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 Community Springs Healthcare Facility during CMS and state inspections, most recent first.
The facility failed to provide scheduled showers to residents, impacting their right to self-determination. Three residents, all cognitively intact and requiring assistance, missed multiple scheduled showers due to staffing shortages. Despite having designated shower aides, these aides were often reassigned, leading to inconsistencies in shower schedules. Residents expressed dissatisfaction with the frequency of showers, and facility management acknowledged the issue but struggled to maintain the schedule.
The facility failed to update care plans for several residents, including those with dementia and PTSD, to address behaviors and medical needs. A resident with dementia exhibited sexual behaviors towards staff, which were not included in the care plan. Another resident with PTSD had triggers that were not addressed in their care plan. Additionally, two residents requiring oxygen therapy did not have their oxygen usage documented in their care plans.
A facility failed to report an allegation of possible sexual abuse when a resident with severe cognitive impairment asked another resident to expose their breasts. The incident was witnessed by an RMT and reported to an RN, but the abuse coordinator was not informed until two days later, and the SSA was not notified. The DON confirmed that all abuse allegations should be reported immediately.
The facility failed to conduct a complete investigation of an alleged abuse incident involving a resident with dementia and agitation, who asked another resident to expose their breasts. Despite facility policy requiring an electronic Incident Report and witness statements, a written investigation was not received by the Department of Health and Senior Services. A Registered Medication Technician observed the incident but was not asked to provide a statement, and the Director of Nursing acknowledged the need for witness statements during such investigations.
A facility failed to accurately complete the MDS for a resident with Alzheimer's disease, incorrectly documenting hospice care when only palliative care was provided. The MDS Coordinator and DON acknowledged the error, while the CSNA clarified that hospice care should not be indicated if only palliative care is received.
A facility failed to develop a comprehensive care plan for a resident taking antidepressant and anti-anxiety medications. Despite the resident's severe cognitive impairment and the use of psychotropic medications, the care plan did not address these needs. The MDS Coordinator confirmed the oversight during an interview, indicating a deficiency in the care planning process.
A resident with cognitive impairment had a possible bruise and a soft knot on the head, which were not properly documented or followed up on by the facility staff. Despite discussions in meetings, the MDS Coordinator and Infection Preventionist failed to ensure appropriate documentation and care plan updates, leading to a deficiency.
Failure to Provide Scheduled Showers
Penalty
Summary
The facility failed to support residents' right to self-determination by not adhering to their preferred bathing schedules. Three residents, who were cognitively intact and required varying levels of assistance with showers, did not receive showers as per their preferences and facility policy. The facility's policy mandates showers at two-day intervals or more frequently if requested, but records show multiple instances where residents did not receive scheduled showers over several months. Resident #3, diagnosed with bipolar II disorder, did not receive scheduled showers on several occasions from October 2024 to December 2024. The resident expressed concerns about the inconsistency in receiving showers, stating that sometimes a week would pass without a shower due to a lack of staff assistance. Similarly, Resident #6, with acute and chronic respiratory failure, missed scheduled showers on multiple dates, and expressed dissatisfaction with the frequency of showers provided. Resident #28, who has dementia and other health conditions, also missed several scheduled showers and felt that the facility's staffing issues were to blame. Interviews with staff, including CNAs and the Director of Nursing, revealed that the facility had designated shower aides, but these aides were often reassigned to other duties due to staffing shortages. This led to residents not receiving showers as scheduled. The facility management acknowledged the issue and stated that they attempted to accommodate residents by providing showers at alternative times, but the problem persisted due to insufficient staffing.
Failure to Update Care Plans for Residents
Penalty
Summary
The facility failed to ensure that the care plans for five residents were updated and reviewed for accuracy in a timely manner. Resident #37, who was admitted with a diagnosis of dementia, exhibited physical, verbal, and sexual behaviors towards staff, which were documented in various notes and behavior monitoring records. However, the resident's care plan did not address these behaviors, and both the Director of Social Work and the Director of Nursing confirmed the absence of a care plan for these issues. Resident #31, also diagnosed with dementia, displayed sexual behaviors towards staff, as noted in behavior monitoring records. Despite these documented incidents, the resident's care plan did not include any strategies to manage these behaviors. Interviews with the Director of Social Work and the Director of Nursing confirmed the lack of a care plan addressing the resident's sexual behaviors. Resident #33, diagnosed with PTSD, reported triggers related to past abuse, such as yelling and slamming doors. However, these triggers were not incorporated into the resident's care plan. Additionally, Residents #10 and #26, both requiring oxygen therapy, did not have their oxygen usage included in their care plans, despite physician orders indicating specific oxygen requirements. The MDS Coordinator acknowledged the omission of oxygen usage in the care plans.
Failure to Report Alleged Resident-to-Resident Abuse
Penalty
Summary
The facility failed to report an allegation of possible sexual abuse involving a resident with severe cognitive impairment and dementia. The incident occurred when the resident asked another resident to expose their breasts. This behavior was documented in the resident's behavior monitoring records. Despite the incident being witnessed by a Registered Medication Technician (RMT) and reported to a Registered Nurse (RN), the facility did not report the allegation to the State Survey Agency (SSA) within the required two-hour timeframe. Interviews with facility staff revealed that the incident was not communicated to the facility's abuse coordinator until two days later during a morning meeting. The Director of Social Work, who serves as the abuse coordinator, confirmed that she did not report the allegation to the SSA. The Director of Nursing (DON) stated that all allegations of abuse should be reported immediately to the abuse coordinator, indicating a breakdown in the facility's protocol for handling and reporting potential abuse cases.
Incomplete Investigation of Alleged Abuse
Penalty
Summary
The facility failed to ensure a complete investigation of an allegation of possible abuse involving a resident. The incident involved a resident diagnosed with dementia and agitation, who asked another resident to expose their breasts. The facility's policy requires personnel to complete an electronic Incident Report for further investigation by designated staff to ensure resident safety and quality of care. However, a review of the Department of Health and Senior Services records showed that a written investigation regarding the allegation was not received. During interviews, a Registered Medication Technician confirmed observing the statement but was not asked to provide a written statement by the abuse coordinator. The Director of Nursing stated that witness statements should be gathered during a potential abuse investigation, indicating a lapse in following the facility's investigation procedures.
Inaccurate MDS Documentation for Hospice Care
Penalty
Summary
The facility failed to ensure the accuracy of the Minimum Data Set (MDS) for a resident, identified as Resident #56. The resident, who was admitted with a diagnosis of Alzheimer's disease, was documented in the quarterly MDS as receiving hospice care. However, a review of the resident's medical record showed no documentation of recommendations for hospice care. During interviews, the MDS Coordinator and the Director of Nursing acknowledged that the MDS inaccurately indicated hospice services, equating them with palliative care. The Clinical Services Nursing Administration clarified that Section O of the MDS should not be triggered for hospice care if the resident is only receiving palliative care.
Failure to Develop Comprehensive Care Plan for Psychotropic Medication Use
Penalty
Summary
The facility failed to develop a person-centered comprehensive care plan with measurable goals and plans for a resident who was taking antidepressant and anti-anxiety medications. The Minimum Data Set (MDS) and Care Area Assessment (CAA) processes, which are federally mandated, were not properly utilized to formulate a care plan for the resident. The resident, who was admitted with a diagnosis of dementia, had severe cognitive impairment and was receiving medications for depression and anxiety. Despite these conditions, the resident's care plan did not address the use of these psychotropic medications as required. During an interview, the MDS Coordinator confirmed that a care plan for the resident's use of antidepressant and anti-anxiety medications was not developed. The resident's annual MDS assessment indicated the need for a care plan due to the use of psychotropic medications, but this was not followed through. This oversight was identified through observation, interview, and record review, highlighting a deficiency in the facility's care planning process.
Failure to Document and Follow Up on Resident's Head Condition
Penalty
Summary
The facility failed to ensure services were provided according to professional standards of practice for a resident who had a possible bruise and a soft knot on the head. The resident, who was cognitively impaired and required moderate assistance with daily activities, was reported by family members to have a fresh bruise on the back of the head after returning from an outing. However, the nurse note from 11/22/24 did not document any follow-up actions regarding this observation. Additionally, the resident expressed a desire to have a soft knot on the head removed, but this was not documented in the care plan. Interviews with facility staff revealed that the MDS Coordinator had mentioned the note during a morning stand-up meeting, but no subsequent skin check was documented. The Infection Preventionist assessed the area the day after the note was written but failed to document the assessment. The Director of Social Services confirmed the issue was discussed in a meeting, and the Infection Preventionist was supposed to assess the resident's head. The lack of documentation and follow-up actions regarding the resident's condition led to the deficiency.
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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 El Dorado Springs
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lake Stockton Healthcare Facility | 16.9 mi | ★★★★★ | 1 | 0 |
| Nathan Richard Health Care Center | 18.1 mi | ★★★★★ | 2 | 0 |
| Moore Few Care Center | 18.9 mi | ★★★★★ | 0 | 0 |
| Medicalodges Nevada | 19.4 mi | ★★★★★ | 0 | 0 |
| Appleton City Manor | 23 mi | ★★★★★ | 2 | 1 |
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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.