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 Timber Springs Rehab And Retirement during CMS and state inspections, most recent first.
A resident with a long-standing stay developed a new diagnosis of generalized anxiety disorder, but staff did not refer the resident to the state-designated authority for a required Level II PASARR evaluation. Record review confirmed the absence of any Level II PASARR referral or determination following the new mental disorder diagnosis, and both Social Services and the corporate nurse acknowledged that the Level II PASARR was not completed as required.
A resident with severe cognitive impairment, gait abnormalities, osteoarthritis, muscle weakness, and unsteadiness on feet had a documented risk-for-falls care plan with the last intervention dated in early January. According to the facility’s incident log, the resident sustained two falls later that were not followed by any documented revision of the care plan. During interview, the DON stated that care plans should be updated after each fall and confirmed that no updates were made in response to these incidents.
A facility failed to develop a comprehensive activities care plan for a resident with anxiety disorder, hypertension, and depression, who was cognitively intact. The resident's preferences for activities, such as listening to music and going outside, were not addressed in the care plan. This deficiency was confirmed by the MDS Coordinator.
The facility failed to properly assess and document the use of bed rails for seven residents, leading to deficiencies in safety and compliance. Residents were not assessed for entrapment risks, and less restrictive alternatives were not documented. Observations revealed loose bed rails for two residents, posing potential safety risks. Staff confirmed the lack of secure attachment and the need for maintenance, highlighting non-compliance with facility policies.
The facility failed to complete and transmit MDS assessments within required timeframes for three residents. An annual assessment was not completed for a resident with multiple diagnoses, a discharge assessment was missing for a resident discharged with cerebrovascular disease, and an entry assessment was not transmitted for another resident. The MDS Coordinator acknowledged these oversights during interviews.
A resident with hearing impairment did not receive proper treatment due to the facility's failure to schedule an audiogram despite a physician's referral. The resident's care plan lacked a hearing impairment plan, and the Transportation CNA did not follow up on the referral, leading to the resident experiencing increased hearing loss.
A resident with severe impaired vision and mobility issues was at risk due to an unstable TV positioned on a nightstand. The TV had one leg hanging off and another halfway on the stand, creating a potential hazard. This was acknowledged by both a CNA and the DON, highlighting a failure to maintain a safe environment.
Failure to Obtain Level II PASARR After New Mental Disorder Diagnosis
Penalty
Summary
The facility failed to coordinate assessments with the Pre-Admission Screening and Resident Review (PASARR) program by not referring a resident with a newly diagnosed mental disorder for a required Level II PASARR evaluation. Record review showed that Resident #5 was admitted on 04/27/2015 and was diagnosed with Generalized Anxiety Disorder on 11/05/2020. Despite this new mental disorder diagnosis, there was no documentation that the resident was referred to the appropriate state-designated authority for a Level II PASARR evaluation and determination. During interviews on 03/25/2026, the Social Services staff member (S3) acknowledged that a Level II PASARR evaluation was not completed for Resident #5 after the new diagnosis of generalized anxiety disorder. In a separate interview the same day, the Corporate Nurse (S3) confirmed that a Level II PASARR was not completed following the new diagnosis and stated that it should have been done.
Failure to Revise Care Plan After Resident Falls
Penalty
Summary
The facility failed to revise a resident’s care plan to reflect changes following multiple falls, as required to be prepared, reviewed, and revised by an interdisciplinary team. A resident with diagnoses including bilateral primary osteoarthritis of the knees, muscle weakness, muscle wasting and atrophy of multiple sites, abnormalities of gait and mobility, dementia, and unsteadiness on feet was readmitted on 06/03/2025 and had an Annual MDS with a BIMS score of 06, indicating severely impaired cognition. The facility’s incident log showed that this resident experienced falls on 02/18/2026 and 02/21/2026. Record review showed the resident was care planned for risk of falls, with the most recent intervention dated 01/07/2026, but there was no evidence that the care plan was revised after the two subsequent falls. In an interview, the DON stated that the resident’s care plan should be updated with each fall and acknowledged that there was no documentation that the care plan had been updated to reflect the falls on 02/18/2026 and 02/21/2026.
Failure to Develop Activities Care Plan for Resident
Penalty
Summary
The facility failed to develop a comprehensive person-centered care plan for a resident, specifically lacking an activities care plan with interventions. The resident, who was admitted with diagnoses including anxiety disorder, essential hypertension, and depression, was found to be cognitively intact with a BIMS score of 15. The resident's preferences for activities, as noted in the Admission MDS, included listening to music, having reading materials, and going outside for fresh air. However, a review of the resident's care plan revealed that these preferences were not addressed, as there was no activities care plan developed. This deficiency was confirmed during an interview with the MDS Coordinator, who acknowledged the oversight.
Deficiency in Bed Rail Use and Maintenance
Penalty
Summary
The facility failed to ensure the correct use and maintenance of bed rails for seven residents, leading to deficiencies in safety and compliance with facility policy. The residents were not assessed for the risk of entrapment prior to the use of bed rails, and less restrictive approaches were not attempted or documented. Additionally, ongoing assessments for the risk of entrapment were not conducted after the installation of bed rails, and the residents' care plans lacked specific interventions for the use of bed rails. For several residents, including those with severe cognitive impairments and physical limitations, the facility did not document any assessments for the risk of entrapment. Consent forms for the use of bed rails were incomplete, with sections regarding less restrictive approaches left blank. Observations revealed that bed rails were used without proper documentation of their necessity or effectiveness, and residents were observed using bed rails for positioning and mobility without adequate safety measures in place. Furthermore, the facility failed to ensure that bed rails were securely attached to the beds for two residents. Observations showed that the bed rails were loose and moved freely, posing a potential safety risk. Interviews with staff confirmed the lack of secure attachment and the need for maintenance, yet no corrective actions were documented at the time of the survey. The Director of Nursing acknowledged the absence of documented assessments and care planning for the use of bed rails, confirming the facility's non-compliance with its own policies.
Failure to Complete and Transmit MDS Assessments Timely
Penalty
Summary
The facility failed to complete and transmit MDS assessments within the required timeframes for three residents. For Resident #1, an annual MDS assessment was not completed and submitted as required. Instead, a quarterly MDS assessment was completed and transmitted, which was confirmed during an interview with the MDS Coordinator. Resident #1 had multiple diagnoses, including cerebral infarction and heart failure, which necessitated accurate and timely assessments. Resident #5 was discharged without a discharge MDS assessment being completed and transmitted. The resident had been admitted and then discharged within a short period, with diagnoses including cerebrovascular disease and major depressive disorder. The MDS Coordinator acknowledged the oversight during an interview. Additionally, Resident #12's Entry MDS assessment was not transmitted, despite being marked as Export Ready. The MDS Coordinator admitted to not transmitting the assessment during an interview.
Failure to Provide Hearing Services
Penalty
Summary
The facility failed to ensure a resident received proper treatment to maintain and/or improve hearing. The resident, who was admitted with diagnoses including unspecified abnormalities of gait and mobility, unspecified glaucoma, and impacted cerumen, had a physician order for a referral to an ENT for an audiogram. However, the resident's care plan did not include a plan for hearing impairment, and there was no record of an appointment being scheduled for the audiogram. Interviews revealed that the resident reported increased hearing loss and was under the impression that an appointment with a doctor was pending. The Director of Nursing confirmed the absence of a care plan for hearing impairment. The LPN noted that there was a referral for an audiogram, but the Transportation CNA, responsible for follow-ups and transporting residents, admitted to failing to follow up on the referral and lacked a method to track completed referrals.
Unstable TV Poses Hazard to Visually Impaired Resident
Penalty
Summary
The facility failed to ensure a resident's environment was free from accident hazards, specifically regarding the positioning of a television. Resident #12, who was admitted with diagnoses including unspecified abnormalities of gait and mobility, muscle weakness, unspecified glaucoma, repeated falls, and lack of coordination, was observed to have severe impaired vision. On multiple occasions, the resident's television was found positioned in an unstable manner on the nightstand, with one leg hanging off and another leg only halfway on the nightstand. This was confirmed by both a CNA and the Director of Nursing, who acknowledged the TV's instability and the potential risk it posed to the visually impaired resident who could easily bump into it, causing it to fall.
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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 Springhill
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Summit Health & Rehab Center | 7.1 mi | ★★★★★ | 2 | 0 |
| Heritage Nursing Center | 18.9 mi | ★★★★★ | 2 | 0 |
| Claiborne Rehabilitation | 23.7 mi | ★★★★★ | 3 | 0 |
| The Green House Cottages Of Wentworth Place | 24 mi | ★★★★★ | 3 | 0 |
| The Blossoms At Stamps Rehab & Nursing Center | 25.4 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.