Below average — CMS composite of the measures below.
A standard survey is most likely before around December 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 Claiborne Rehabilitation during CMS and state inspections, most recent first.
Failure to provide bed hold notice and update transfer log: A resident with malnutrition, repeated falls, generalized weakness, and dementia had multiple hospital transfers, but the facility did not send the bed hold notification to the resident/RP at the time of transfer and did not enter two of the transfers in the emergency transfer log. Interviews confirmed the notifications were not being sent and the transfers were missing from the log.
PEG Tube Medication Administration Without Placement or Residual Check: An RN administered liquid Valproic acid via a resident’s PEG tube after flushing the tube, but did not check residual or verify correct tube placement. The resident had a PEG tube, was NPO, and received most nutrition and fluids through the tube; the RN confirmed the placement and residual checks were not done before the medication was given.
Expired medications and supplies were found readily available for resident use in medication storage room A and on medication cart A. The DON observed multiple expired items, including UTI Stat, iodoform packing strips, Unna-2 zinc paste bandages, and opened hydrocortisone cream 1%, and confirmed they should not have been available. An LPN also confirmed UTI Stat on medication cart A was expired and should not have been available for use.
A facility failed to ensure a resident's medical records accurately reflected their advance directive wishes. The resident's profile page and physician's orders listed them as Full Code, while the comprehensive care plan and LaPost indicated a DNR status. This inconsistency was confirmed by the DON and the resident's health care representative.
The facility failed to ensure proper use and documentation of bed rails for four residents, lacking physician orders, risk assessments, and care plans. Observations and staff interviews confirmed the use of bed rails without necessary documentation, highlighting a deficiency in care planning and risk assessment.
The facility failed to implement Enhanced Barrier Precautions (EBP) as required by their infection control policy. Staff were observed not using appropriate PPE during high-contact care activities for residents with indwelling medical devices. Interviews confirmed that residents needing EBP were not properly identified, and necessary signage and PPE were not available. A CNA was seen exiting a resident's room with dirty linens using only gloves, despite EBP signage being present.
A resident with severe cognitive impairment was found to be using a lap tray as a restraint without a physician's order, consent, or assessment. The facility's policy requires these steps for restraint use, but they were not followed, leading to a deficiency.
Failure to Provide Bed Hold Notice and Update Transfer Log
Penalty
Summary
The facility failed to provide written notice to the resident and/or responsible party of the bed hold agreement at the time of transfer and failed to update the emergency transfer log for one resident reviewed for hospitalizations. Resident #7 was admitted on 11/05/2024 with diagnoses including unspecified protein-calorie malnutrition, repeated falls, generalized muscle weakness, and dementia. The resident had transfer dates of 01/31/2025, 05/22/2025, and 07/10/2025. Review of the bed hold agreement form did not show that notification was sent to the resident or responsible party at the time of transfer for the 01/31/2025 and 05/22/2025 transfers, and further review did not show the bed hold agreement was sent at discharge on [DATE]. The facility’s emergency transfer log for 01/01/2025 through 08/31/2025 also did not include notification of the resident’s transfers on 01/31/2025 and 05/22/2025. Interviews with the Business Office Manager, Corporate Nurse, and Administrator confirmed that the bed hold notifications were not being sent at the time of transfer and that the transfers were not entered in the emergency transfer log as they should have been.
PEG Tube Medication Administration Without Placement or Residual Check
Penalty
Summary
Services provided by the nursing facility did not meet professional standards of quality for one resident who had a PEG tube and was receiving medication administration through that tube. The resident had diagnoses including encounter for attention to gastrostomy, unspecified psychosis not due to a substance or known physiological condition, and intractable status epilepticus. Physician orders included Isosource 1.5 cal at 55 mL/hour, a 100 cc water flush every 4 hours via pump, Valproic Acid oral solution 250 mg/5 mL with 10 mL to be given via PEG tube three times daily, and NPO status. The resident’s quarterly MDS showed the resident received 51% or more of feeding via PEG tube and 501 cc/day or more of average fluid intake per day via feeding tube. During observation of medication administration, an RN flushed the PEG tube with 30 mL of water, administered 10 mL of Valproic acid liquid, and then flushed the tube again with 30 mL of water without checking for residual and without verifying correct PEG tube placement. The resident’s care plan included interventions to check residual and position the tube prior to feed, and to check lung sounds prior to and following each feeding. During interview, the RN confirmed that placement and residual were not checked prior to administering the Valproic acid via the PEG tube and stated that they should have been.
Expired Medications and Supplies Found in Storage Areas
Penalty
Summary
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist was not met when the facility had expired medications and supplies readily available for resident use in medication storage room A and on medication cart A. Review of the facility policy on Storage of Medications stated discontinued, outdated, or deteriorated drugs or biologicals are destroyed and expiration dates should be used on the manufactured label. During observation with the DON, medication storage room A contained multiple items available for use with expired dates, including 3 bottles of UTI Stat dated 06/25/2025, 9 bottles of iodoform packing strips dated 07/2025, 2 bottles of Unna-2 zinc paste bandages dated 02/2024 and 01/01/2025, and 1 opened box of hydrocortisone cream 1% dated 11/2024. The DON confirmed these expired items should not have been available for use. During a separate observation, medication cart A contained UTI Stat with an expiration date of 06/25/2025, and the LPN confirmed it should not have been available for use.
Inconsistent Documentation of Advance Directives
Penalty
Summary
The facility failed to ensure that a resident's medical records accurately reflected their advance directive wishes. Specifically, the records for a resident indicated inconsistencies between the profile page, physician's orders, medication administration records, comprehensive care plan, and the LaPost document. The resident's profile page and physician's orders listed the resident as Full Code, allowing the use of an AED, while the comprehensive care plan and LaPost indicated a DNR status, as confirmed by the resident's brother and health care representative. The inconsistency was confirmed during an interview with the Director of Nursing, who acknowledged that the resident's code status was not consistent across the various documents. This discrepancy highlights a failure in the facility's process to ensure that the resident's wishes regarding resuscitation were accurately documented and followed, potentially leading to actions contrary to the resident's advance directives.
Deficiency in Bed Rail Use and Documentation
Penalty
Summary
The facility failed to ensure the correct use and maintenance of bed rails for four residents, leading to a deficiency in care planning and risk assessment. The report highlights that the facility did not have physician orders, risk assessments for entrapment, or care plans in place for the use of bed rails for these residents. This oversight was identified through record reviews, observations, and interviews conducted by surveyors. Resident #7, who has severe cognitive impairment and is dependent on staff for bed mobility, was observed with bed rails in use without a physician's order or a risk assessment. Similarly, Resident #27, who has intact cognition and uses a wheelchair, also had bed rails in place without the necessary documentation or assessment. Interviews with staff confirmed the use of bed rails for mobility and transfers, yet no formal care plan or order was documented. Resident #90, with ongoing assessment, and Resident #240, with moderately impaired cognition, were both observed using bed rails without the required physician's order, risk assessment, or care plan. Staff interviews further confirmed the use of bed rails for assistance, yet the facility failed to document or assess the risks associated with their use. The Director of Nursing acknowledged the lack of orders, care plans, and assessments for these residents, indicating a systemic issue in the facility's management of bed rail use.
Failure to Implement Enhanced Barrier Precautions
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, specifically in implementing Enhanced Barrier Precautions (EBP) to prevent the transmission of multidrug-resistant organisms (MDROs). Observations revealed that staff did not use appropriate personal protective equipment (PPE) during high-contact resident care activities. For instance, two CNAs were observed performing pericare for a resident with a PEG feeding tube using only gloves, contrary to the facility's policy that requires gown and glove use for residents with indwelling medical devices. Throughout the survey, there was no evidence of EBP being implemented for residents who required it, as per the facility's policy. Interviews with staff, including a Medical Records staff member and a Corporate Nurse, confirmed that residents needing EBP were not properly identified, and necessary signage and PPE were not available. An LPN also reported that staff were not using PPE when entering rooms of residents on EBP. Additionally, a CNA was observed exiting a resident's room with dirty linens in gloved hands, without using any other PPE, despite EBP signage being present outside the room.
Failure to Obtain Proper Authorization for Restraint Use
Penalty
Summary
The facility failed to ensure that a resident was free from the use of physical restraints not required for medical treatment. Specifically, the facility did not have a written order, consent, or assessment for the use of a lap tray as a restraint for Resident #37. The resident, who had severe cognitive impairment and was totally dependent on staff for mobility and other activities, was observed with a lap tray secured to a geri-chair. The resident was unable to remove the lap tray, which was considered a restraint according to the facility's policy. Observations and interviews revealed that the lap tray was used beyond meal times, and the resident's responsible party expressed a preference for its use to prevent falls. However, the facility's Director of Nursing and Corporate Nurse confirmed that the lap tray was a restraint since the resident could not remove it. The facility's policy required a physician's order, consent, and an assessment for restraint use, none of which were present in this case.
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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 Homer
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Heritage Nursing Center | 6.7 mi | ★★★★★ | 2 | 0 |
| Presbyterian Village Of Homer | 8 mi | ★★★★★ | 0 | 0 |
| Meadowview Health & Rehab Center | 20.6 mi | ★★★★★ | 6 | 0 |
| Town & Country Health & Rehab | 22 mi | ★★★★★ | 0 | 0 |
| Willow Ridge Nursing And Rehabilitation Center,llc | 23.6 mi | ★★★★★ | 3 | 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.