Above average — CMS composite of the measures below.
The next survey window likely opens 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 Canal View - Houghton County during CMS and state inspections, most recent first.
Food storage, hand hygiene, and sanitation deficiencies were observed in the kitchen area. An open container of sour cream, milk in the bulk dispenser, and ready-to-eat items such as boiled eggs, lettuce, and onions were kept beyond the facility’s stated date-marking limits. A staff member handled the garbage can lid after handwashing before returning to work, the floor mixer and area under the dish machine were soiled with food debris, the vegetable wash sink had an improper drain setup, and single-serve cup covers were stored in splash/drip zones near hand sinks.
The facility failed to keep resident equipment cleanable and sanitary when multiple residents had wheelchairs, bed rails, bedside tables, and assist bars covered with frayed tape or porous foam tubing that was visibly soiled, torn, or damaged. Several residents said they did not know why the materials were present, and staff could not identify a documented resident-specific reason for the modifications. An RN acknowledged the items were difficult to clean and were an infection control concern.
A facility failed to provide ordered adaptive dining equipment and meal tray restrictions for multiple residents. During breakfast observations, residents who were documented to need items such as 2-handled spout cups, tall spout cups, flat-handled utensils, a flat-handled spoon, and a smaller fork instead received regular silverware or were missing the adaptive items, and two residents with NO KNIVES orders were served knives despite documented histories and meal-assistance needs.
Failure to Prevent Worsening of a Stage III Pressure Ulcer: A resident with CHF, HTN, DM, and depression was identified as being at risk for pressure injuries and developed a facility-acquired stage III sacral ulcer that worsened over time. The resident was observed without an air mattress, wearing an incontinence brief, and later lying on her back with her legs crossed; wound orders included off-loading, avoiding full briefs, not crossing legs, and repositioning q2h. The RN did not have documented education on the importance of an air mattress, and the DON and ADON agreed the resident should have been educated and reapproached about using one.
Failure to use foot pedals during assisted wheelchair transport for three residents. CNAs and an RN were observed pushing wheelchair-dependent residents into and out of the dining room while the residents’ feet dragged on the floor or could not be kept elevated. One resident’s wheelchair did not have foot pedals, and the NHA stated facility policy required foot pedals during any assisted propulsion of a wheelchair.
A resident with severe cognitive impairment and a history of falls was not provided the required two-person assistance during toileting, as outlined in their care plan. After one CNA left the room, the remaining CNA attempted to change the resident's soiled clothing alone, during which the resident lost balance and fell, sustaining multiple facial fractures and a subdural hematoma.
A resident with advanced illness and on hospice care experienced severe shortness of breath and anxiety during the dying process, but did not receive timely or adequate comfort measures as outlined in her care plan. Despite orders for Morphine and Lorazepam, documentation and surveillance video showed inconsistencies in medication administration and lack of follow-up assessment. Family and friends reported the resident was in distress and their requests for additional interventions were not addressed, and hospice was not contacted promptly by staff.
A resident with severe cognitive impairment and a high risk for liquid spills was served hot tomato soup without a lid, resulting in a burn injury. The facility's care plan lacked interventions to prevent such incidents, and the hot liquid assessment focused only on drinks, not soup.
A resident with low back pain and a pressure ulcer experienced uncontrolled pain during dressing changes due to inadequate pain management. Despite a care plan indicating the need for pain management, there was no documentation of pain medication being administered prior to dressing changes. Staff interviews revealed a lack of communication and action regarding the resident's pain, with the DON acknowledging insufficient follow-up and discussion on pain management.
The facility failed to label expiration dates on multi-dose medications and did not remove expired medications from a medication cart. An LPN found a Trelegy Ellipta inhaler and an insulin aspart FlexPen without open dates, and expired latanoprost eye drops. The facility's policy requires recording open dates and removing expired medications.
Food Storage, Hand Hygiene, and Kitchen Sanitation Deficiencies
Penalty
Summary
The facility failed to maintain food service best practices in the kitchen area. During observation, an open container of sour cream was found in an upright cooler with an opened date of 1/25/26 and a discard date of 2/18/26, which Dietary Data Tech D identified as the date the product was to be thrown out. A bag of milk was also observed in the bulk milk dispenser in the 1st floor kitchen dining area with a dispose-by date of 2/3/26, and the Dietary Manager stated the milk had been placed in the unit that day. In the 2-door Hoshizaki reach-in upright cooler, boiled shelled eggs were observed with a prepared date of 1/22/26 and a use-by date of 01-29-26, along with prepared lettuce and sliced onions dated 1/26/26 with dispose-by dates of 2/2/26, all reflecting 8 days from preparation to discard date. Additional kitchen observations showed hand hygiene and sanitation concerns. A kitchen staff member washed and dried his hands, then used a clean hand to lift the garbage can lid to discard the paper towel before returning to work. The Dietary Manager stated employees must wash their hands when they touch anything other than food or utensils, before returning to the task, and before putting on clean gloves, and the facility handwashing policy indicated hand washing should occur after touching garbage. The floor mixer was covered with plastic that was said to indicate it had been cleaned, but when uncovered it was soiled with food debris. The floor under the dish machine was also observed soiled with food debris. In addition, the vegetable wash sink in the 1st floor kitchen had an air break instead of an air gap, and packages of single-serve drink cup covers were stored in the splash/drip zone between the sink splash guard and wall on the 2nd and 3rd floor kitchens.
Soiled and Damaged Foam and Tape on Resident Equipment
Penalty
Summary
The facility failed to ensure that environmental equipment used by residents was maintained so it could be appropriately cleaned and sanitized for seven of eight residents reviewed. Multiple residents were observed with wheelchairs, bed rails, bedside tables, and assist bars covered with black tape, electrical tape, duct tape, or flexible foam tubing that was visibly soiled, frayed, torn, scuffed, or missing pieces. These items included wheelchair hand rims, bed rails, bedside table edges, and bed/assist bars in the rooms of residents who used the equipment for mobility, turning, repositioning, or support. Resident #34, who had intact cognition and independently propelled a wheelchair, had black tape wrapped around both wheelchair hand rims that was visibly soiled and frayed. Resident #120, also cognitively intact, had foam tubes and tape on both bed rails and stated the items were unsightly and appeared to have been left from a prior resident. Resident #103, who used a wheelchair and propelled it independently, had foam tubes and tape around the wheelchair hand rims that were torn and frayed. Staff interviews confirmed that the foam tubes and tape made the equipment difficult to clean, and the nurse manager acknowledged the padding was shredded, the tape was frayed, and cleaning these items was an infection control concern. Additional observations showed Resident #11 and Resident #18 had bedside tables with black foam bordering the edges and visible soil and debris around or under the foam, and Resident #53 had duct-taped foam padding on the footboard and a right-sided assist bar with flexible padding secured by electrical tape. Resident #138, admitted with multiple fractures, had porous foam tubing attached to the wheelbase of the bedside table with scuff marks and missing chunks; staff could not identify a resident-specific reason for the modification and suggested it may have been from a previous resident. Across these residents, documentation and interviews did not identify a documented reason or care plan support for the foam or tape modifications.
Failure to Provide Ordered Adaptive Dining Equipment and Knife Restrictions
Penalty
Summary
The facility failed to provide adaptive dining equipment and appropriate meal assistance for six of seven residents reviewed for adaptive dining equipment needs. During breakfast observations, Resident #82 had a tray card indicating a need for 2-handled spout cups and flat handled utensils, but only some beverages were served in the adapted cups and regular silverware was provided instead of the ordered utensils. Resident #33 had a tray card indicating a need for a tall spout cup and flat handled utensils, but these items were not present and regular silverware was served. Resident #59 had a tray card indicating a flat-handled spoon, but did not receive it, and Resident #115 had a tray card indicating a smaller fork, but was given a regular-sized fork. The facility policy titled Meal Supervision and Assistance stated that necessary non-food items, including assistive and adaptive devices, should be on the tray and missing items should be reported or replaced. Resident #26 and Resident #16 both had tray cards indicating NO KNIVES, yet regular silverware including a knife was observed on their trays during breakfast. RN N stated that Resident #26 had a history of aggression and the intervention had been to remove knives from the resident. For Resident #16, CNA Q stated the resident had been aggressive in the past but had declined and was no longer aggressive, while the tray card also indicated dependent/total assist with meals. The EMR and care plans for the affected residents documented the use of specific adaptive items such as 2-handled spout cups, flat handled fork and spoon, a red high-lipped plate, a scoop plate, and a smaller fork to support self-feeding or meal assistance.
Failure to Prevent Worsening of a Stage III Pressure Ulcer
Penalty
Summary
The facility failed to prevent worsening and the development of a pressure ulcer for Resident #53, who was admitted with diagnoses including heart failure, hypertension, diabetes mellitus, and depression. Her quarterly MDS assessment identified her as at risk for pressure ulcers, and the facility matrix showed she developed a facility-acquired stage III pressure ulcer that was not present on admission. The wound was located on the right sacral area, and on 1/27/26 it was observed as circular with redness around the surrounding skin. At that time, she did not have an air mattress on her bed and was wearing an incontinence brief. The wound clinic progress note dated 1/15/26 documented the stage III pressure ulcer on the right sacral area with measurements of 0.68 cm by 0.79 cm by 0.2 cm depth, and the 1/27/26 note showed it had worsened to 0.99 cm by 1.02 cm by 0.2 cm depth. The wound clinic orders included off-loading, avoiding full briefs if possible, not crossing legs while sitting, and repositioning every 2 hours in bed. The care plan identified the resident’s risk for skin impairment related to incontinence, limited mobility, need for assistance with self-cares, cognitive deficits, and nutritional risks, and included monitoring her ability to turn and reposition. On 1/28/26, the resident was observed lying in bed on her back with her legs crossed, and she stated the pressure ulcer opened after she was in the facility. She also said she would try an air mattress. The unit manager RN did not provide documented education on the importance and reason for an air mattress, and the DON and ADON agreed the resident should have been educated and reapproached about using an air mattress.
Failure to Use Foot Pedals During Wheelchair Transport
Penalty
Summary
The facility failed to use foot pedals to safely propel three wheelchair-dependent residents, identified as Residents #33, #115, and #126, during assisted transportation. On 1/27/2026, Resident #33 was observed being pushed into the dining room by a CNA with her feet scraping the floor, and no foot pedals were used. The resident continued to propel herself out of the dining room, and an RN later redirected her by pushing her toward her room and then back to the dining room, again without foot pedals. Later that morning, the same resident was observed being pushed out of the dining room, and the CNA stated, "Hold your feet up," while the resident's feet continued to drag because the wheelchair did not have foot pedals. Resident #115 was observed being transported into the dining room by a CNA who instructed the resident to lift her feet, but the resident could not do so and no foot pedals were applied. Resident #126 was also observed being transported to the dining room in a wheelchair without foot pedals; the resident attempted to lift her feet, but upon arrival placed her feet down and was jarred forward. During interview, the NHA stated the facility policy was to use foot pedals when transporting wheelchair-dependent residents. The facility policy titled "Safety During Transportation" stated that a resident shall remain safe while being transported and that staff should protect the resident's feet by putting them on foot pedals during any assisted propulsion of the wheelchair.
Failure to Provide Required Two-Person Assistance During Toileting Results in Resident Fall and Major Injury
Penalty
Summary
A deficiency occurred when a resident with severe cognitive impairment, Alzheimer's disease, dementia with agitation and anxiety, reduced mobility, and joint stiffness was not provided adequate toileting assistance as required by their care plan. The care plan specifically stated that two caregivers must remain with the resident for the entire toileting process due to a history of falls. On the day of the incident, the resident was assisted to the toilet by two CNAs using an EZ Stand. However, after the resident soiled their clothing, one CNA exited the room, leaving the other CNA to continue assisting the resident alone during a clothing change. While the remaining CNA was changing the resident's soiled clothing, the resident leaned to the right, lost balance, and fell, resulting in significant injuries including multiple facial fractures and a subdural hematoma. The incident report and investigation confirmed that the care plan was not followed, as only one staff member was present during a critical part of the toileting process, directly leading to the resident's fall and injuries.
Failure to Provide Comfort Care and Timely Symptom Management During End-of-Life
Penalty
Summary
A deficiency occurred when the facility failed to provide comfort care in accordance with an individual's personalized care plan during the dying process. The resident, who had diagnoses including cancer, COPD, respiratory failure, and anxiety disorder, was on hospice care and had intact cognition. Orders were in place for medications such as Ipratropium-Albuterol for shortness of breath, Morphine Sulfate for comfort, and Lorazepam for anxiety. On the evening of the resident's death, she experienced significant shortness of breath, anxiety, and distress, as reported by family and friends present at the bedside. The resident was observed to be panicked, gasping for air, and repeatedly asking for help, but staff did not provide additional interventions to alleviate her symptoms. Documentation and interviews revealed inconsistencies in the administration and follow-up of comfort medications. Progress notes indicated that Morphine Sulfate and Lorazepam were documented as administered at specific times, but surveillance video and controlled substance records did not corroborate all instances of administration. There was also a lack of follow-up documentation regarding the effectiveness of the medications given. The primary nurse did not re-enter the resident's room to assess her comfort after administering medications, and there was no documented assessment of the resident's condition or response to interventions during her final hours. Despite care plan interventions requiring close observation for pain and anxiety, prompt administration of medications, and coordination with hospice for breakthrough symptoms, these actions were not consistently carried out. Family members and friends reported that their requests for additional comfort measures were not addressed, and hospice was not contacted in a timely manner regarding the resident's distress. Facility policies required immediate communication with hospice and thorough documentation of pain management, but these standards were not met, resulting in the resident experiencing unaddressed anxiety and fear during the dying process.
Failure to Prevent Burn Injury from Hot Soup
Penalty
Summary
The facility failed to implement appropriate interventions to prevent a burn injury for a resident with severe cognitive impairment. The resident, who had a history of coronary artery disease, hypertension, heart failure, diabetes mellitus, and anxiety disorder, was assessed as having a high risk for liquid spills due to muscle weakness. Despite this assessment, the resident was served hot tomato soup without a lid, resulting in a burn incident. The facility's incident notes and video review indicated that the resident picked up a bowl of soup and spilled it on her chest, causing a burn. The facility's care plan for the resident did not include any interventions to prevent burns from hot soup, despite the resident's high risk for spills. Interviews with the Nursing Home Administrator and the Director of Nursing revealed an oversight in considering the safety of hot soup, as the facility's hot liquid assessment and policy focused only on drinks. The facility's policy required lids on hot liquids, but this was not applied to the soup served to the resident, leading to the burn incident.
Inadequate Pain Management During Dressing Changes
Penalty
Summary
The facility failed to provide adequate pain management for a resident, identified as Resident 30 (R30), who experienced uncontrolled pain during routine dressing changes. R30, diagnosed with low back pain and having a pressure ulcer, was observed crying out in pain during a dressing change. The resident's care plan indicated a need for pain management related to osteoarthritis and a coccyx wound, but there was no documentation of pain medication being administered prior to dressing changes on numerous occasions. Interviews with staff revealed a lack of communication and action regarding R30's pain management needs. A Certified Nursing Assistant (CNA) acknowledged R30's increased pain during dressing changes but had not reported it to nursing staff. A Registered Nurse (RN) was unsure why R30 had not received increased pain medication or scheduled doses prior to dressing changes, despite recognizing the resident's pain during these procedures. The Assistant Director of Nursing (ADON) noted that the pre-medication was insufficient if R30 was still experiencing significant pain. The Director of Nursing (DON) confirmed a lack of follow-up and discussion regarding R30's pain management in care conferences or reviews. The facility's policy on pain assessment and management emphasized keeping residents as pain-free as possible, yet the documentation and follow-up on R30's pain were inadequate. The DON acknowledged that pain medication should be scheduled prior to dressing changes if the resident was in significant pain, highlighting a deficiency in the facility's pain management practices.
Medication Expiration and Labeling Deficiency
Penalty
Summary
The facility failed to ensure that expiration dates were present on multi-dose medications and biologicals, and did not remove expired medications from the active supply in one of the four medication carts reviewed. During an observation of the 200 Hall medication cart with an LPN, it was found that a multi-dose Trelegy Ellipta inhaler and an insulin aspart FlexPen did not have dates indicating when they were first opened or when they would expire. Additionally, an open container of latanoprost eye drops was found with an expiration date that had passed three days prior to the observation. The LPN confirmed during the observation that there were no open dates on the Trelegy Ellipta inhaler or the insulin aspart FlexPen, making it impossible to determine their expiration status. The LPN also acknowledged that the latanoprost eye drops were expired and should have been removed from the medication cart, with a new container ordered from the pharmacy. The facility's policy requires that once a medication or biological package is opened, the date should be recorded on the primary medication container and storage packaging if the item has a different expiration date than the manufacturer's expiration date. The policy also mandates the destruction or return of all outdated or expired medications or biologicals.
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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 Hancock
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Mission Point Nursing & Physical Rehabilitation Ce | 0.9 mi | ★★★★★ | 0 | 0 |
| Portagepointe | 1.1 mi | ★★★★★ | 0 | 0 |
| Greentree Of Hubbell Rehabilitation And Health | 8.7 mi | ★★★★★ | 42 | 0 |
| Bayside Village | 26 mi | ★★★★★ | 22 | 1 |
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