Average — CMS composite of the measures below.
The next survey window likely opens around February 2027
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 Crittenden County Health & Rehabilitation Center during CMS and state inspections, most recent first.
Physician Did Not Acknowledge Pharmacist Monthly Medication Review: A resident with HF, hyperkalemia, and GERD had monthly consultant pharmacist medication regimen review reports with no evidence of physician or designee acknowledgment. The DON stated the facility had no policy for the response timeframe, and both the DON and NP reported the reports were still awaiting signature or had not been returned, with the NP noting a backlog of consultant reports on her desk.
Failure to use gowns during EBP care. A resident with a feeding tube and two residents with wounds were on EBP, but staff provided gastrostomy tube medication administration and wound care while wearing gloves only and no gown. The DON stated gowns and gloves were expected for residents on EBP, and one LPN stated he was not aware of EBP or the required PPE.
The facility failed to comply with food safety standards, as observed in a survey. Food items in the freezer were not labeled or dated, and prepared foods were improperly covered and stored at incorrect temperatures. The Dietary Manager's hair was not fully covered, violating the dress code policy. These deficiencies could lead to contamination and illness among residents.
A resident with complex medical needs did not receive care according to their comprehensive care plan. An LPN failed to use enhanced barrier precautions and did not follow prescribed wound care treatments. Additionally, odor control measures were not implemented, leading to a strong foul odor in the resident's room. The DON confirmed that care plans should be followed as written.
A resident with a chronic fistula wound did not receive wound care according to physician orders. An LPN used Dakin's solution instead of the prescribed Dial soap and water, and applied a skin lotion instead of Neosporin ointment. The LPN was aware of the orders but chose alternative treatments. The DON and Administrator expected adherence to physician orders, which was not met.
A facility failed to maintain an effective infection control program during the care of a resident with a fistula and colostomy. An LPN did not follow hand hygiene protocols or use enhanced barrier precautions, handling treatment supplies with contaminated gloves and failing to don a gown. The resident, with a history of intestinal fistula and colostomy, was on enhanced barrier precautions, but the LPN left contaminated materials in the room. The Infection Control Nurse was unable to monitor hand hygiene effectively, and the facility's leadership expected adherence to infection control policies.
Physician Did Not Acknowledge Pharmacist Monthly Medication Review
Penalty
Summary
The facility failed to ensure that a physician acknowledged the consultant pharmacist’s monthly medication regimen review recommendations for one sampled resident. The resident, admitted on 08/27/2020, had diagnoses including heart failure, hyperkalemia, and gastro-esophageal reflux disease without esophagitis. The resident’s quarterly MDS with an ARD of 02/19/2026 showed a BIMS score of 14 out of 15, indicating intact cognition. Review of the resident’s consultation reports for 11/01/2025-11/30/2025, 12/01/2025-12/31/2025, and 01/01/2026-01/31/2026 showed no evidence that the physician and/or designee acknowledged the pharmacist’s recommendations regarding the resident’s medication regimen review. The DON stated the facility did not have a policy specifying the timeframe for physician response to the consultant pharmacist’s monthly review, and reported the reports were still in physician books awaiting signature. The DON also stated she was unaware the reports had not been signed, while the NP stated she had a stack of consultant reports on her desk that had not yet been returned and could not recall whether she had reviewed or signed the resident’s consultation reports.
Failure to Use Gowns During EBP Care
Penalty
Summary
The facility failed to ensure staff wore a gown when providing care to residents on enhanced barrier precautions (EBP). A facility policy titled Enhanced Barrier Precautions, reviewed 01/2025, stated that EBP uses targeted gown and gloves during high-contact resident care activities, including device care or use such as feeding tubes and wound care for any skin opening requiring a dressing. The report identified three residents whose care involved EBP-related activities where gowns were not worn. Resident 42 was admitted with diagnoses including encounter for attention to gastrostomy and dysphagia. The resident’s MDS showed a BIMS score of 15 out of 15 and indicated a feeding tube. A physician order dated 02/17/2026 required EBP every shift. During a medication administration observation, RN3 prepared and administered medications through the resident’s gastrostomy tube while wearing gloves but not a gown, despite signage above the bed indicating EBP were required. RN3 stated she was uncertain if the resident still required EBP. Resident 12 had diagnoses including orthopedic aftercare following surgical amputation and a non-pressure chronic ulcer of the right foot with necrosis to the bone. The resident’s MDS showed intact cognition and indicated diabetic foot ulcers and surgical wounds, and the care plan required EBP related to the diabetic ulcer and recent toe amputation. During wound care observation, the DON performed wound care on the resident’s surgical wound without wearing a gown and stated she only wore gloves and forgot the resident was on EBP. Resident 33 had a diagnosis of cerebral infarction, severe cognitive impairment on the MDS, and a care plan requiring EBP for a stage 4 sacral pressure injury. During wound care observation, LPN7 performed wound care without wearing a gown and later stated he was not aware of EBP or what PPE was required.
Deficiencies in Food Safety and Storage Practices
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, as observed during a survey. In the walk-in freezer, several food items, including chicken patties, hamburger steaks, chicken fritters, and chicken cordon bleu, were found without labels or dates, contrary to the facility's policy requiring all foods to be labeled and dated to prevent freezer burn and potential illness from outdated food. The Dietary Manager acknowledged the oversight and the potential risk of residents consuming outdated food. Additionally, the facility did not maintain proper food temperatures and coverings. During lunch preparation, chicken pot pie was left uncovered on the warming table, and mayonnaise-based coleslaw was found at an improper temperature of 57 degrees, instead of the required 41 degrees or less. The Dietary Manager and a staff member admitted to these lapses, which could lead to contamination and illness. Furthermore, the Dietary Manager's hair was not fully covered as per the facility's dress code policy, posing a risk of hair contaminating the food. The Administrator expressed expectations for adherence to policies to prevent such risks.
Failure to Implement Comprehensive Care Plan for Resident
Penalty
Summary
The facility failed to implement multiple interventions on the comprehensive person-centered care plan for a resident reviewed for wound care. The resident, who was admitted with diagnoses including fistula of intestine-enterocolic and colocutaneous, and a colostomy related to megacolon/abdominal surgery, had specific care plans in place to manage these conditions. However, during an observation, an LPN did not adhere to the enhanced barrier precautions by failing to wear a gown while providing wound care, which was a high contact resident care activity. The LPN admitted to not following the care plan as written. Additionally, the LPN did not follow the prescribed treatment orders for the resident's chronic fistula wounds. Instead of cleansing the wounds with Dial soap and water and applying Neosporin ointment as prescribed, the LPN used Dakin's solution and applied a topical lotion. Furthermore, the care plan included measures to control odor in the resident's room, such as using a scented plug-in, which was not implemented, resulting in a strong foul odor in the resident's room and surrounding areas. The Director of Nursing confirmed that the care plans should be followed as written to meet the resident's needs.
Failure to Follow Physician Orders for Wound Care
Penalty
Summary
The facility failed to provide non-pressure wound care in accordance with the resident's care plan and physician orders for a resident with a chronic fistula wound. The resident, who was admitted with diagnoses including a fistula of intestine-enterocolic and colocutaneous, and a colostomy related to megacolon/abdominal surgery, had an open area on the left buttock verified as a chronic fistula wound. The care plan aimed to heal the skin and prevent infection, with specific physician orders for wound care that included cleansing with Dial soap and water, applying Neosporin ointment, and covering with gauze every shift. During an observation, an LPN failed to follow these physician orders by using Dakin's solution instead of Dial soap and water, and applying a topical skin lotion instead of the prescribed Neosporin ointment. The LPN admitted to being aware of the physician's orders but chose to use alternative treatments, believing they would be more effective. Interviews with the DON and the Administrator confirmed that the expectation was for nursing staff to follow physician orders and provide quality care, which was not adhered to in this instance.
Infection Control Deficiency in Wound Care
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by the actions of a Licensed Practical Nurse (LPN) during the care of a resident with a fistula and colostomy. The LPN did not adhere to the facility's infection control policies, which required hand hygiene before, during, and after care, and the use of enhanced barrier precautions (EBP) for residents with wounds. Specifically, the LPN did not wash hands before donning gloves, between glove changes, or after completing care. Additionally, the LPN used contaminated gloves to handle treatment supplies, such as scissors and ointment, and failed to don a gown as required by EBP. The resident involved had a history of a fistula of the intestine and a colostomy related to megacolon and abdominal surgery. Despite the resident being on EBP, the LPN neglected to follow proper procedures, including leaving contaminated materials in the resident's room and failing to remove them as per policy. The Infection Control Nurse admitted to not being able to monitor hand hygiene practices effectively due to other responsibilities, and the Director of Nursing and Administrator both expressed expectations that staff adhere to infection control policies, which were not met in this instance.
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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 Marion
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Salem Springlake Health & Rehabilitation Center | 9.6 mi | ★★★★★ | 7 | 0 |
| Axiom Healthcare Of Rosiclare | 16.3 mi | ★★★★★ | 14 | 0 |
| Princeton Nursing & Rehabilitation | 17.5 mi | ★★★★★ | 0 | 0 |
| Lake Barkley Health & Rehabilitation | 18 mi | ★★★★★ | 7 | 0 |
| River's Bend Retirement Community | 18.3 mi | ★★★★★ | 5 | 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.