Above average — CMS composite of the measures below.
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 Smith Center Health And Rehab during CMS and state inspections, most recent first.
The facility did not employ a full-time Certified Dietary Manager or an appropriately qualified nutritional professional to oversee food and nutrition services, as required by policy. Dietary staff preparing meals were not certified, and this was confirmed by both dietary and administrative staff. At the time, a resident required a pureed diet, but no certified manager was in place to ensure proper oversight.
Surveyors found that food items in a nourishment refrigerator and freezer were not stored according to professional standards, with expired, unlabeled, and undated items present. Additionally, two overhead fluorescent light fixtures in the dining room were missing covers, leaving bulbs exposed above dining tables. Staff confirmed responsibility for food checks and maintenance oversight, and facility policies required proper food labeling and fixture maintenance.
Several residents were not offered the pneumococcal PCV20 vaccine, and there was no documentation of consent, declination, or physician contraindication in their records. Administrative nursing staff confirmed the absence of a system to determine vaccine eligibility or track offers and refusals, despite facility policy requiring such assessments.
Three residents and their representatives were given the incorrect Medicare Advance Beneficiary Notice (ABN) form when skilled services ended, rather than the required Skilled Nursing Facility Advance Beneficiary Notice (SNFABN) form. The forms provided did not include estimated costs or comply with facility policy, and an administrative nurse later acknowledged the error.
Surveyors found that two residents' insulin flex pens were not labeled with an open or use by date, as required by facility policy and professional standards. An administrative nurse confirmed that nursing staff should label and date insulin pens when opened.
The facility did not submit accurate nurse staffing data through PBJ, as required, resulting in reported low weekend staffing despite actual schedules showing adequate coverage. This was confirmed by administrative staff and was contrary to the facility's own policy for reporting RN hours and weekend staffing.
A resident with severe cognitive impairment and high fall risk was injured during a transfer using a Hoyer lift when a sling strap dislodged, causing a fall and neck fracture. The incident occurred because staff failed to report previous issues with the lift, leading to continued use of faulty equipment. The facility's policies on accident prevention and safe lifting were not effectively implemented, contributing to the accident.
Lack of Certified Dietary Manager for Food and Nutrition Services
Penalty
Summary
The facility failed to employ a full-time Certified Dietary Manager to oversee the food and nutrition services for its 37 residents. Observations in the kitchen revealed that dietary staff preparing meals were not certified dietary managers. Specifically, one dietary staff member confirmed she was not certified, and administrative staff later verified this information. The facility had one resident on a pureed diet at the time of the observation. According to the facility's Food Service Staffing policy, if a qualified dietitian is not full-time, another qualified nutritional professional, such as a certified dietary manager or someone with equivalent credentials, must be employed to serve as the Dietary Manager. The policy outlines specific qualifications required for this role, but the facility did not have a staff member meeting these criteria in place. This deficiency was identified through observation, record review, and staff interviews.
Deficient Food Storage and Unsafe Lighting in Dining Area
Penalty
Summary
Surveyors observed that the facility failed to store food in accordance with professional standards for food service safety in the nourishment refrigerator and freezer located in the south hall. Specifically, expired frozen meals, undated and unlabeled food items, and opened packages without proper identification were found. Additionally, the refrigerator contained unlabeled and undated containers, as well as expired pudding and gelatin. Staff interviews confirmed that night shift nursing staff were responsible for checking these food items, and facility policy required all foods to be covered, labeled, and dated, with resident names and use-by dates clearly indicated. Further, during a dining observation, two overhead fluorescent light fixtures in the dining room were found to be missing covers, leaving the bulbs exposed directly above dining tables. Maintenance staff verified the absence of plastic coverings and fixture covers. Facility policy stated that maintenance services, including preventative maintenance, were under the supervision of the Administrator and Maintenance Department, with specific duties outlined for the Maintenance Director.
Failure to Offer and Document Pneumococcal Vaccination per CDC Guidance
Penalty
Summary
The facility failed to offer, obtain informed declination, or secure physician-documented contraindication for the pneumococcal PCV20 vaccination for several residents, as required by the latest CDC guidance. Record reviews for five residents revealed that none had documentation of being offered the PCV20 vaccine, nor was there evidence of signed consent, informed declination, or physician contraindication in their clinical records. These residents had been admitted to the facility, but their electronic health records did not show that the pneumococcal PCV20 vaccine had been offered or administered since admission. Interviews with administrative nursing staff confirmed that the facility did not have a definitive system in place to determine resident eligibility for the PCV20 vaccine, nor a process to track whether residents had been offered or declined the vaccination. Staff acknowledged that not all residents had been reviewed for vaccine eligibility and that the facility lacked a system to identify which residents were eligible for which pneumococcal vaccination. The facility's own policy required assessment and offering of pneumococcal vaccines upon admission, but this was not consistently implemented.
Failure to Provide Correct Medicare Beneficiary Liability Notice
Penalty
Summary
The facility failed to provide the correct Center for Medicare and Medicaid Services (CMS) Beneficiary Liability notice to three residents or their representatives when their skilled services ended. Specifically, instead of using the required Skilled Nursing Facility Advance Beneficiary Notice (SNFABN) form CMS 10055, staff provided the general Medicare Advance Beneficiary Notice (ABN) form CMS-R-131. This error was identified for three residents whose skilled services had ended on various dates, and the forms given did not include the necessary estimated costs for continued services, nor did they comply with the facility's own policy for Part A items and services. During interviews, an administrative nurse acknowledged not realizing the incorrect form had been provided to the families. The facility's policy, revised in August 2024, clearly stated that the SNFABN form CMS 10055 should be used for Part A services, but this was not followed in these cases. The failure to provide the correct notice could have impacted the residents' ability to make informed decisions regarding their skilled services.
Insulin Flex Pens Not Properly Labeled
Penalty
Summary
Surveyors observed that insulin flex pens for two residents were not labeled with either an open date or a use by date, as required. Specifically, Tresiba flex pens for these residents were found on the South Hall medication cart without the necessary labeling. An administrative nurse confirmed that nursing staff are responsible for labeling and dating insulin flex pens when they are opened. The facility's own medication storage policy requires that all drugs and biologicals be properly labeled and that containers with missing or incomplete labels be returned to the pharmacy for proper labeling before storage.
Failure to Accurately Report Nurse Staffing Data via PBJ
Penalty
Summary
The facility failed to submit complete and accurate direct care staffing information through Payroll Based Journaling (PBJ) as required by CMS. Specifically, the PBJ report for Fiscal Year 2024 Quarters 3 and 4 indicated excessively low weekend nurse staffing, while a review of the facility's actual weekend nursing schedules for those quarters showed adequate staffing levels. This discrepancy was confirmed by the administrative nurse, who acknowledged that the correct information for weekend nursing staffing had not been submitted, and identified the staff member responsible for PBJ submissions. The facility's own Nursing Services Policy required accurate reporting of RN hours, 24-hour licensed nursing coverage, weekend staffing, and compliance with reporting guidelines.
Resident Injury Due to Faulty Hoyer Lift
Penalty
Summary
The facility failed to provide a safe environment free from preventable accidents for a resident, identified as R1, who was involved in a serious incident. R1, who had a history of atrial fibrillation, gait abnormalities, muscle weakness, repeated falls, and dysphagia, was being transferred from a wheelchair to a recliner using a Hoyer lift by two CNAs. During the transfer, due to limited space in the room, the CNAs suspended R1 in the air. While one CNA turned to adjust the recliner, the right top lift sling strap dislodged, causing R1 to slide out of the sling and fall to the floor, resulting in a fractured neck. R1's medical records indicated severely impaired cognition and a high fall risk, requiring substantial staff assistance for daily activities and a full mechanical lift for transfers. Despite these documented needs, the incident occurred because the lift sling strap became unhooked, a problem that had been previously experienced by staff but not reported to administration. This oversight in reporting equipment malfunction contributed to the accident, as the CNAs were unaware of the potential hazard posed by the lift. The incident report and witness statements confirmed that the lift sling had come unhooked during the transfer, leading to R1's fall. The CNAs involved in the transfer reported that the lift sling hooks had a history of coming off the Hoyer attachments, but this issue had not been communicated to the administration. As a result, the facility continued using the faulty equipment, which ultimately led to R1's injury. The facility's policies on accident prevention and safe lifting were not effectively implemented, as staff were not adequately trained to report equipment issues, nor was there sufficient oversight to ensure the equipment was in proper working order.
Removal Plan
- The Hoyer lift was removed from use and could no longer be accessed by staff.
- A new lift was rented from a medical equipment company.
- Education was provided to current nursing staff on how to use the new lift.
- Current staff were educated on the need to notify administration when equipment is not working properly.
- Total Mechanical Lift competency was completed for all current nursing staff.
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 38 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 Smith Center
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Sunporch Of Smith County | 7.7 mi | ★★★★★ | 0 | 0 |
| Downs Care And Rehab | 15.2 mi | ★★★★★ | 0 | 0 |
| Parkview Health And Rehabilitation Center | 18.3 mi | ★★★★★ | 38 | 0 |
| Heritage Of Webster County | 27.2 mi | ★★★★★ | 17 | 0 |
| Accura Healthcare Of Franklin | 31.2 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Smith Center Health And Rehab.
100% money-back within 48 hours.
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.