Above average — CMS composite of the measures below.
The next survey window likely opens around June 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Barrett Care Center Inc during CMS and state inspections, most recent first.
An LPN was accused by a NA of smoking what appeared to be methamphetamine while on duty, but the DON and administrator did not immediately suspend him or notify law enforcement. The facility relied on a grainy video, the RN's opinion that he did not appear impaired, and a pharmacist's uncertain review, while not documenting a thorough investigation into resident care, medication records, or possible diversion. The allegation was ultimately found unsubstantiated, but the facility did not follow its abuse prevention policy for suspected abuse or neglect.
Failure to Report Suspected Staff Drug Use and Possible Neglect: A nursing assistant reported that an LPN appeared to be smoking from a pipe in his car while on duty and sent video and photo evidence to management, but the DON and administrator did not make an immediate report to the SA or law enforcement. The facility reviewed the unclear video and interviewed a few staff, but did not document a thorough investigation into possible resident neglect, medication issues, or diversion, and the accused LPN was not suspended during the review.
Failure to Thoroughly Investigate Alleged Staff Drug Use and Neglect: A NA reported seeing an LPN smoking what appeared to be methamphetamine in his car while on duty and said he took excessive breaks and may have missed resident care, including not checking on a resident with abdominal pain. The DON, administrator, and RN reviewed a grainy video and concluded it was unclear, but the facility did not drug test the LPN, suspend him, interview residents or additional staff, review controlled meds for diversion, or involve law enforcement at the time of the allegation.
A facility failed to provide quarterly personal fund account statements to a resident, who was cognitively intact, and her daughter. The business office manager confirmed that while personal fund accounts were tracked and balanced, statements were not routinely issued unless requested. The facility's policy lacked details on the frequency of issuing statements.
A facility failed to ensure proper hand hygiene and glove usage during wound care for a resident with multiple medical conditions, including a stage three pressure ulcer. A registered nurse did not change gloves or perform hand hygiene after removing a soiled dressing and before applying wound cleaner. Additionally, a nursing assistant failed to perform hand hygiene after removing protective gear and before assisting the resident to the dining room. Interviews confirmed that staff were expected to perform hand hygiene at critical points, as outlined in the facility's policy.
Failure to Investigate Alleged Staff Drug Use and Possible Neglect
Penalty
Summary
The facility failed to follow its abuse prevention policy after an allegation that an LPN was using an illicit substance while on duty. A NA reported that the LPN was seen smoking what appeared to be methamphetamine in his car during a break, and the NA said she also had a video and picture of the incident. The NA reported the concern to the RN on duty and the DON, but was told there was no proof. The administrator was notified later that day and acknowledged receiving the report, but the LPN remained working his shift. The facility investigation concluded the allegation was unsubstantiated based on the video, the RN's statement that she did not think the LPN was impaired, and opinions from the administrator and pharmacist that the video was unclear. The administrator stated the video could not clearly identify who was in the vehicle or what was being smoked. The DON also stated there were no incidents, medication errors, or other concerns that day, and the facility did not drug test employees. The investigation noted the video was difficult to see and suggested it could have been a medical device or inhaler rather than illicit drug use. The investigation did not document a thorough review of resident care concerns, medication records, controlled substances, or possible diversion. There was no evidence that other staff, residents, or families were interviewed about whether care was delayed or missed while the LPN was away from the unit. The report also did not show that law enforcement was contacted to review the evidence or conduct an investigation, and the LPN was not immediately suspended or reassigned during the investigation as described in the facility policy. The employee handbook and abuse prevention policy required timely reporting and investigation of suspected abuse or neglect, including notification to MDH, the resident representative, and law enforcement, but the facility did not follow those steps based on the allegation.
Failure to Report Suspected Staff Drug Use and Possible Neglect
Penalty
Summary
The facility failed to report an allegation of suspected abuse, neglect, or theft to the State Agency and law enforcement after a nursing assistant reported that an LPN appeared to be smoking what looked like methamphetamine while on duty. The allegation was first brought to the charge nurse and DON, and the nursing assistant also sent a video and picture of the LPN in his car smoking from what appeared to be a pipe. The administrator was notified later that day and acknowledged receiving the concern, but the facility did not make an immediate report to the State Agency or law enforcement based on the allegation. The investigation documented by the facility relied on interviews with the DON, administrator, RN, pharmacist, and the accused LPN, along with review of the unclear video. The administrator and DON stated the video was difficult to see and did not clearly show who was in the vehicle or what was being smoked. The RN reported she saw the LPN in his car smoking some type of pipe during a long break, but she did not think he was impaired. The DON stated the facility did not drug test employees and did not suspend the LPN while the allegation was being reviewed. The report also identified that the facility’s investigation did not include several elements described in its abuse prevention policy. There was no mention of interviewing residents, families, or additional staff about whether care was delayed or missed, no review of medical records for possible neglect or medication errors, and no review of controlled medications for possible diversion. The facility’s policy required immediate reporting of suspected abuse or neglect to MDH and law enforcement, and required accused employees to be reassigned or suspended during the investigation, but the facility did not report the allegation as required when it was first discovered.
Failure to Thoroughly Investigate Allegation of Staff Drug Use and Possible Neglect
Penalty
Summary
The facility failed to thoroughly investigate an allegation that an LPN may have been using illicit substances while on duty and may have neglected residents while working. A NA reported seeing the LPN smoking what appeared to be methamphetamine in his car during his shift, and the NA also reported that the LPN had taken excessive breaks and had spent a large portion of the shift outside in his vehicle. The NA stated she was concerned for vulnerable adults because the LPN was responsible for resident care and medication administration, and she reported that the LPN did not check on a resident who had complained of abdominal pain. The report and subsequent interviews showed that the facility’s response was limited to speaking with the RN on duty, the DON, the administrator, and the LPN, and reviewing a grainy video that staff said was unclear. The administrator and DON concluded the video did not prove drug use and stated the RN did not observe impairment. The facility did not drug test the LPN, did not suspend him during the investigation, and did not document interviews with residents, families, or additional staff about whether care was delayed or missed while the LPN was repeatedly out of the building. There was also no evidence that the facility reviewed controlled medications for possible diversion or that law enforcement was asked to review the evidence at the time of the allegation. The facility investigation identified the allegation as unsubstantiated based on the unclear video and staff impressions, but the investigation did not include the full scope of interviews and record review described in the abuse prevention policy. The policy required timely and thorough investigation of abuse or neglect allegations, interviews with the reporting person and witnesses, interviews with staff who had contact with residents during the shift, notification to MDH, resident representatives, and law enforcement, and reassignment or suspension of the accused employee during the investigation. The report also noted that the employee handbook did not specifically address illicit substance use by staff, and the administrator and DON stated they did not believe there was suspicion of a crime because the RN did not observe impairment.
Failure to Provide Quarterly Personal Fund Statements
Penalty
Summary
The facility failed to provide resident trust account statements on at least a quarterly basis for a resident reviewed for personal fund accounts. The resident, who was cognitively intact, reported not receiving any statements from the facility. During an interview, the resident's daughter confirmed that while she received monthly billing statements, she did not receive a statement for the resident's personal funds account. The business office manager explained that the facility maintained a separate account for personal funds and used an Excel spreadsheet to track these accounts. Although bank statements were balanced against personal accounts, statements were not routinely provided to residents or families unless specifically requested. The facility's policy on resident personal funds indicated compliance with regulations but lacked information on the frequency of issuing statements.
Failure in Hand Hygiene and Glove Usage During Wound Care
Penalty
Summary
The facility failed to ensure proper hand hygiene and glove usage during wound care for a resident with multiple medical conditions, including hereditary spastic paraplegia, bladder dysfunction requiring catheterization, weakness, and dementia. The resident had a stage three pressure ulcer on the coccyx, requiring specific wound care orders. During an observation, a registered nurse (RN) did not change gloves or perform hand hygiene after removing a soiled dressing and before applying wound cleaner to the wound. After cleansing the wound, the RN removed gloves but did not perform hand hygiene before placing a new dressing. Additionally, the RN handled the resident's super pubic catheter site without performing hand hygiene or donning gloves. A nursing assistant (NA) assisting with the dressing change also failed to perform hand hygiene after removing their gown and gloves and before assisting the resident to the dining room. Interviews with the RN, NA, infection preventionist, and director of nursing confirmed that staff were expected to perform hand hygiene at various critical points, including after removing gloves, during dressing changes, and before exiting a resident's room. The facility's Standard Precaution-Hand Hygiene Policy outlined specific situations requiring hand hygiene, which were not adhered to during the observed incident.
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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 Barrett
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Evansville Care Center | 11.6 mi | ★★★★★ | 5 | 0 |
| West Wind Village | 22.1 mi | ★★★★★ | 4 | 0 |
| Bethany On The Lake Llc | 24.1 mi | ★★★★★ | 2 | 0 |
| Knute Nelson Care Center | 24.9 mi | ★★★★★ | 7 | 0 |
| Minnewaska Community Health Services | 26.6 mi | ★★★★★ | 8 | 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 October 2026) and official state health department websites.