dried food particles, and there were resident complaints about dirty dishes. The facility also failed to record the chemical Parts Per Million (PPM) of the sanitizing solution in the Sanitizer Bucket Log three times a day as required. Review of the logs showed frequent omissions in documenting the PPM levels for the morning, afternoon, and evening shifts. Staff acknowledged the lack of documentation and stated that recording the PPM was necessary to ensure proper sanitization. Facility policies required that food be prepared and served in accordance with safe food handling practices, and that equipment and utensils be properly sanitized, but these procedures were not consistently followed.
Failure to Complete Required Criminal Background Check for Employee
Penalty
Summary
The facility failed to conduct a required criminal background check for a Certified Medication Aide (CMA) who had been working in the facility since their hire date. During a review of staffing records, the facility was unable to provide evidence that a criminal background check had been completed for this employee. The CMA had been allowed access to residents without confirmation of their eligibility, specifically whether they had any history of abuse, neglect, exploitation, misappropriation of property, or mistreatment as determined by a court of law. The facility's own Abuse Prevention Program policy required that background checks be completed per state guidelines for all employees prior to employment, and that documentation of such checks be maintained. The policy also specified that individuals with findings of abuse or related offenses should not be employed. Despite these requirements, the lack of a completed background check for the CMA meant the facility could not ensure compliance with its own policies or state regulations regarding the prevention of abuse, neglect, and theft.
Failure to Immediately Report Suspected Resident-to-Resident Abuse
Penalty
Summary
Facility staff failed to immediately report an incident involving two residents, one of whom had dementia, osteoporosis, muscle weakness, and required extensive assistance with activities of daily living. The incident occurred when one resident made contact with another's shoulder in an attempt to maneuver around her prior to a supervised smoke break. The certified medication aide (CMA) who witnessed the event did not report it to the charge nurse until nearly two hours later, despite facility policy requiring immediate reporting of suspected abuse or mistreatment. The resident who was contacted had a care plan indicating the need for close supervision due to cognitive impairment, physical limitations, and behavioral issues related to dementia and anxiety. The care plan also specified interventions for supervised smoking and behavioral management to protect the safety of all residents. At the time of the incident, the resident was receiving hospice services and was on multiple medications, including antidepressants, antipsychotics, and opioids. Facility policy clearly outlined the responsibility of all staff to promptly report any suspected abuse, neglect, or mistreatment to facility management, with immediate examination and documentation required. In this case, the delay in reporting by the CMA resulted in a failure to follow established procedures, placing the resident at risk for ongoing mistreatment and inadequate supervision.
Failure to Coordinate Hospice Services in Resident Care Plan
Penalty
Summary
The facility failed to ensure coordinated care and services between the facility and hospice for a resident receiving end-of-life care. The resident, who had diagnoses including dementia, osteoporosis, muscle weakness, and sarcopenia, was documented as requiring extensive staff assistance with activities of daily living and had bilateral lower extremity contractures. The resident's care plan noted the need for monitoring skin breakdown and immobility, and the hospice care plan indicated the provision of comfort measures and medication administration. However, the facility's care plan lacked specific instructions regarding the coordination with hospice, such as the frequency and type of hospice support visits, supplies and medical equipment provided by hospice, medications covered by hospice, and hospice contact information. Record review and staff interview confirmed that the facility did not include detailed information from the hospice plan of care in the resident's facility care plan. The facility's own policy required identification in writing of the services hospice would provide and for these to be addressed in the resident's person-centered care plan. Despite this, the care plan did not reflect the necessary coordination, and the administrative nurse verified the absence of this information.
What surveyors are citing around you — mapped
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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 28 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
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Mcpherson
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Cedars | 1.2 mi | ★★★★★ | 9 | 0 |
| Pleasant View Home | 12.4 mi | ★★★★★ | 0 | 0 |
| Bethany Home Association | 12.8 mi | ★★★★★ | 19 | 0 |
| Riverview Estates | 14.3 mi | ★★★★★ | 0 | 0 |
| Moundridge Manor | 15.1 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 October 2026) and official state health department websites.