Above average — CMS composite of the measures below.
The next survey window likely opens around November 2026
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 Springs At Oldham Reserve during CMS and state inspections, most recent first.
Infection control measures were not followed for a resident with an indwelling urinary catheter and an order for EBP, as no EBP signage was posted and staff were unsure why the precautions were not initiated. A housekeeper was also observed cleaning a room while wearing the same gloves through multiple tasks without changing gloves or performing hand hygiene. In addition, facility leadership stated there was no water system risk assessment for Legionella and other opportunistic waterborne pathogens, and the facility only performed yearly Legionella testing.
Failure to implement the care plan for enhanced barrier precautions: A resident with HTN, CHF, DM, bacteremia, paraplegia, and an indwelling Foley catheter was care planned and ordered for EBP during high-contact care, but observation found no EBP signage posted. An LPN stated she was unaware the resident was on the care plan and was unsure why the order had not been implemented; the DON and Administrator stated staff were expected to follow care plans.
Unlocked Medication Cart Left Unattended: The facility failed to keep one of four medication carts locked and attended. A medication cart on hall 400 was observed unlocked and unattended, and an RN stated she had walked away and forgot to lock it. The DON and Administrator stated medication carts were expected to be locked when not in use per facility policy.
Infection Control Failures With EBP, Housekeeping, and Water Management
Penalty
Summary
Infection prevention and control measures were not provided for a resident with an indwelling urinary catheter and an order for enhanced barrier precautions (EBP). The resident was admitted with diagnoses including hypertension, congestive heart failure, diabetes, bacteremia, and paraplegia, and the care plan identified a need for EBP during high-contact care because of the catheter. However, when the resident was observed, there was no signage alerting staff to the EBP requirement. During interview, an LPN stated she was unsure why the resident was not placed on EBP when the order was entered and said it was usually the responsibility of the nurse acknowledging the order to place the signage and PPE outside the door. The DON and Administrator stated they expected staff to be educated on proper PPE signage and to follow facility policy for infection control. The facility also failed to follow infection control practices during room cleaning and failed to monitor and assess the building water system for Legionella and other opportunistic waterborne pathogens. A housekeeper was observed cleaning a room while wearing the same gloves throughout multiple tasks, including exiting the room, handling cleaning supplies, re-entering the room, cleaning the shower and mopping, and then pushing the cart down the hall without changing gloves or performing hand hygiene. The housekeeper stated she should have changed her gloves but was in a hurry. In addition, the facility’s water management policy required a risk assessment of water system components, but the Director of Plant Operations and the Facility Management Support Person stated the facility did not have a water system risk assessment and only tested yearly for Legionella, with the most recent test showing no Legionella detected.
Failure to Implement Enhanced Barrier Precautions Care Plan
Penalty
Summary
The facility failed to implement the comprehensive person-centered care plan for one of three residents reviewed for enhanced barrier precautions, Resident 9. R9 was admitted with diagnoses including hypertension, congestive heart failure, diabetes, bacteremia, and paraplegia. The record showed that on 12/03/2025 the facility care planned R9 for enhanced barrier precautions during high-contact care related to the presence of an indwelling catheter, and a physician order dated 11/29/2025 directed staff to use enhanced barrier precautions, including wearing a gown and gloves at minimum during high-contact care activities. On 12/16/2025, observation revealed no enhanced barrier precaution signage posted for R9. During interview, an LPN stated she did not know whether R9 should be on enhanced barrier precautions for the indwelling Foley catheter and was not aware this was included on the resident's care plan. After reviewing the physician's order, the LPN stated she was unsure why the facility did not place R9 in enhanced barrier precautions when the order was placed and said it was usually the responsibility of the nurse who acknowledged the order to place the signage and PPE outside the door. The DON and Administrator stated it was their expectation that staff follow resident care plans.
Unlocked Medication Cart Left Unattended
Penalty
Summary
The facility failed to store all drugs and biologicals in locked compartments under proper temperature controls when not attended for one of four medication carts. Review of the facility's Medication Storage in the Facility policy, revised 11/2018, showed that only licensed nurses, pharmacy personnel, and other lawfully authorized medication administrators were permitted to access medications, and that medication rooms, carts, and supplies were to be locked when not attended. Observation on 12/16/2025 at 10:00 AM revealed a medication cart on hall 400 was unlocked and unattended. During interview, RN1 stated she had walked away from the cart and forgot to lock it, and said it was important to keep it locked to keep people out of the medication cart and keep residents safe. The DON stated it was her expectation that all medication carts were locked when not in use to prevent residents from getting into them and taking medications that did not belong to them. The Administrator stated it was his expectation that staff followed the medication storage policy to ensure safe storage for overall monitoring of medication and resident safety.
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Illustrative
What surveyors actually found near you
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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 La Grange
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Richwood Nursing & Rehab | 1.3 mi | ★★★★★ | 0 | 0 |
| Forest Springs Health Campus | 10 mi | ★★★★★ | 3 | 0 |
| New Castle Nursing & Rehab | 11.8 mi | ★★★★★ | 0 | 0 |
| Bedford Springs Health And Rehabilitation | 12.7 mi | ★★★★★ | 0 | 0 |
| Valhalla Post Acute | 12.8 mi | ★★★★★ | 13 | 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.