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 Daviess County Nursing And Rehabilitation during CMS and state inspections, most recent first.
Staff failed to obtain physician's orders, complete assessments, or secure authorization for the use of chair and bed alarms for three residents with cognitive impairment and fall risk. Alarms were used without required documentation, and facility leadership confirmed that assessments and consents were not completed as per policy.
The facility did not provide an ongoing, individualized activity program to meet the physical, mental, and psychosocial needs of residents. Several residents with cognitive impairments and other diagnoses were observed without engagement in activities, and staff failed to assess, document, or encourage participation based on residents' preferences. Activity records and care plans were incomplete or missing, and scheduled activities were not consistently offered or announced.
The facility did not employ a qualified activities professional to oversee its activities program, as the part-time activities director lacked required certifications and training. The activities director did not complete resident assessments, maintain records of activity preferences, or plan activities for the memory care unit. A CNA without activities training assisted with planning, and the facility lacked a policy on activities professional requirements.
Staff failed to clean and maintain CPAP equipment according to facility policy and manufacturer guidelines for two residents with significant medical needs. Observations showed dusty machines, debris on masks and filters, and improper storage, with no care plan or cleaning orders in place. The DON confirmed that cleaning protocols were not followed, resulting in a deficiency in safe respiratory care.
Staff did not consistently cover, label, or date refrigerated and frozen food and drink items, and the walk-in freezer was found with significant ice buildup, wet packaging, and temperatures above recommended levels. The kitchen had multiple areas of peeling paint, cracks, stains, and missing floorboards, and staff did not always wear hairnets as required, with some hair left uncovered during food preparation. The facility lacked policies addressing these issues.
Several residents with severe cognitive impairment and dependent on wheelchairs were found using wheelchairs with damaged arm rests, including torn coverings and exposed foam. Staff interviews indicated that maintenance requests were inconsistently addressed, and the maintenance director was unaware of the issues. No policy for wheelchair maintenance was provided.
A resident with a recent below-the-knee amputation and vascular issues did not receive a physician-ordered wheelchair leg extender to keep the leg elevated. Despite multiple staff observations and care plan instructions, the resident was repeatedly seen with the amputated leg hanging down unsupported, and staff interviews revealed a lack of awareness and assessment for the required adaptive device.
A resident with Alzheimer's disease, impaired mobility, and incontinence was repeatedly observed without a pressure-relieving cushion in their wheelchair or recliner, despite a care plan and facility policy requiring such interventions for pressure ulcer prevention. Staff confirmed the absence of a specialty cushion, and the resident experienced pain and skin breakdown in the buttocks area.
Failure to Obtain Orders, Assessments, and Consents for Chair and Bed Alarms
Penalty
Summary
The facility failed to ensure that services provided met professional standards of quality by not obtaining physician's orders, resident representative authorization, or completing assessments for the use of chair and bed alarms for three residents. Facility policy requires an assessment of the need for restraint use, obtaining a physician's order, and developing or reviewing a care plan for the type of restraint, reason for use, and methods to reduce or eliminate restraint. Despite these requirements, there was no documentation of assessments, orders, or consents for the use of chair or bed alarms for the residents in question. For one resident with moderately impaired cognition, a history of falls, and diagnoses including Parkinson's Disease and seizure disorder, a chair alarm was used daily without a physician's order, assessment, or consent. Observations confirmed the presence of the alarm, and staff interviews indicated the alarm was used due to the resident's tendency to attempt to get up unassisted. The care plan referenced the use of the alarm at the family's request, but there was no supporting documentation in the medical record for the required assessment or authorization. Another resident with severely impaired cognition, dependent for all mobility, and a history of falls, was observed with a chair alarm in use. The care plan and staff interviews confirmed the use of alarms, but again, there were no physician's orders, assessments, or consents documented. A third resident, also with severely impaired cognition and a history of falls, was observed with both chair and bed alarms in use, but lacked the necessary documentation and authorization. The DON and Administrator confirmed that assessments, orders, and consents were not completed for residents with alarms, contrary to facility policy and expectations.
Failure to Provide Individualized and Ongoing Activity Program
Penalty
Summary
The facility failed to provide an ongoing program of activities designed to meet the interests and physical, mental, and psychosocial well-being of each resident, as evidenced by observations, interviews, and record reviews. Multiple residents were observed sitting idle in their rooms or hallways without engagement in any activities, despite documented preferences and care plans indicating the importance of such activities. For example, one resident with severe cognitive impairment and a diagnosis of dementia and anxiety was observed sitting in a hallway without engagement, and there was no care plan or activity assessment available for this resident. Another resident with Alzheimer's disease and a history of enjoying crafts and reading was found sitting in their room with nothing to do, and staff did not offer or assist the resident in participating in group activities occurring nearby. Documentation and record-keeping regarding activity participation and preferences were lacking or incomplete for several residents. Activity participation records were not provided for requested residents, and activity assessments were either missing or not updated. Interviews with staff, including the Activity Director, revealed that activity assessments were not consistently completed, preferences were not tracked, and care plans were not updated to reflect residents' interests. The Activity Director admitted to not attending care plan meetings, not charting activity participation regularly, and not planning or carrying out activities on certain units, such as the memory care unit. Residents and their representatives reported that activities were not tailored to individual interests, and that staff did not consistently offer or encourage participation in activities. Some residents expressed a desire for more outdoor activities, assistance with personal interests such as reading or bird watching, and more activities geared toward specific groups, such as men. Observations confirmed that scheduled activities were not always announced or offered, and that residents were often left without stimulation or engagement, despite documented needs and preferences.
Unqualified Activities Director and Lack of Activities Program Oversight
Penalty
Summary
The facility failed to employ a qualified activities professional to oversee its activities program, as required. The part-time activities director had not completed an approved activities professional training program and did not possess any certifications related to activities. The facility did not have a policy regarding activities professional training and requirements. The job description for the Activities Director included responsibilities such as planning, organizing, and implementing programs to meet residents' needs, maintaining records, and ensuring compliance with regulations, but the qualifications only referenced knowledge of activities programming and geriatrics, without specifying required certifications or training. Interviews revealed that the activities director did not complete activities assessments for each resident, did not keep records of residents' activity preferences, and did not plan or carry out activities on the memory care unit. The activities director also stated a lack of interest in documentation and was observed performing non-activity-related tasks. The administrator confirmed the activities director was not certified and that a CNA, who also lacked activities training, helped plan activities for the memory care unit. The administrator expected the activities director to have specific training or certifications but relied on the MDS assessment to determine residents' activity preferences.
Failure to Properly Clean and Maintain CPAP Equipment
Penalty
Summary
Facility staff failed to properly clean and maintain CPAP equipment for two residents, as required by both facility policy and manufacturer guidelines. Observations revealed that CPAP machines, masks, and tubing were dusty, had white flaky debris, and filters were coated with grime and dust. The equipment was not stored in bags when not in use, and tubing was not dated. Additionally, there was no care plan in place for the use or care of the CPAP machine for one resident, and physician orders did not include instructions for cleaning the CPAP equipment. The facility's policy required cleaning and disinfection of resident care equipment according to CDC and OSHA standards, and the manufacturer's instructions specified daily and weekly cleaning of CPAP components. Residents involved had significant medical conditions, including Alzheimer's disease, obstructive sleep apnea, and severe cognitive impairment, and were dependent on staff for care. Despite these needs, staff did not follow established cleaning protocols, as confirmed by the Director of Nursing, who stated that CPAPs were expected to be cleaned weekly by night shift nurses using a vinegar and water solution, and that masks should be stored in bags when not in use. These actions and inactions led to the deficiency in providing safe and appropriate respiratory care.
Deficiencies in Food Storage, Kitchen Maintenance, and Staff Hygiene Practices
Penalty
Summary
Staff failed to follow professional standards for food service safety by not covering and dating refrigerated and frozen food and drink items. Observations revealed uncovered and undated applesauce bowls, undated liquid and ice cream containers, and frozen cauliflower bags without expiration or received dates. Additionally, drink pitchers in the memory unit refrigerator were found unlabeled. Interviews with the Dietary Manager and Administrator confirmed expectations that all opened food and drink items should be covered, labeled, and dated, but the facility did not provide a policy regarding these practices. The walk-in freezer was observed to be in poor repair, with thick layers of frost and ice on the floor and ceiling, frost on packaging, wet boxes, and water dripping from the ceiling. The freezer thermometer consistently read above the recommended 0°F, with temperatures recorded at 12°F and 7°F. Staff interviews indicated that ice buildup was a recurring issue, with defrosting occurring only once a year or as notified, and that the problem persisted despite previous attempts to reseal the freezer. The facility did not provide a policy on maintaining the freezer in safe operating condition. The kitchen environment was also found to be in disrepair, with multiple areas of peeling paint, cracks, water stains, missing floorboards, and dirty smudges on walls and ceilings. Observations showed that staff did not consistently wear hairnets as required by facility policy, with one dietary aide wearing a baseball cap and exposed hair, and the Dietary Manager wearing a hairnet that did not cover all hair. Interviews confirmed that staff were expected to wear hairnets that fully cover their hair, but this was not consistently practiced. The facility did not provide a policy regarding the maintenance of kitchen surfaces.
Failure to Maintain Safe Wheelchair Equipment
Penalty
Summary
The facility failed to maintain resident wheelchairs in a safe and functional condition, as evidenced by multiple observations of wheelchairs with ripped, peeling, or missing arm rest coverings and exposed foam or padding. Four residents, all with significant cognitive impairments and dependent on wheelchairs for mobility and staff for care, were affected. Specific observations included wheelchairs with foam sticking out, torn or cracked arm rests, and missing padding. These deficiencies were directly observed during routine checks and were not isolated incidents. Interviews with staff revealed that maintenance requests were communicated via forms or a clipboard at the nurses' station, but completion of repairs depended on the availability of the single maintenance staff member. The Maintenance Director was unaware of the need for repairs to the wheelchair arm rests, and there was no facility policy provided regarding the maintenance of wheelchair equipment. The Administrator confirmed that maintenance is informed of work orders through a communication binder and expected wheelchairs to be in good working order.
Failure to Provide Physician-Ordered Wheelchair Leg Extender
Penalty
Summary
Staff failed to provide a physician-ordered leg extender for a resident who had undergone a below-the-knee amputation and was dependent on a wheelchair for mobility. The resident had a history of diabetes, vascular insufficiency, and recent surgical amputation, with orders from a vascular physician to keep the leg elevated and to use a wheelchair extender to prevent the leg from hanging down. Despite these orders, multiple observations over several days showed the resident self-propelling in the wheelchair with the amputated leg hanging down unsupported and no extender in place. Interviews with nursing and therapy staff revealed a lack of awareness regarding the physician's order for a leg extender. The registered nurse was not aware of the order, and the physical therapist had not assessed or measured the resident for a leg extender. The resident's care plan included instructions to elevate the leg and avoid tight compression, but there was no evidence that the necessary adaptive device was provided or that therapy had evaluated the need for the extender. The resident expressed concerns about redness and discoloration on the remaining foot, which was observed to have a purple area and flaking skin. Staff interviews confirmed that the resident did not have an extender and sometimes removed regular leg rests, but the specific extender ordered by the physician was never provided. Facility leadership, including the DON and Administrator, acknowledged that therapy should have assessed and provided the extender as ordered.
Failure to Provide Pressure-Relieving Devices for At-Risk Resident
Penalty
Summary
The facility failed to implement appropriate interventions for a resident at moderate risk for pressure ulcers, as identified by a Braden Assessment score of 13 and a care plan that included the use of pressure-relieving devices and barrier creams. Despite documented risk factors such as Alzheimer's disease, impaired decision-making, urinary incontinence, and limited mobility, the resident was repeatedly observed sitting in a wheelchair or recliner without a pressure-relieving cushion. Staff interviews confirmed that the resident did not have a specialty cushion in either the wheelchair or recliner, and the resident frequently complained of pain and soreness in the buttocks area. The care plan specified the use of pressure relief mattresses and cushions, but these interventions were not consistently provided. Multiple observations over several days showed the resident with dark red/purple, fragile, and peeling skin on the buttocks and coccyx, and staff were seen performing incontinent care and applying barrier cream. The resident's representative also reported that the facility would not use cushions brought from home, and that the resident continued to complain of soreness. Nursing staff acknowledged the absence of a pressure-relieving cushion and stated that the cushion was missing. The facility's policy required the use of pressure-reducing devices for residents at risk, but this was not followed, resulting in the resident experiencing pain and skin breakdown.
What surveyors are citing around you — mapped
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Illustrative
What surveyors actually found near you
We read the 37 citations issued within 25 miles in the last 12 months — including the 2 immediate-jeopardy cases — 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
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Gallatin
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Hill Crest Manor | 12.3 mi | ★★★★★ | 0 | 0 |
| Quail Run Health Care Center | 18.3 mi | ★★★★★ | 1 | 0 |
| Cameron Nursing Center | 18.7 mi | ★★★★★ | 2 | 0 |
| Sunset Home | 20.1 mi | ★★★★★ | 1 | 0 |
| Sunnyview Nursing Home & Apartments | 23.4 mi | ★★★★★ | 10 | 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.