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 The Nicol Home during CMS and state inspections, most recent first.
The facility failed to submit accurate direct care staffing information to CMS through the PBJ system, resulting in suppressed metrics for RN hours and LN coverage. Despite having LN and RN coverage according to the nursing schedule and timesheet payroll, the facility's submission for FY 2023 Quarter 4 was inaccurate, and the deadline for FY 2024 Quarter 2 was missed. This placed residents at risk for unidentified issues with inadequate staffing.
The facility failed to develop comprehensive care plans for several residents, leading to uncommunicated care needs. A resident with multiple diagnoses had wounds not documented in the care plan, leaving staff without guidance for treatment. Another resident on Ativan lacked a care plan for non-pharmacological interventions, and a resident with chronic UTIs had no care plan addressing long-term antibiotic use. Additionally, a resident with diabetes using an insulin pump lacked a diabetes care plan, placing them at risk for impaired care.
The facility failed to ensure appropriate indications and documentation for psychotropic medications for several residents, placing them at risk for adverse side effects. A resident was prescribed Rexulti without a documented rationale or evidence of nonpharmacological interventions. Another resident received Ativan without a 14-day stop date and Risperdal without appropriate indication. Additionally, a resident was given Olanzapine without an approved indication, and another was prescribed Quetiapine without proper documentation or a gradual dose reduction attempt.
A resident with diabetes, anxiety, edema, and hypertension experienced multiple skin tears, yet the care plan was not updated to address these issues. Despite frequent bruises and skin tears, staff were unaware of the resident's current condition, and the care plan lacked specific interventions for prevention or treatment, leading to a deficiency in care.
The facility failed to implement necessary skin care interventions for two residents, leading to multiple skin tears and sores. One resident experienced frequent skin tears due to fragile skin, while another had untreated sores from scratching. The facility did not follow care plans or policies, resulting in inadequate communication and documentation of the residents' skin conditions.
The facility failed to implement effective fall prevention interventions for two residents, leading to multiple falls. One resident, with a history of falls and cognitive impairment, had no documented interventions in their care plan. Another resident, diagnosed with dementia, experienced repeated falls without a root cause analysis being conducted. The facility did not adhere to its policy on managing falls, resulting in inadequate person-centered interventions.
A resident with severe cognitive impairment and multiple health issues was not provided with appropriate mental health support before being administered psychotropic medications. The care plan lacked specific interventions for emotional and social needs, and there was no evidence of nonpharmacological interventions. Staff interviews confirmed the absence of social service involvement or mental health support, and the facility lacked a policy for behavioral or mental health services.
The facility's Consultant Pharmacist failed to identify and report medication irregularities for several residents, including the lack of stop dates for PRN antianxiety medications and unapproved indications for antipsychotic use. This oversight placed residents at risk for inappropriate medication use.
A facility failed to implement antibiotic use protocols, leading to inappropriate antibiotic use for two residents. One resident, with a history of various health conditions, was prescribed antibiotics for chronic UTIs despite only one documented infection in the past year. Another resident, with multiple diagnoses, was given nitrofurantoin without active infections or a physician's rationale. The facility's Antibiotic Stewardship policy was not followed, placing residents at risk for adverse effects and antibiotic resistance.
Inaccurate PBJ Submission Leads to Staffing Deficiency
Penalty
Summary
The facility failed to submit complete and accurate direct care staffing information to the Centers for Medicare & Medicaid Services (CMS) through the Payroll-Based Journal (PBJ) system. This deficiency was identified during a review of the PBJ report for Fiscal Year (FY) 2024 Quarter 2, which showed that the metrics for Registered Nurse (RN) hours and Licensed Nurse (LN) coverage 24 hours per day were suppressed for the facility. Additionally, the PBJ report for FY 2023 Quarter 4 documented 13 dates on which the facility did not have LN coverage. However, a review of the nursing schedule and timesheet payroll for these periods revealed that LN and RN coverage was indeed present. Administrative Staff A, who was responsible for submitting the PBJ information, confirmed that there was an inaccurate submission for FY 2023 Quarter 4 and that the submission deadline for FY 2024 Quarter 2 was missed. The facility's policy on Reporting Direct Care Staffing Information, dated August 2022, requires that staffing information be reported electronically to CMS no less frequently than quarterly, with submissions due no later than 45 days after the end of the reporting quarter. The failure to submit accurate information placed the residents at risk for unidentified issues with inadequate staffing.
Deficiencies in Comprehensive Care Planning
Penalty
Summary
The facility failed to develop comprehensive care plans for several residents, leading to uncommunicated care needs and potential risks for impaired care. Resident 17 had multiple diagnoses, including muscle weakness, atrial fibrillation, and dementia, and was dependent on staff for care. Despite having wounds on the left heel and great toe, these were not documented in the care plan, leaving staff without proper guidance for treatment. Observations revealed that the resident was dependent on staff for all care, and the administrative nurse confirmed the omission of wound care instructions in the care plan. Resident 12, who had severe cognitive impairment and was on multiple medications, including Ativan for anxiety, did not have a care plan that included non-pharmacological interventions before administering the medication. The care plan also lacked a stop date for the PRN Ativan, and staff did not document the use of non-pharmacological interventions. This oversight placed the resident at risk for impaired care due to uncommunicated needs. Resident 5, with a history of diabetes mellitus and chronic UTIs, was on long-term antibiotic treatment, but the care plan did not address this ongoing medication use. The resident was able to report UTI symptoms to staff, but the care plan did not reflect the long-term antibiotic use. Similarly, Resident 26, who had diabetes and used an insulin pump, did not have a diabetes care plan in place, leaving staff without direction for managing the insulin pump. These deficiencies in care planning placed the residents at risk for impaired care due to uncommunicated needs.
Inadequate Documentation and Indication for Psychotropic Medication Use
Penalty
Summary
The facility failed to ensure appropriate indications and documentation for the use of psychotropic medications for several residents, placing them at risk for adverse side effects. Resident 4 was prescribed Rexulti, an atypical antipsychotic, for dementia without a documented physician rationale or evidence of unsuccessful nonpharmacological interventions. Despite the resident's pleasant demeanor and lack of aggressive behaviors, the medication was continued based on family requests and without proper documentation of risk versus benefit analysis. Resident 13 was administered Ativan, an antianxiety medication, without a 14-day stop date, and Risperdal, an antipsychotic, without appropriate indication or documentation of nonpharmacological interventions. The resident, who had advanced dementia and was resistant to care, received these medications without a comprehensive assessment or documented rationale for their continued use, contrary to the facility's policy. Resident 12 received Olanzapine, an antipsychotic, without an approved indication and without documentation of nonpharmacological interventions. The resident's PRN Ativan also lacked a stop date, and there was no documentation of nonpharmacological interventions prior to its use. Similarly, Resident 2 was prescribed Quetiapine, an antipsychotic, without appropriate indications or documentation of nonpharmacological interventions, and without a gradual dose reduction attempt or physician rationale for its continued use.
Failure to Revise Care Plan for Resident's Skin Tears
Penalty
Summary
The facility failed to revise the care plan for a resident, identified as R3, to reflect their current health needs, specifically regarding skin tears. R3 had a history of diabetes mellitus type 2, anxiety, edema, and hypertension, and required varying levels of assistance for daily activities. Despite having intact cognition and no documented skin issues in the most recent Minimum Data Set, R3 experienced multiple skin tears over a period of time. These incidents included a skin tear from a dog during pet therapy and another from bumping a hand on a drawer. Observations and interviews revealed that R3 frequently experienced bruises or skin tears, yet the care plan lacked specific directions for the prevention or treatment of these skin issues. The facility's policy required care plans to be reviewed and revised when there was a significant change in condition, yet this was not done for R3. Interviews with staff, including a Certified Nurse Aide and an Administrative Nurse, indicated a lack of awareness and communication regarding R3's current skin condition. The care plan did not incorporate necessary interventions to prevent further skin tears, placing R3 at risk for impaired care due to uncommunicated care needs. The facility's failure to update the care plan as per their policy contributed to this deficiency.
Failure to Implement Skin Care Interventions
Penalty
Summary
The facility failed to implement necessary interventions to prevent skin tears for Resident 3, who had a history of fragile skin and frequent skin tears. Despite the care plan directing staff to inspect the resident's skin during showers, there was no specific guidance on preventing or treating skin tears. The resident experienced multiple skin tears, including one from a dog during pet therapy and another from bumping his hand on a drawer. Observations revealed additional skin tears, and staff were unaware of the current skin tear, indicating a lack of communication and documentation regarding the resident's skin condition. Resident 29, who had diagnoses including diabetes mellitus type 2 and chronic pain, also experienced inadequate skincare. The care plan required skin inspections during showers, but the resident had multiple sores on his arms, which were not addressed in the medical record or through specific treatment orders. The resident reported itching and scratching his arms, leading to sores, yet staff only applied lotion after showers without further intervention. The facility's policy required obtaining physician orders and reviewing care plans for skin issues, which was not followed for this resident. The facility's failure to provide appropriate skin care and implement preventive measures for both residents placed them at risk for further skin injuries and complications. The lack of communication, documentation, and adherence to care plans and facility policies contributed to these deficiencies, as staff were not adequately informed or equipped to address the residents' skin care needs.
Failure to Implement Fall Prevention Interventions
Penalty
Summary
The facility failed to identify and implement interventions to prevent falls for two residents, R25 and R13, which placed them at risk for further falls and injuries. R25 had a history of unspecified falls, altered mental status, weakness, unsteadiness, and major depressive disorder. Despite being at high risk for falls due to confusion, gait, and balance problems, R25's care plan lacked documentation of falls or immediate actions to prevent further incidents. Multiple falls were recorded for R25, but the facility did not conduct a root cause analysis or update the care plan with effective interventions. R13, diagnosed with dementia and repeated falls, also experienced multiple falls without sustaining injuries. The care plan for R13 included various updates to assist with toileting and ambulation, but the facility did not perform a root cause analysis to determine the reasons for the falls. Despite being at high risk for falls, the interventions were not adequately tailored to address R13's specific needs, such as her gait imbalance and incontinence issues. The facility's policy on managing falls and fall risk required staff to identify interventions based on the resident's specific risks and causes. However, the facility did not adhere to this policy, as evidenced by the lack of root cause analysis and the failure to implement meaningful, person-centered interventions for both R25 and R13. This oversight placed both residents at continued risk for falls and potential injuries.
Failure to Provide Mental Health Support Before Medication
Penalty
Summary
The facility failed to provide appropriate treatment and services to a resident, identified as R2, who displayed signs of mental disorder and psychosocial adjustment difficulties. R2 had a history of chronic kidney disease, polyosteoarthritis, weakness, and a displaced fracture of the humerus. The resident's Minimum Data Set (MDS) indicated severe cognitive impairment without delirium or psychosis, and R2 was on multiple medications, including antipsychotics and antidepressants, without any documented attempt at gradual dose reduction or physician documentation of contraindications. R2's care plan, dated June 6, 2024, lacked specific interventions to address her emotional and social needs, particularly her difficulty adjusting to the facility and loss of independence. Progress notes documented R2's tearfulness, refusal to engage with staff, and expressions of distress, including a desire to die. Despite these observations, there was no evidence of nonpharmacological interventions or actions taken to address R2's emotional and psychological needs before the administration of psychotropic medications. Interviews with facility staff revealed a lack of social service involvement or mental health support for R2 prior to the initiation of medication treatment. The facility did not provide a policy for behavioral or mental health services, indicating a systemic failure to address the resident's mental health needs adequately. This deficiency placed R2 at risk for unmet mental health care needs, as the facility did not ensure the highest practicable mental and psychosocial well-being for the resident.
Consultant Pharmacist Fails to Identify Medication Irregularities
Penalty
Summary
The facility failed to ensure that the Consultant Pharmacist (CP) identified and reported irregularities in the medication regimens of several residents, specifically regarding the use of antianxiety and antipsychotic medications. For Resident 12, the CP did not report the lack of a stop date for the PRN Ativan prescribed for agitation, nor did they identify the unapproved indication for the use of olanzapine, an antipsychotic medication. The resident's care plan noted the potential adverse effects of these medications, including increased confusion and risk of falls, yet the CP's reviews consistently failed to address these issues. Resident 2's medication regimen also exhibited deficiencies, as the CP did not identify the inappropriate indication for the use of quetiapine, an antipsychotic prescribed for anxiety. The CP recommended a gradual dose reduction (GDR) but did not document the reason for continued use without a GDR. The resident's care plan lacked evidence of nonpharmacological interventions or documentation of the risks versus benefits of continued antipsychotic use without a GDR. For Resident 13, the CP failed to address the absence of a stop date for the PRN Ativan prescribed for agitation. The resident, who had severe cognitive impairment and required substantial assistance with daily activities, was at risk for inappropriate use of psychotropic medication due to this oversight. The facility's policy required the CP to help comply with legal and regulatory requirements related to medication management, but the CP did not fulfill this role effectively, leading to potential risks for the residents involved.
Failure to Monitor Antibiotic Use in Residents
Penalty
Summary
The facility failed to implement antibiotic use protocols effectively, leading to unnecessary and inappropriate antibiotic use for two residents, R5 and R12. R5's medical records indicated a history of diabetes mellitus, chronic atrial fibrillation, major depressive disorder, chronic kidney disease, and morbid obesity. Despite having only one documented urinary tract infection (UTI) in the past year, R5 was prescribed Macrodantin for chronic UTIs and cefdinir for a UTI that occurred in May. The care plan did not address the ongoing use of antibiotics, and staff failed to monitor the effectiveness and appropriateness of the antibiotic regimen. R12's medical records showed diagnoses of hypertension, major depressive disorder, peripheral vascular disease, dementia, anxiety disorder, and other conditions. Despite no active infections found in urine analyses conducted in March and May, R12 was prescribed nitrofurantoin for urinary health without a documented rationale or benefits statement from a physician. The care plan did not mention the antibiotic use, and there was no evidence of monitoring or evaluation of the necessity of the ongoing antibiotic treatment. The facility's Antibiotic Stewardship policy, dated December 2016, emphasized the importance of monitoring antibiotic use to prevent adverse effects and antibiotic resistance. However, the facility failed to adhere to this policy, as evidenced by the lack of identification and addressing of ongoing antibiotic use for R5 and R12 without signs and symptoms of infections. This oversight placed both residents at risk for complications related to antibiotic use, including the development of antibiotic-resistant organisms.
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 12 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 Glasco
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Mitchell County Hospital Health Systems Ltcu | 16.4 mi | ★★★★★ | 0 | 0 |
| Hilltop Lodge Health And Rehabilitation Center | 16.5 mi | ★★★★★ | 12 | 0 |
| Sunset Home Inc | 17 mi | ★★★★★ | 0 | 0 |
| Minneapolis Healthcare And Rehabilitation Center | 17.6 mi | ★★★★★ | 0 | 0 |
| Lincoln Park Manor Inc | 27.3 mi | ★★★★★ | 28 | 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.