Above average — CMS composite of the measures below.
A standard survey is most likely before 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 Annandale Care Center Inc during CMS and state inspections, most recent first.
Unlabeled and expired medications were found in a medication cart during a med pass review. An LPN identified six medication bottles with no open dates, including two expired Tylenol 500 mg bottles, and the DON confirmed the bottles were undated and the expired medications would be destroyed. The facility policy required proper labeling before storage and prohibited use of outdated drugs.
A resident with dementia and a high risk for falls suffered serious injuries after tripping over a mechanical lift parked in the hallway outside her room. Staff interviews revealed inconsistent training and lack of designated storage for mechanical lifts, with no recent education on environmental safety hazards. Observations confirmed lifts were routinely left in hallways near doorways, and facility leadership did not identify the lift's placement as a contributing factor to the incident.
Two residents experienced falls due to staff not adhering to their care plans. One resident required two staff for bed mobility but was assisted by only one, resulting in a fall. Another resident needed a mechanical lift for transfers but was transferred without it, leading to a fall. Staff interviews confirmed the care plans were not followed.
The facility failed to submit accurate staffing data to CMS for one quarter, missing nursing staff hours for the last week of September. The administrator acknowledged the error, citing a frozen PBJ system that prevented correction, leading to inaccurate data carrying over to the next quarter. No policy on PBJ entries was provided, potentially affecting all 34 residents.
Unlabeled and Expired Medications in Medication Cart
Penalty
Summary
Drugs and biologicals stored in the medication cart were not labeled in accordance with accepted professional principles. During review of the medication cart following a medication pass, an LPN found six bottles of medication with no open dates documented, and two of those bottles were expired. The medications identified included two bottles of Tylenol 500 mg tablets that were expired in July 2025 and lacked open dates, along with Tylenol 325 mg tablets, Tylenol 500 mg tablets, Docusate Sodium 100 mg tablets, and Senna Time 8.6 mg-50 mg tablets that also lacked open dates. The LPN confirmed that all six bottles were not labeled appropriately and that the two Tylenol bottles were expired. The DON also confirmed that the two Tylenol bottles were expired and that all six bottles were undated and would be destroyed. The DON stated that when a resident is admitted, the nurse on duty should check the orders, verify expiration dates, and place an open date on the bottle so staff know how long the medication may be used. The facility policy stated that drug containers with missing, incomplete, improper, or incorrect labels shall be returned to the pharmacy for proper labeling before storing, and that discontinued, outdated, or deteriorated drugs or biologicals shall not be used.
Failure to Address Environmental Hazards Resulting in Resident Fall and Injury
Penalty
Summary
The facility failed to comprehensively assess and address environmental hazards, specifically regarding the storage of mechanical lifts in resident hallways. A resident with dementia, muscle weakness, unsteady gait, impaired safety awareness, and a history of falls was identified as high risk for falls. Despite these risk factors, the resident was able to ambulate independently with a walker and required limited assistance for activities of daily living. On the date of the incident, the resident tripped over a mechanical lift that was parked against the wall just outside her room, resulting in a fall that caused multiple rib fractures, hemothorax, an unstable T11 spinal fracture, and a large laceration to her elbow. Interviews with staff and family members confirmed that the mechanical lift was parked one to two feet from the resident's doorway, and the resident's walker became entangled with the lift, leading to the fall. Multiple staff members, including nursing assistants and LPNs, reported inconsistent and unclear guidance regarding where to park mechanical lifts. Training focused on using the lifts but did not address environmental safety hazards or designate specific storage locations. Staff relied on personal judgment to park lifts in the hallway, and several did not recognize the lifts as potential tripping hazards. Observations during the survey revealed that mechanical lifts were routinely parked in hallways near resident doorways, with no designated storage areas. The facility's environmental hazards policy required maintaining a safe and orderly environment, but there was no evidence of recent staff education or audits related to environmental safety or the safe storage of mechanical lifts. The interdisciplinary team and facility leadership did not consider the placement of the lift as a contributing factor to the resident's injuries during their review of the incident.
Failure to Follow Care Plans Leads to Resident Falls
Penalty
Summary
The facility failed to ensure residents were free from falls, as evidenced by incidents involving two residents. The first resident, R1, required extensive assistance from two staff members for bed mobility and a mechanical lift for transfers, as per their care plan. However, on the morning of 10/18/24, a nursing assistant (NA-A) attempted to provide care independently, resulting in R1 falling to the floor. This incident occurred despite the Nursing Assistant Assignment sheet clearly indicating the need for two staff members for bed mobility. Interviews with staff confirmed that the care plan was not followed, and the resident's physical therapy assessment had recommended two staff for bed mobility due to the resident's stiff tone. The second resident, R2, also experienced a fall due to inadequate adherence to their care plan. R2's care plan required the assistance of one staff member and a mechanical standing lift for transfers. On 10/5/24, R2 was transferred without the mechanical lift, leading to a fall. The nursing assistant (NA-B) involved did not have the Nursing Assistant Assignment sheet at the time and used a gait belt instead. Interviews revealed that R2 was not strong enough to transfer without a lift, and the failure to follow the care plan resulted in the fall.
Inaccurate Staffing Data Submission to CMS
Penalty
Summary
The facility failed to submit accurate and complete staffing data to the Centers for Medicare and Medicaid Services (CMS) for one of the two quarters reviewed in the Federal Fiscal Year 2023. Specifically, during the fourth quarter, the facility did not report nursing staff hours for the last week of September, resulting in inaccurate data being submitted in the Payroll Based Journal (PBJ) system. This error was acknowledged by the administrator during an interview, who stated that the PBJ system was frozen, preventing the submission of a corrected report for the subsequent quarter. Consequently, the inaccurate staffing data carried over to the next reporting quarter. The facility did not provide a policy related to PBJ entries by the end of the survey, and this deficiency has the potential to affect all 34 residents residing in the facility.
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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 Annandale
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lake Ridge Care Center Of Buffalo, Inc. | 13.1 mi | ★★★★★ | 7 | 0 |
| Cokato Manor | 13.4 mi | ★★★★★ | 5 | 0 |
| Park View Health Care Center | 13.7 mi | ★★★★★ | 1 | 0 |
| Good Samaritan Society - Howard Lake | 14.2 mi | ★★★★★ | 10 | 0 |
| Hilltop Health Care Center | 14.9 mi | ★★★★★ | 0 | 0 |
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