Above 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 Clearview Nursing Center during CMS and state inspections, most recent first.
The facility failed to follow infection control practices during wound care for two residents, catheter care for one resident, and g-tube medication administration for one resident. Staff entered rooms without EBP signage or PPE available outside the door, and LPNs and CNAs performed care using gloves only or no gown when gowns were expected for residents with wounds or indwelling devices. The laundry area also had dirty laundry at the entrance and clean linen carts in the back with no physical separation, and clean and soiled laundry used the same door for entry and exit.
Failure to respect resident dignity and provide timely assistance: A resident repeatedly asked for coffee but was ignored by staff and then told in a loud, stern voice that the kitchen was closed without any alternative offered. Another resident was left in bed with the call light and water out of reach and missed lunch until later, and two LPNs performed wound care with the curtain open and the door not closed, exposing the resident's bare backside to the hallway.
Failure to address side rail use and entrapment risk in care plans. Four residents were repeatedly observed with half side rails upright, but their care plans did not address the rails or the related fall history where applicable. One resident with impaired cognition said the rails were already on the bed and were used to help turn in bed, while another resident had dementia and recent unwitnessed falls. The DON, Administrator, and MDS Coordinator stated falls and side rail use should be addressed on the care plan.
Failure to assess, document, and obtain informed consent for side rail use was identified for four residents. Residents had diagnoses including fracture, COPD, autism, seizures, dementia, falls, spinal stenosis, MS, HF, and acute respiratory failure with hypoxia, with cognition ranging from intact to severely impaired and two residents having legal guardians. Observations repeatedly showed both half side rails upright, while the DON and Administrator stated assessments should occur before side rails are placed and then quarterly.
Failure to post daily nurse staffing in a prominent location: The facility posted the staffing sheet only on the east end near the nurses' station and did not post it at the main entrance or west end where it was readily accessible to residents and visitors. A CNA, MDS Coordinator, LPN, DON, and Administrator all stated the east end was the only posting location used, and no policy on nurse staff posting was provided.
The facility failed to regularly inspect bed frames, mattresses, and side rails for four residents with diagnoses including fracture, COPD, autism, seizures, dementia, falls, spinal stenosis, MS, heart failure, and acute respiratory failure with hypoxia. Observations showed both half side rails upright and moving with minimal effort, and the medical records showed no maintenance inspection for the side rails. The DON said maintenance had not completed any inspections, the maintenance staff said the rails were placed when nursing requested and had not been inspected, and the Administrator expected side rail inspections at least quarterly.
Call lights were not kept within reach for multiple residents, including residents observed in bed, in a Geri-chair, and in a wheelchair. Surveyors found call lights on the floor, on a nightstand, in a trash can, attached to a privacy curtain, or hanging from a wall frame at the foot of the bed, all out of reach. The facility did not provide a call light policy, and the Administrator, CNA, LPN, and DON all stated call lights should always be within residents’ reach.
Failure to Provide Required CNA Annual In-Service and Competency Training: The facility failed to ensure two CNAs received at least 12 hours of annual in-service education and the required annual competency training in dementia care, abuse, and neglect prevention. Records showed both CNAs attended only a limited number of in-services, neither attended the required competency topics, and the monthly in-service sheets did not document the time for each session. The DON stated CNAs should have 12 hours of annual in-services and that abuse, neglect, and dementia training should be included.
The facility failed to address grievances and maintain inventory documentation for two residents. Despite the grievance protocol requiring documentation and follow-up, the grievance log was empty, and no grievances were initiated for missing items reported by the residents. Staff interviews revealed a lack of awareness and action, with the SSD admitting to not completing grievances and the Administrator unsure about the grievance policy.
The facility failed to obtain physician orders for code status for two residents and inconsistently documented another resident's code status. A resident's face sheet indicated DNR, but the POS showed Full Code. Interviews revealed that the SSD was responsible for ensuring code status at admission, but inconsistencies in documentation and obtaining physician orders led to deficiencies.
The facility failed to maintain a safe, clean, and homelike environment, with observations of worn furniture, peeling wallpaper, and cluttered areas. Staff interviews revealed a lack of communication and documentation regarding maintenance issues, contributing to the deficiency.
The facility inaccurately coded the MDS for two residents regarding anticoagulant therapy. One resident's MDS did not reflect their anticoagulant use, despite medical records indicating otherwise. Another resident's MDS incorrectly showed anticoagulant use, while records only indicated aspirin use. Interviews with staff confirmed the need for accurate MDS assessments.
The facility failed to conduct the required PASARR screening for two residents upon admission. One resident with dementia and PTSD did not have the necessary screening documented, while another with bipolar disorder and schizophrenia had their screening rejected due to missing psychiatric documentation. The Social Service Director and Administrator acknowledged these oversights.
A facility failed to monitor and address a resident's significant weight loss, resulting in a 10.38% decrease over six months. The facility's policy required oversight by a weight champion, but there was no effective monitoring or intervention. The resident's care plan lacked specific interventions for weight loss, and recommendations for a multivitamin and weekly weights were not followed. Interviews revealed the absence of meetings to discuss residents' weights, and the resident's family had to bring the issue to the facility's attention.
The facility reported a medication error rate of 8.11% due to improper administration of insulin and ondansetron. An RN failed to prime insulin pens for two residents, and a CMT incorrectly administered ondansetron to another resident. Interviews revealed a misunderstanding about insulin pen priming requirements.
The facility failed to implement Enhanced Barrier Precautions during wound care for a resident and did not use proper hand hygiene during blood sugar testing for four residents. An RN did not follow the facility's policy for EBP, failing to use gowns and gloves appropriately and neglecting hand hygiene. Additionally, the RN consistently did not perform hand hygiene before and after glove use during blood sugar testing, indicating a systemic issue with infection control practices.
The facility failed to provide the required twelve hours of annual in-service training for CNAs, specifically in dementia care and abuse prevention. Two CNAs did not receive the necessary training, with records showing incomplete attendance and missing documentation of time durations. The facility lacked a policy for nurse aide in-service training, and both the DON and Administrator acknowledged the deficiency.
Infection Control Lapses During Resident Care and Laundry Handling
Penalty
Summary
The facility failed to ensure staff used acceptable infection control procedures and practices during wound care for two residents, catheter care for one resident, and g-tube medication administration for one resident. The facility’s policy on Enhanced Barrier Precautions (EBP), revised March 2024, stated that residents with indwelling medical devices, including urinary catheters and feeding tubes, and residents with wounds required EBP, including use of gowns and gloves for high-contact care activities such as wound care and care of indwelling devices. The facility also did not provide a policy regarding infection control practices in laundry services. During observation, Resident #6’s medication administration via g-tube was performed without EBP signage on the door, without PPE available outside the room, and without the LPN putting on a gown. During wound care for Resident #55, there was no EBP signage or PPE outside the room, and two LPNs gathered supplies at the door, entered without hand hygiene, gloves, or gowns, and one LPN performed the wound care. During wound care for Resident #1, there was no EBP signage or PPE outside the room, and an LPN entered after hand hygiene and gloves only, without a gown, and provided wound care. For Resident #4’s catheter care, there was no EBP signage or PPE outside the room, and two CNAs entered after hand hygiene and gloves only, without gowns, and one CNA provided catheter care. In interviews, staff gave inconsistent responses about EBP and PPE use, including uncertainty about why certain residents required supplies and whether gowns were needed for residents with catheters, wounds, or g-tubes. In the laundry room, dirty laundry barrels were located at the entry, clean linen carts were in the back, and there was no physical separation between dirty and clean laundry areas; all clean laundry and linen carts had to pass the soiled area to exit the building. Staff stated the clean linens exited through the same door the dirty laundry entered, and the IP and Administrator acknowledged the laundry room had only one entrance/exit.
Failure to Respect Resident Dignity and Provide Timely Assistance
Penalty
Summary
The facility failed to ensure staff maintained or enhanced the quality of life for two residents and failed to maintain the dignity of one resident when care and interactions were not handled appropriately. One resident sat in the hall and asked two different staff members for a cup of coffee, but neither staff member acknowledged the request. When the resident asked a CNA again, the CNA responded in a loud and stern voice that the kitchen was closed and walked past without offering another option or redirecting the resident. The CNA later stated staff tried not to give the resident coffee because it caused anxiety and made the resident want to get out of bed, while the DON stated staff should acknowledge requests and offer another drink or redirect the resident. Another resident was observed lying in bed with the call light and water out of reach and stated he/she had not had lunch yet and was hungry. The resident was later transferred to a wheelchair and then sat at the dining room table, asked for water, and ate lunch. An LPN stated the resident had refused to get up earlier and was left alone because he/she was on hospice, and that if a tray was put back the LPN would have to stay in the dining room later and would be behind in duties. In a separate observation, two LPNs provided wound care to a resident without the privacy curtain pulled and/or the door closed, leaving the resident's bare backside exposed to the hallway while two unknown persons passed by the room. The LPNs stated they normally closed the door or pulled the curtain during wound care, and the DON stated privacy should be provided during wound care or treatments.
Failure to Address Side Rail Use and Entrapment Risk in Care Plans
Penalty
Summary
The facility failed to assess residents for entrapment risk, review the possible risks and benefits of side rails before installation or use, and obtain informed consent for side rail use for four sampled residents. The deficiency was identified during observation, interview, and record review in a facility with a census of 62. The facility policy stated it would use the current CMS MDS RAI Manual and applicable federal guidelines for MDS completion, CAAs, and resident care planning. Resident #1 had diagnoses including a left leg fracture, pain, muscle weakness, COPD, and moderately impaired cognition. The resident was observed multiple times with both half side rails upright and stated the rails were used to help turn side to side in bed; the rails were already on the bed upon admission. The care plan revised on 02/26/26 did not address the half side rail use. Resident #6 had diagnoses including autistic disorder, pervasive developmental disorder, seizures, and unspecified intellectual disabilities, with cognition severely impaired; the resident was repeatedly observed with both half side rails upright, and the care plan dated 01/09/26 did not address side rail use. Resident #52 had diagnoses including dementia, history of falls, UTI, and hypertension, with unwitnessed falls on 01/15/26 and 01/21/26; the resident was repeatedly observed with both side rails upright and a fall mat on the floor beside the bed, and the revised care plan did not address side rail use. Resident #55 had diagnoses including cervical spinal stenosis, multiple sclerosis, heart failure, and acute respiratory failure with hypoxia, with intact cognition; the resident was repeatedly observed with both half side rails upright, and the revised care plan did not address side rail use. The DON, Administrator, and MDS Coordinator each stated they would expect falls and side rail use to be addressed on the care plan.
Failure to Assess and Obtain Consent for Side Rail Use
Penalty
Summary
The facility failed to assess residents for the risk of entrapment, review the risks and benefits of side rails with the resident or representative, obtain informed consent, and document a side rail assessment before use for four sampled residents. The report states the facility also did not provide a side rail assessment policy. Resident #1 had diagnoses including a left leg fracture, pain, muscle weakness, and COPD, with moderately impaired cognition, and the record contained no documentation of a side rail assessment or informed consent. Observations showed both half side rails in the upright position on multiple occasions, and the resident stated the rails were used to help turn side to side in bed and were already on the bed upon admission. Resident #6 had autistic disorder, pervasive developmental disorder, seizures, unspecified intellectual disabilities, severely impaired cognition, and a legal guardian, with no documentation of a side rail assessment or informed consent; observations repeatedly showed both half side rails upright and the resident lying in bed with the rails up. Resident #52 had dementia, a history of falls, UTI, hypertension, severely impaired cognition, and a legal guardian, with no documentation of a side rail assessment or informed consent; observations showed the resident lying in bed with both half side rails upright. Resident #55 had spinal stenosis of the cervical region, multiple sclerosis, heart failure, and acute respiratory failure with hypoxia, had intact cognition, and also had no documentation of a side rail assessment or informed consent; observations showed both half side rails upright, and the resident stated he/she could not physically use the side rails at that time but had used them in the past. The DON stated side rail assessments were supposed to be completed initially and quarterly, and the Administrator stated an assessment should be completed before side rails were placed on a resident's bed and then assessed quarterly.
Failure to Post Daily Nurse Staffing in a Prominent Location
Penalty
Summary
The facility failed to post the required daily nurse staffing information in a prominent location readily accessible to residents and visitors for four out of four days. The facility census was 62, and the report states that no policy on nurse staff posting was provided. Observations on 03/02/26, 03/03/26, 03/04/26, and 03/05/26 showed the daily nurse staffing posted only on the east end of the facility near the nurses' station. The staffing information was not posted at the main entrance or at the west end area of the facility, and it was not posted in a prominent place accessible to all residents and visitors. During interviews, a CNA, the MDS Coordinator, an LPN, the DON, and the Administrator all stated that the staffing sheet had always been posted on the east end near the nurses' station, and that this was the only location used for posting. The MDS Coordinator and LPN said the charge nurse on the east end usually completed and posted the daily staffing sheet each morning.
Failure to Inspect Bed Side Rails
Penalty
Summary
The facility failed to conduct regular inspections of bed frames, mattresses, and side rails for four residents: one resident with a left leg fracture, pain, muscle weakness, and COPD; one resident with autistic disorder, pervasive developmental disorder, seizures, and unspecified intellectual disabilities; one resident with dementia, a history of falls, UTI, and hypertension; and one resident with cervical spinal stenosis, multiple sclerosis, heart failure, and acute respiratory failure with hypoxia. For each of these residents, the medical record showed no maintenance inspection for the side rail, while observations on multiple dates showed both half side rails in the upright position on the residents’ beds and moving with minimal effort. The facility did not provide a side rail inspection policy. During interview, the DON stated that if side rails were on a resident’s bed, maintenance should inspect them at least monthly, and later said maintenance had not completed any inspections on the side rails. The maintenance staff said side rails were placed on residents’ beds when nursing requested it and that if nothing was entered in the maintenance log, he/she would not know about them until notified; the staff also stated the side rails had not been inspected. The Administrator said he expected staff to inspect side rails on resident beds at least quarterly.
Call Lights Not Kept Within Residents’ Reach
Penalty
Summary
Call lights were not kept within reach for multiple residents, including Residents #5, #6, #52, #54, #67, and Resident #12 outside the sample. During repeated observations, Resident #67 was seen in bed and later in a Geri-chair with the call light lying on the floor out of reach. Resident #52 was observed in bed with the call light on the floor out of reach. Resident #5 was observed in bed with the call light on the floor out of reach and later in a Geri-chair with the call light attached to a privacy curtain at the foot of the bed, out of reach. Resident #54 was observed in bed with the call light on the nightstand out of reach and later inside a trash can on the floor beside the nightstand, also out of reach. Resident #6 was observed in bed with the call light attached to a privacy curtain at the foot of the bed, out of reach. Resident #12 was observed in bed and later in a wheelchair beside the bed with the call light hanging from a metal frame attached to the wall at the foot of the bed, out of reach. The facility did not provide a call light policy. During interviews, the Administrator, CNA A, LPN B, and the DON all stated that call lights should be within residents' reach, and the DON said staff should check periodically and when entering and exiting rooms to ensure call lights were within reach.
Failure to Provide Required CNA Annual In-Service and Competency Training
Penalty
Summary
The facility failed to ensure that nurse aides received at least 12 hours of annual in-service education and failed to provide required annual competency training in Dementia Care, Abuse, and Neglect prevention for two sampled CNAs, CNA C and CNA D, out of two reviewed. The facility census was 62. The facility did not provide a nurse aide in-service education policy. Its Facility Assessment, revised 01/21/26, stated that CNA training at hire and annually thereafter must be sufficient to ensure continuing competence, be no less than 12 hours per year, and include dementia management training and resident abuse prevention. Review of in-service records showed CNA C, hired 12/12/24, attended three in-services during the review period but did not attend the annual competency in-service on Dementia Care, Abuse, and Neglect. The monthly in-service sheets did not document the time for each in-service, and the facility did not provide CNA C with the required 12 hours of in-service education for December 2024 through December 2025. CNA D, hired 11/01/24, attended five in-services but also did not attend the annual competency in-service on Dementia Care, Abuse, and Neglect. The monthly in-service sheets again lacked times for each in-service, and the facility did not provide CNA D with the required 12 hours of in-service education for November 2024 through November 2025. The DON stated CNAs should have 12 hours of annual in-services and that abuse, neglect, and dementia training should be included, with a time duration documented for each in-service.
Failure to Address Resident Grievances and Maintain Inventory Documentation
Penalty
Summary
The facility failed to respond or act upon grievances and did not maintain documentation of inventory for two residents. The facility's grievance protocol, which was undated, required a written record of each resident and family concern, with the Social Service Director (SSD) responsible for the program and the Administrator ultimately responsible for its implementation. However, the facility's grievance log was found to be empty, indicating a lack of documentation of any reported grievances. Resident #48 reported missing an electronic tablet and a cell phone, and although the SSD and Administrator were made aware, no grievance was initiated. Similarly, Resident #23 reported missing a cereal cup full of quarters and two electronic tablets, but no grievance was filed, and the SSD did not recall the missing tablet. Interviews with staff revealed a lack of awareness and action regarding the missing items. The SSD admitted to not initiating or completing grievances and acknowledged the absence of inventory sheets for the residents. The Certified Nursing Assistant (CNA) and Registered Nurse (RN) were aware of the missing items and would notify the charge nurse or Director of Nursing (DON) when items were reported missing. The DON confirmed that an investigation should be started immediately when items are reported missing, but the Administrator was unsure about the grievance policy and had never replaced items for residents in the past.
Failure to Document and Obtain Physician Orders for Code Status
Penalty
Summary
The facility failed to obtain a physician's order for code status for two residents and did not consistently document a resident's code status. Resident #14 was admitted with a Full Code status indicated on the face sheet and the spine of the hard chart, but there was no physician's order for the code status on the Physician Order Sheet (POS). Similarly, Resident #38's medical record showed a Full Code status on the face sheet and spine of the hard chart, but again, no physician's order was present on the POS. Resident #35's medical record showed a discrepancy between the face sheet, which indicated a DNR status, and the POS, which had an order for Full Code status. Interviews with facility staff revealed that the Social Services Designee (SSD) was responsible for ensuring the code status was determined at admission and obtaining the necessary physician's order. However, the SSD could not write orders, and the resident was considered Full Code until the DNR paperwork was signed by a physician. The Director of Nursing (DON) and the Quality Assurance (QA) Nurse stated that they expected the code status orders to be documented on the physician orders. The Licensed Practical Nurse (LPN) and MDS Coordinator confirmed the process for identifying code status, but inconsistencies in documentation and obtaining physician orders led to the deficiencies identified in the report.
Facility Fails to Maintain Homelike Environment
Penalty
Summary
The facility failed to provide a safe, clean, and comfortable homelike environment, as evidenced by multiple observations of worn and damaged furniture, peeling wallpaper, and exposed sheetrock in various rooms. Specific observations included worn seat cushion covers, peeled wallpaper, and scuff marks on walls in the 100 Hall, as well as loose and cracked molding and loose sheetrock tape in the 300 Hall. Additionally, the Spa Room was cluttered with stacked mattresses, cupcake pans, and miscellaneous debris, indicating a lack of organization and cleanliness. Interviews with staff and residents revealed a lack of communication and documentation regarding maintenance issues. A resident expressed dissatisfaction with the condition of a chair in their room, while housekeepers reported verbally notifying the maintenance department of issues but were unaware of a maintenance log. The Maintenance Supervisor acknowledged the difficulty in addressing environmental concerns without written documentation, and the Quality Assurance nurse noted the availability of replacement chairs in storage. The Administrator expected staff to use the maintenance log book to report concerns, but this practice was not consistently followed.
Inaccurate MDS Coding for Anticoagulant Therapy
Penalty
Summary
The facility failed to accurately code the Minimum Data Set (MDS) for two residents, leading to discrepancies in their medical records. For Resident #4, the annual MDS indicated that the resident did not receive an anticoagulant, despite the December 2024 Physician Order Sheet (POS) showing a diagnosis of personal history of thrombophlebitis and an order for desmopressin, an anticoagulant, to be taken twice daily. The resident's care plan, revised in February 2024, also confirmed that the resident was receiving anticoagulant therapy. For Resident #51, the annual MDS inaccurately indicated that the resident received an anticoagulant. However, the December 2024 POS showed a diagnosis of stroke and an order for aspirin, a nonsteroidal anti-inflammatory drug, rather than an anticoagulant. The resident's care plan, revised in October 2024, incorrectly noted that the resident was on anticoagulant therapy. Interviews with the MDS Coordinator and the Director of Nursing confirmed that the MDS assessments should accurately reflect whether a resident is taking an anticoagulant.
Failure to Conduct PASARR Screening for Two Residents
Penalty
Summary
The facility failed to conduct the federally mandated Preadmission Screening and Resident Review (PASARR) for two residents, resulting in a deficiency. Resident #4, who was admitted with diagnoses of dementia and post-traumatic stress disorder, did not have the required level one PASARR screening documented upon admission. Similarly, Resident #43, admitted with bipolar disorder and schizophrenia, also lacked documentation of the necessary level one PASARR screening. The Social Service Director acknowledged that Resident #4's screening was incomplete and Resident #43's screening was rejected due to missing psychiatric documentation. The Administrator confirmed the expectation that a level one PASARR should be completed prior to a resident's admission.
Failure to Monitor and Address Resident's Weight Loss
Penalty
Summary
The facility failed to implement, monitor, and modify interventions to maintain acceptable nutritional status for a resident, leading to significant weight loss. The facility's policy required a designated weight champion to oversee residents at risk for weight loss, but there was no evidence of effective monitoring or intervention for the resident in question. The resident experienced a 10.38% weight loss over six months, with no documented assessment by the Registered Consultant Dietitian (RD) in October and November. The resident's care plan did not address weight loss with specific interventions, and there was no order for a multivitamin or weekly weights as recommended by the RD. Interviews revealed that the facility did not hold meetings to discuss residents' weights, and the RD suggested that bi-weekly weight meetings would be beneficial. The resident was not trying to lose weight and was not on any medications to aid in weight loss. The resident's family brought the weight loss to the facility's attention, indicating a lack of proactive monitoring by the facility. The Minimum Data Set (MDS) Coordinator and the Director of Nursing (DON) received the weight variance report but did not take appropriate action to address the resident's weight loss.
Medication Administration Errors Lead to High Error Rate
Penalty
Summary
The facility failed to maintain a medication error rate of less than five percent, resulting in an error rate of 8.11% for three residents out of eleven sampled. The errors involved improper administration of insulin and ondansetron. For Resident #20, a registered nurse (RN) administered 12 units of Humalog insulin without priming the Kwik Pen as per the manufacturer's instructions, which is required for each administration. Similarly, for Resident #38, the same RN administered 9 units of Novolog insulin without priming the Flex Pen, contrary to the manufacturer's guidelines. Additionally, Resident #34 was administered ondansetron, an anti-nausea medication, incorrectly. A certified medication technician (CMT) gave the resident the tablet with water, failing to instruct the resident to hold the medication on or under the tongue for it to be effective. Instead, the resident swallowed the tablet, which was not in accordance with the prescribed method of administration. Interviews with the RN and the Director of Nursing (DON) revealed a misunderstanding about the need to prime insulin pens with each use, and the facility's Quality Assurance (QA) Nurse confirmed that the facility follows the manufacturer's recommendations.
Failure to Implement Enhanced Barrier Precautions and Hand Hygiene
Penalty
Summary
The facility failed to implement Enhanced Barrier Precautions (EBP) during wound care for one resident. During an observation, a registered nurse (RN) did not follow the facility's policy for EBP, which requires the use of gowns and gloves during high-contact resident care activities such as wound care. The RN did not put on an isolation gown, failed to perform hand hygiene before putting on gloves, and did not change gloves appropriately during the wound care process. Additionally, the RN disposed of biohazard waste improperly and did not perform hand hygiene after removing gloves. The facility also failed to use proper hand hygiene during blood sugar testing for four residents. The RN did not perform hand hygiene before putting on gloves and after removing them during the blood sugar testing procedures. This practice was observed consistently across multiple residents, indicating a systemic issue with adherence to the facility's infection control policies. The Director of Nursing acknowledged that the residents should have been on EBP and that proper hand hygiene should have been performed during these procedures.
Deficiency in Nurse Aide In-Service Training
Penalty
Summary
The facility failed to conduct the required twelve hours of annual in-service training for nurse aides, specifically in the areas of dementia care and abuse prevention. This deficiency was identified through interviews and record reviews, which revealed that two certified nurse assistants (CNAs), referred to as CNA A and CNA B, did not receive the necessary training. CNA A, hired in August 2022, attended only seven monthly in-services without documented time durations and did not participate in an annual competency in-service on dementia care. Similarly, CNA B, hired in November 2021, attended six monthly in-services, also lacking documented time durations, and missed the annual dementia care competency in-service. The facility's assessment, revised in February 2024, outlined the requirements for nurse aide in-service training, which included a minimum of twelve hours per year, dementia management training, and resident abuse prevention training. However, the facility did not provide a policy for nurse aide in-service training. During interviews, both the Director of Nursing and the Administrator acknowledged that nurse aide education should include dementia care and meet the twelve-hour annual requirement. The facility census at the time was 59, indicating a significant oversight in ensuring the competence of its nurse aides in critical areas of resident care.
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Illustrative
What surveyors actually found near you
We read the 54 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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
A prioritized, do-first checklist
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Illustrative
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Nursing homes near Sikeston
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Hunter Acres Caring Center | 0.5 mi | ★★★★★ | 0 | 0 |
| Sikeston Convalescent Center | 1.2 mi | ★★★★★ | 9 | 0 |
| Annie's Garden Skilled Nursing | 2.1 mi | — | 0 | 0 |
| Delta South Nursing & Rehabilitation | 2.5 mi | ★★★★★ | 8 | 0 |
| Bertrand Nursing And Rehab Center | 8 mi | ★★★★★ | 0 | 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.