Above average — CMS composite of the measures below.
The next survey window likely opens around May 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 Sanders Ridge Health Campus during CMS and state inspections, most recent first.
An LPN was linked to the misappropriation of two residents’ Hydrocodone after narcotic counts and shift-to-shift logs did not match, required count sheets were missing, and one LPN later admitted taking a resident’s medication and said she had a drug problem. One resident had scheduled and PRN opioid orders for pain after a stroke-related condition, and another resident with intact cognition had PRN Hydrocodone for abdominal pain. The facility also found that another LPN co-signed narcotic counts without actually witnessing the medication count, and the report states APS notification was not documented.
A resident with dementia and severe cognitive impairment alleged that a CRCA hit their hand during a transfer. The incident was reported internally, but the Executive Director did not notify the SSA within the required two-hour window, resulting in a late report and a deficiency for failure to follow mandated abuse reporting procedures.
A resident with GERD was allowed to keep and self-administer Tums at bedside without a documented assessment or physician order, contrary to facility policy. Nursing staff and leadership confirmed that no assessment had been completed to determine the resident's ability to self-administer medication, resulting in a deficiency.
A medication cup containing Biofreeze gel was left unattended on the nightstand of a resident with severe cognitive impairment in a dementia unit. An LPN acknowledged the medication should not have been left at the bedside, and facility policy prohibits this practice unless the resident is assessed for self-administration and a physician's order is in place. Staff interviews confirmed that medications are not to be left at the bedside, especially in areas where residents may wander.
Misappropriation of Residents’ Hydrocodone Through Missing Narcotic Counts
Penalty
Summary
The facility failed to ensure residents were free from misappropriation of property for two residents, involving missing Hydrocodone that was later tied to diversion by an LPN. The facility policy defined misappropriation as the deliberate misplacement, exploitation, or wrongful use of a resident’s belongings or money without consent, and required the Executive Director to notify APS. The narcotic count policy also required shift-to-shift reconciliation of narcotics, signatures by both staff members, and investigation of any discrepancy that could not be explained. One resident was admitted with hemiplegia and hemiparesis following cerebral infarction, abdominal pain, and back pain, and had orders for scheduled Hydrocodone and PRN Hydrocodone. The resident’s assessment showed modified independence in decision making, pain in the last five days, use of scheduled pain medication, moderate pain, and opioid use. The facility later determined that 30 Hydrocodone tablets were missing after pharmacy had delivered 60 tablets. The facility could not locate the narcotic medication record for the missing medication, and it did not provide narcotic count documentation for the relevant dates. The investigation showed the LPN who worked on the unit had signed narcotic logs and medication administration records, but the facility found the shift-to-shift count sheets were missing and that the narcotic accounting system had not been diligently monitored. A second resident was admitted with diverticulitis of the large intestine with perforation and abscess and had Hydrocodone ordered as needed. The resident’s assessment showed a BIMS score of 15 out of 15, indicating intact cognition, and pain rated three out of ten. During the investigation, the facility found the resident’s Hydrocodone count was inconsistent across records, with one document showing 15 tablets remaining and another showing zero. The same LPN later admitted taking this resident’s Hydrocodone and stated she had a drug problem, and the facility also determined she had previously admitted taking another resident’s Hydrocodone. Another LPN had co-signed narcotic counts without actually witnessing the medication count. The facility concluded the LPN was involved in both instances of diversion, and the report states the facility did not provide documentation of reporting the diversion to APS.
Failure to Timely Report Alleged Abuse to State Survey Agency
Penalty
Summary
The facility failed to timely report an allegation of physical abuse involving a resident with dementia and severe cognitive impairment. The resident, who required assistance with activities of daily living due to arthritis and pain risk, reported to a nurse that a Certified Resident Care Associate (CRCA) had hit their hand during a transfer using a stand assist lift. The CRCA stated that the resident complained of pain during the transfer, swatted at her, and she blocked the resident's hand to prevent being hit, but denied any abuse. After the incident, the CRCA ensured the resident's safety, left the room, and was later asked to write a statement and leave the facility. The nurse who responded to the resident's call for help was informed by the resident that the CRCA had hit their hand. The nurse ensured the resident's safety, spoke with the CRCA, and then reported the incident to the Director of Health Services (DHS). The DHS, upon being notified, informed the Executive Director (ED), who was responsible for mandatory reporting and investigation. According to facility policy, all allegations of abuse must be reported to the State Survey Agency (SSA) within two hours of the allegation being made. Despite these procedures, the timeline revealed that the allegation was made to the nurse at 8:20 PM, but the ED did not report the incident to the SSA until 10:48 PM, exceeding the required two-hour reporting window. The ED initially assumed the incident occurred later, but upon investigation, realized the actual time of the allegation was earlier, resulting in a late report to the SSA. This failure to report within the mandated timeframe constituted the deficiency.
Failure to Assess Resident for Self-Administration of Medication
Penalty
Summary
A deficiency occurred when a resident admitted with a diagnosis of gastroesophageal reflux disease (GERD) was allowed to keep and self-administer Tums, an over-the-counter antacid, at bedside without a documented assessment of their ability to self-administer medication. Facility policy required that residents be specifically authorized by the attending physician and assessed for appropriateness before being permitted to self-administer medications. However, the resident was observed with a medication cup containing Tums at bedside and reported that staff provided the medication for use as needed, without supervision. Interviews with nursing staff and facility leadership confirmed that there was no physician order or completed assessment authorizing the resident to self-administer medication or to keep medication at bedside. Both the LPN and the Director of Health Services acknowledged that the required assessment had not been performed, and the Executive Director confirmed that medications should not be left at bedside without such an assessment. The failure to assess the resident's ability to self-administer medication and to follow facility policy led to the deficiency.
Medication Left Unsecured at Bedside in Dementia Unit
Penalty
Summary
A deficiency occurred when a medication cup containing Biofreeze gel was found left unattended on a resident's nightstand in a dementia unit. The resident, who had severe cognitive impairment and diagnoses including Alzheimer's disease and low back pain, was not assessed or authorized for self-administration of medication. Facility policy required medications to be stored safely and not left at the bedside unless the resident was assessed as appropriate for self-administration and a physician's order was obtained. The medication was observed by a surveyor, and staff interviews confirmed that medications should not be left at the bedside, especially in a unit with residents who wander. An LPN acknowledged placing the medication in the resident's room and admitted that it should not have been left there, expressing uncertainty about who left it on the nightstand. The Director of Health Services and Executive Director both confirmed that facility policy prohibits leaving medications at the bedside under these circumstances. Other staff interviewed stated they would have removed the medication if they had seen it. The incident demonstrated a failure to secure medications and provide adequate supervision to prevent potential accidents, as required by facility policy.
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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 Mount Washington
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Green Meadows Health & Rehabilitation | 3.2 mi | ★★★★★ | 7 | 0 |
| Glen Ridge Health Campus | 6.8 mi | ★★★★★ | 0 | 0 |
| Signature Healthcare Of Spencer County | 9.2 mi | ★★★★★ | 5 | 0 |
| Wesley Manor | 9.5 mi | ★★★★★ | 0 | 0 |
| Regency Nursing And Rehabilitation Center | 9.9 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 October 2026) and official state health department websites.