Above 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 Cuba Manor Inc during CMS and state inspections, most recent first.
The facility failed to provide an effective activity program for residents, as several were observed asleep in common areas with the TV on, rather than engaged in meaningful activities. Despite the activity calendar and staff expectations, residents with cognitive impairments were not adequately encouraged to participate, leading to a deficiency in meeting their mental and psychosocial needs.
Facility staff failed to limit PRN psychotropic medication orders to 14 days for two residents, lacking specific duration and clinical rationale. One resident, cognitively intact and on hospice, had a Lorazepam order without a 14-day stop date. Another resident, severely cognitively impaired, had a Xanax order with similar issues. Staff interviews revealed oversight in entering orders into the electronic system.
Facility staff failed to properly store and label creams and ointments, with several items found opened, undated, and expired in treatment carts. Interviews revealed a lack of consistent process for checking outdated or unlabeled items, with the LPN, DON, and Administrator unaware of the deficiencies.
Failure to Engage Residents in Activities
Penalty
Summary
The facility staff failed to provide an ongoing activity program designed to meet the interests, mental, and psychosocial well-being of five dependent residents out of 24 sampled residents. The facility's policy directed the Activity Director (AD) to plan and organize activities for residents on both group and individual levels. However, observations showed that several residents were often found asleep in common areas with the TV on, indicating a lack of engagement in meaningful activities. The activity calendar listed various activities, but there was no evidence that these were effectively implemented for the residents observed. Resident #11 was assessed as severely cognitively impaired and was observed multiple times with eyes closed, either in bed or in the common area with the TV on. Similarly, Resident #13, who was moderately cognitively impaired, was also observed in the common area with eyes closed and the TV on during scheduled activities. Resident #20, with severe cognitive impairment, was found asleep in the common area during a church activity, and staff did not attempt to engage him/her. Resident #29, who valued religious activities, was also observed asleep during a church activity without staff intervention. Resident #52, moderately cognitively impaired, was observed in the front living area without engagement in activities. Interviews with staff, including an LPN, the AD, the Director of Nursing (DON), and the administrator, revealed that there was an expectation for all staff to assist residents in attending activities and ensuring they were awake and engaged. However, the AD admitted to being unable to provide sufficient one-on-one interactions due to the number of residents. The DON and administrator acknowledged that leaving residents asleep in front of the TV was not considered an activity, and staff should encourage residents to participate actively. Despite these expectations, the observations indicated a failure to implement the activity program effectively, leading to the deficiency.
Failure to Limit PRN Psychotropic Medication Orders to 14 Days
Penalty
Summary
The facility staff failed to ensure that as-needed psychotropic medication orders were limited to 14 days unless a specific duration and clinical rationale were provided. This deficiency was identified for two residents. The facility's policies did not include a psychotropic medication policy, which contributed to the oversight. Resident #14, who was cognitively intact and receiving hospice care, had an order for Lorazepam without a 14-day stop date or clinical rationale. The medication administration record showed that the resident did not receive the medication during the review period. Resident #45, who was severely cognitively impaired and demonstrated various behavioral symptoms, had an order for Xanax that also lacked a 14-day stop date or clinical rationale. The medication administration record indicated that the resident received Xanax on one occasion. Interviews with facility staff, including an LPN and the Director of Nursing, revealed that the charge nurse is responsible for ensuring compliance with the 14-day limit for PRN psychotropic medications. However, the oversight occurred when entering orders into the electronic system, and the staff did not know why orders were allowed for more than 14 days.
Deficiency in Medication Storage and Labeling
Penalty
Summary
The facility staff failed to properly store and label creams and ointments, as observed during a survey. Several items in the treatment carts were found to be opened and undated, including Nyamyc Nystatin powder, Lidocaine 4% topical cream, Nystatin cream, Clotrimazole and Betamethasone cream, Collagenase Santyl ointment, and Clobetasol Propironate topical solution. Additionally, some items were expired, such as Hydrogel tubes and chlorhexidine gluconate cloths. The facility's Medication Storage policy requires that no discontinued, outdated, or deteriorated drugs or biologicals be retained for use, and the Medication Destruction policy outlines the process for disposing of such items. Interviews with facility staff revealed a lack of a consistent process for checking treatment carts for outdated or unlabeled ointments and creams. An LPN responsible for overseeing the treatment carts admitted to not having a process for checking for outdated items and only occasionally reviewing the carts when a resident is discharged. The Director of Nursing (DON) stated that all nurses are responsible for periodically checking the carts, but was unaware of the expired and unlabeled items. The Administrator also acknowledged reliance on nursing staff and Certified Medication Technicians to check and discard outdated products according to the policy, but was unaware of the deficiencies found.
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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.
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Nursing homes near Cuba
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Steelville Senior Living | 7.3 mi | ★★★★★ | 2 | 0 |
| St James Living Center | 12.3 mi | ★★★★★ | 10 | 0 |
| Life Care Center Of Sullivan | 15.2 mi | ★★★★★ | 1 | 0 |
| Meramec Nursing | 15.2 mi | ★★★★★ | 1 | 0 |
| Stonebridge Owensville | 19.4 mi | ★★★★★ | 1 | 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.