Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Baptist Homes, Tri-county during CMS and state inspections, most recent first.
The facility failed to provide sufficient nursing staff, resulting in inadequate incontinence care and supervision for residents. One resident with severe cognitive impairment was left soiled for extended periods due to staffing shortages on the East Hall. The memory care unit, typically staffed with only one CNA, was unable to meet residents' needs for care and supervision, leading to incidents where residents were left unattended. These deficiencies highlight the facility's failure to adhere to its staffing policy and meet the care needs of its residents.
A resident with severe cognitive impairment and incontinence was left in soiled conditions for extended periods, despite requiring staff assistance for toileting and personal hygiene. Observations revealed the resident was not changed or toileted for several hours, resulting in a strong odor and dried feces on their skin. Staff interviews confirmed the resident should have been checked every two hours, but this was not adhered to.
A resident with severe cognitive impairment and a history of stroke was not properly assessed upon readmission to the facility. The staff failed to document vital signs consistently and did not update the care plan to reflect the resident's current condition, including the presence of a heart monitor. Therapy services were not resumed as ordered, and the heart monitor was not functioning due to a misplaced transmitter. These deficiencies contributed to the resident's readmission to the hospital with bradycardia.
The facility failed to follow proper infection control measures during wound care for two residents, leading to deficiencies in hand hygiene and the use of Enhanced Barrier Precautions (EBP). An LPN did not wash hands or change gloves between handling different wounds, used the same gauze pad for multiple wounds, and failed to apply EBP. The facility's Infection Preventionist and DON acknowledged these failures, highlighting a lack of adherence to established procedures.
Inadequate Staffing Leads to Deficient Resident Care
Penalty
Summary
The facility failed to provide sufficient nursing staff to meet the needs of its residents, as evidenced by the inadequate incontinence care and personal hygiene maintenance for two residents. The facility's staffing policy required sufficient numbers of nursing staff with appropriate skills and competency to provide care and services for all residents. However, the facility's daily nursing assignment sheets showed consistent shortages in Certified Nurse Assistant (CNA) hours compared to the facility's assessment needs. This staffing inadequacy led to residents being left soiled and wet for extended periods, as staff were unable to provide timely incontinence care and maintain good personal hygiene. One resident, who had severe cognitive impairment and required substantial assistance with activities of daily living, was not provided with timely incontinence care. Observations showed the resident sitting in a wheelchair with a strong urine odor, and interviews with staff confirmed that the resident had not been toileted or changed for several hours. The resident's care plan indicated a need for total assistance with toileting, yet the staffing shortages on the East Hall, where the resident resided, prevented staff from meeting these needs. The East Hall was typically staffed with only two CNAs, despite many residents requiring two-person mechanical lift transfers and total care. Additionally, the facility failed to ensure adequate supervision and care on the memory care unit, which was usually staffed with only one CNA. This staffing level was insufficient to meet the residents' needs for meals, incontinence care, showers, safety monitoring, and activities. Observations showed a resident in the memory care unit yelling for help and shuffling out of the bathroom with pants down, while the sole CNA was occupied with other residents. Interviews with staff confirmed that one CNA was not enough to provide the necessary care and supervision for the memory care unit residents.
Failure to Provide Timely Incontinence Care
Penalty
Summary
The facility failed to provide timely incontinence care and maintain good personal hygiene for a resident identified as incontinent and requiring staff assistance. The resident, who had severely impaired cognition and was frequently incontinent of urine and always incontinent of bowel, was observed on multiple occasions sitting in a wheelchair with a strong urine odor emanating from them. Despite being dependent on staff for toileting and personal hygiene, the resident was left in soiled and wet conditions for extended periods, as noted during observations and interviews with staff. On one occasion, the resident was not toileted or changed from 9:00 A.M. until after lunch, resulting in a strong odor of urine and feces. When finally attended to, the resident's incontinence brief was found to be saturated with urine and feces, with dried feces stuck to their skin, indicating prolonged neglect. Interviews with CNAs and the Director of Nursing confirmed that the resident should have been checked and changed every two hours, but this standard was not met, leading to the deficiency.
Failure to Provide Appropriate Care and Treatment
Penalty
Summary
The facility failed to provide appropriate treatment and care for a resident following their readmission after hospitalization. The resident, who had a history of severe cognitive impairment, stroke, and other medical conditions, was not assessed properly upon readmission. The staff did not complete a clinical assessment or document vital signs consistently, missing crucial information such as blood pressure, respirations, and temperature on multiple occasions. Additionally, the resident's care plan was not updated to reflect their current condition and care needs, including the presence of a heart monitor. The resident was discharged from the hospital with orders for therapy services and a Zio heart monitor, but these were not implemented correctly. The heart monitor was not functioning as intended due to the absence of a transmitter, which was later found misplaced at the nurses' desk. Therapy services were not resumed following the resident's discharge from the hospital, and there was no communication with therapy staff regarding the continuation of services. The lack of proper implementation of the heart monitor and therapy services contributed to the resident's readmission to the hospital with bradycardia. Interviews with facility staff revealed systemic issues in the admission and readmission process, including the failure to complete necessary assessments and documentation. The charge nurse was responsible for obtaining orders and completing assessments, but these tasks were not performed consistently. The facility's electronic medical record system was supposed to trigger required assessments, but staff did not follow through with the necessary documentation and care plan updates. The Director of Nursing and other staff acknowledged these deficiencies, indicating a lack of adherence to professional standards of practice.
Infection Control Deficiencies in Wound Care
Penalty
Summary
The facility failed to adhere to proper infection control measures during wound care for two residents, leading to deficiencies in hand hygiene and the use of Enhanced Barrier Precautions (EBP). For Resident #3, the Licensed Practical Nurse (LPN) did not follow the facility's hand hygiene policy, as they did not wash hands or change gloves between handling different wounds. The LPN used the same gauze pad to clean multiple wounds, which is against the facility's infection control policy. Additionally, there was no EBP signage or personal protective equipment (PPE) available at the resident's room, and the LPN did not apply EBP during the wound care process. Resident #3 had a care plan indicating a risk for impaired skin integrity and required assistance with activities of daily living due to severe cognitive impairment and mobility issues. The resident had multiple wounds, including a Stage II pressure ulcer and skin tears, which required specific wound care orders. However, the LPN failed to follow these orders correctly, leaving one wound uncovered and applying a pressure-relieving boot directly over an open wound. For Resident #7, the LPN initially followed some EBP protocols by washing hands and applying a gown and gloves. However, the LPN did not change gloves or wash hands after removing a soiled dressing and before handling the resident's bed controller. The LPN also failed to apply EBP when obtaining additional dressing supplies and did not wash hands between glove changes. This lack of adherence to infection control protocols was acknowledged by the LPN, the facility's Infection Preventionist, and the Director of Nursing during interviews, highlighting a failure to follow established procedures for preventing cross-contamination during wound care.
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Illustrative
What surveyors actually found near you
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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.
Illustrative
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Vandalia
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Westview Nursing Home | 13.8 mi | ★★★★★ | 0 | 0 |
| Country View Nursing | 15.4 mi | ★★★★★ | 35 | 0 |
| Wellsville Health Care Center | 16.7 mi | ★★★★★ | 1 | 0 |
| Pin Oaks Living Center | 23.5 mi | ★★★★★ | 9 | 0 |
| Avenir At Maple Grove | 24.9 mi | ★★★★★ | 2 | 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.