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 Sterling Village during CMS and state inspections, most recent first.
Two residents in an LTC facility experienced falls due to staff not following care plans. One resident, with severe cognitive impairment and on hospice, was improperly ambulated by a CNA, resulting in a tibia fracture. Another resident, at high risk for falls, slid off the bed due to the use of paper chucks instead of cloth, as specified in the care plan. These incidents highlight the facility's failure to adhere to care plans, leading to falls and injuries.
The facility did not employ a full-time certified dietary manager for its 26 residents, leading to a risk of inadequate nutrition. Dietary Staff BB, who was overseeing meal preparation, lacked the necessary certification, which was confirmed by both the staff member and administrative personnel. The facility's policy requires specific qualifications for the role, which were not met.
The facility failed to follow professional standards for food service safety, with unlabeled and undated food items found in the refrigerator and freezer, and maintenance issues in the kitchen area. These deficiencies placed 26 residents at risk for foodborne illness.
The facility did not have a water management program to prevent Legionella, a bacterium causing pneumonia, as required by their policy. Maintenance staff lacked a water system diagram and program, and administrative staff were unaware of this deficiency. The policy mandated a Legionella Risk Assessment and control measures, which were not implemented, putting residents at risk.
The facility failed to ensure monthly drug regimen reviews by the Consultant Pharmacist for several residents with complex medical conditions, as required by policy. This deficiency was confirmed by staff and placed residents at risk of receiving inappropriate or unnecessary medications.
A resident with congestive heart failure and other conditions was on a 2000 ml per 24-hour fluid restriction. The facility failed to consistently monitor and document the resident's fluid intake, as evidenced by missing entries in the Treatment Administration Record over several months. Staff interviews confirmed lapses in documentation, and the resident sometimes received extra fluids, contrary to the physician's order.
The facility failed to ensure that three CNAs completed their required 12-hour annual in-service training, as confirmed by Administrative Staff A. The absence of documentation for these in-service hours violated the facility's policy, which mandates annual training to ensure continuing competency, placing residents at risk for unskilled care.
Failure to Follow Care Plans Leads to Resident Falls and Injuries
Penalty
Summary
The facility failed to adhere to the care plan for two residents, resulting in significant incidents. Resident 128, who had diagnoses including Alzheimer's disease, anxiety, diabetes mellitus, hypertension, and pain, was on hospice care and had severely impaired cognition. Despite being non-ambulatory and dependent on staff for various activities, a Certified Nurse Aide (CNA) attempted to ambulate the resident to the bathroom, contrary to the care plan. During this process, the resident's right knee gave out, leading to a fall and a subsequent tibia fracture. The CNA did not use the gait belt correctly, which was a contributing factor to the incident. Resident 4, who had intact cognition but was at high risk for falls due to conditions such as diabetes mellitus, hypertension, and a trochanteric fracture, experienced a fall due to improper use of bed materials. The care plan specified the use of cloth chucks on the bed to prevent sliding, but staff placed a paper chuck under the bedpan, leading to the resident sliding off the bed. This incident was unwitnessed, and the resident was found between the bed and the wall, indicating a failure to follow the care plan. Both incidents highlight the facility's failure to follow established care plans, which resulted in falls and injuries to the residents. The facility's policy on managing falls and fall risks was not effectively implemented, as evidenced by the repeated falls and injuries sustained by the residents. The lack of adherence to care plans placed the residents at risk for further falls and avoidable injuries.
Failure to Employ Certified Dietary Manager
Penalty
Summary
The facility failed to employ a full-time certified dietary manager for its 26 residents, which placed them at risk for inadequate nutrition. The deficiency was identified during a survey where it was observed that Dietary Staff BB, who was overseeing the preparation of meals, was not a Certified Dietary Manager (CDM). Despite having years of food service experience, Dietary Staff BB confirmed that he did not hold the necessary certification and did not wish to become a CDM. This was further verified by Administrative Staff A, who acknowledged that Dietary Staff BB lacked the required certification. The facility's Dietician Policy, revised in November 2022, mandates that if a dietician is not employed full-time, a director of food and nutrition services must be designated with specific qualifications. These qualifications include being a certified dietary manager, a certified food service manager, or having equivalent credentials or experience. Additionally, the policy requires frequent consultations from a qualified dietician or nutrition professional. The facility's failure to adhere to this policy by not employing a qualified individual in the role of dietary manager resulted in the identified deficiency.
Deficiencies in Food Storage and Kitchen Maintenance
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, as evidenced by several observations in the kitchen. Unlabeled and undated food items, such as orange jello and cottage cheese in Styrofoam cups, were found in a two-door refrigerator. Dietary Staff verified these findings and acknowledged that food should be labeled and dated before refrigeration. Additionally, a white upright freezer contained a partially filled container of orange sherbet with dried residue on the outside, and an unsealed package of Polish sausage was found in a three-door freezer. These practices did not comply with the facility's Food Receiving and Storage Policy, which mandates that all foods stored in refrigerators or freezers be covered, labeled, and dated with a use-by date. Further observations revealed maintenance issues in the kitchen area, including a dried brown stain on the ceiling near the dry storage entrance, missing drawers in a lower cabinet, peeling paint on an upper cabinet, chipped paint on the wall above the dishwasher, and a grayish-black substance on pipes beneath the dishwasher. Maintenance Staff confirmed awareness of the missing drawers and stated that baskets were available to replace them but had not yet been installed. These deficiencies in food storage and kitchen maintenance placed the 26 residents who received meals from the facility's kitchen at risk for foodborne illness.
Failure to Implement Water Management Program for Legionella Prevention
Penalty
Summary
The facility failed to implement a water management program to prevent the growth of waterborne pathogens, including Legionella, which can cause pneumonia in vulnerable populations. Maintenance Staff U admitted to not having a diagram of the facility's water system or a water management program in place. Administrative Staff A was unaware of this lack of a program. The facility's policy, dated July 2017, required a water management program overseen by a water management team, including a Legionella Risk Assessment, a detailed water system diagram, and identification of areas prone to bacterial growth. The program was supposed to include specific measures to control the spread of Legionella and a plan for when control limits were not met, with annual reviews or sooner if needed. The absence of this program placed residents at risk of contracting Legionella pneumonia.
Failure to Conduct Monthly Drug Regimen Reviews
Penalty
Summary
The facility failed to ensure that the Consultant Pharmacist (CP) conducted monthly drug regimen reviews for several residents, as required by the facility's Medication Regimen Review Policy. This deficiency was identified for residents with complex medical histories, including diagnoses such as major depressive disorder, psychotic disturbance, hypertension, diabetes mellitus, chronic pain, and severe cognitive impairment. The lack of monthly reviews was confirmed by Administrative Nurse D, who noted that it had been a while since receiving any information regarding the CP's reviews. Resident 9, for example, had a significant change in their Minimum Data Set (MDS) indicating severe cognitive impairment and was dependent on staff for most activities of daily living. Despite the care plan's requirement for monthly medication reviews, the electronic medical record (EMR) lacked documentation of such reviews for the entire year. Similar deficiencies were noted for Residents 11, 22, 4, and 8, all of whom had complex medical conditions and were receiving multiple medications, including antipsychotics, antidepressants, anticoagulants, and opioids. The facility's failure to conduct these reviews placed residents at risk of receiving inappropriate or unnecessary medications. Observations and interviews with staff confirmed the absence of monthly CP regimen reviews, which were supposed to be communicated via email to the medical records personnel and then shared in morning meetings. The facility's policy, revised in May 2019, clearly stated the requirement for monthly reviews, yet this was not adhered to, leading to the identified deficiency.
Failure to Monitor Fluid Restriction for Resident
Penalty
Summary
The facility failed to monitor a resident's physician-ordered fluid restriction, placing the resident at risk of complications related to fluid overload. The resident, who had diagnoses including congestive heart failure, edema, diabetes mellitus, and hypertension, was on a 2000 ml per 24-hour fluid restriction as documented in their care plan. Despite this, the Treatment Administration Record (TAR) for several days in November and December 2024, as well as January 2025, lacked documentation of fluid monitoring, indicating a failure to adhere to the prescribed fluid restriction. Observations and interviews revealed that the resident often requested additional fluids and sometimes received them, as noted when a Certified Nurse Aide provided extra water after the resident expressed increased thirst. Staff interviews confirmed that the nursing staff were responsible for documenting fluid intake, but there were gaps in the records. The facility's policy required accurate recording of fluid intake, yet the documentation was incomplete, and the administrative nurse acknowledged the lapses in monitoring and documentation.
Deficiency in CNA In-Service Training
Penalty
Summary
The facility failed to ensure that three out of five Certified Nurse Aides (CNAs) completed their required 12-hour annual in-service training. This deficiency was identified during a review of the in-service hours for CNAs M, N, and Certified Medication Aides (CMAs) R and S, which lacked evidence of the required training. On January 22, 2024, Administrative Staff A confirmed the absence of documentation for the completion of these in-service hours. The facility's policy, revised in August 2022, mandates a performance review of nurse aides every 12 months and requires at least 12 hours of in-service training per employment year to ensure continuing competency. The failure to provide this training placed residents at risk for receiving unskilled care.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Sterling
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Sandstone Heights | 16.5 mi | ★★★★★ | 0 | 0 |
| Wesley Towers Inc | 16.7 mi | ★★★★★ | 17 | 0 |
| Good Samaritan Society - Hutchinson Village | 18.3 mi | ★★★★★ | 17 | 0 |
| Hutchinson Operator, Llc | 18.6 mi | ★★★★★ | 25 | 0 |
| Diversicare Of Hutchinson | 18.9 mi | ★★★★★ | 1 | 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.