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 Golden Age Living Center during CMS and state inspections, most recent first.
Staff failed to investigate and document a discrepancy involving missing doses of a controlled narcotic for a resident. Despite facility policy requiring urgent investigation and documentation of such incidents, there was no evidence of an investigation or proper recordkeeping. Interviews with a CMT, LPN, DON, and the administrator revealed confusion about responsibilities and a lack of adherence to established procedures.
Facility staff failed to document the code status of several residents in their care plans, leading to discrepancies between residents' wishes and documented orders. Interviews revealed a lack of communication and follow-up among staff, including the MDS Coordinator and SSD, resulting in inconsistencies in code status documentation. This poses a risk of providing care that does not align with residents' wishes.
Facility staff failed to perform pre-dialysis assessments and maintain communication with a dialysis clinic for a resident requiring dialysis. The facility's policy required communication with the clinic, but this was not followed. Interviews revealed that vital signs were not checked before or after dialysis, and there was no formal communication system. The resident reported receiving information from the clinic, but the facility did not document or communicate this data. The LPN and DON confirmed the lack of a formal communication system, and the administrator was unaware of these lapses.
Failure to Investigate and Document Missing Controlled Medication
Penalty
Summary
Facility staff failed to complete an investigation regarding missing controlled narcotic medication for one resident after three doses of clonazepam were found to be unaccounted for. The facility's policies require that all discrepancies in controlled medication counts be urgently investigated, with all involved parties interviewed, and documentation maintained in the administrator's office. Despite these requirements, staff did not document an investigation or the results of any inquiry into the missing medication, nor did they record the discrepancy in the resident's chart or on the controlled medication sheet. The resident involved had been admitted with generalized weakness and a right femur fracture and had an active order for clonazepam. Staff records showed a discrepancy in the count of clonazepam tablets, with three doses missing and circled on the count sheet. However, there was no documentation in the resident's progress notes or other records to indicate that an investigation was conducted or that the required steps outlined in facility policy were followed. Interviews with staff, including a CMT, an LPN, the DON, and the administrator, revealed a lack of clarity regarding responsibility for investigating and documenting medication discrepancies. The DON acknowledged awareness of the discrepancy but did not document any investigation or notify the appropriate authorities as required by policy. The administrator confirmed that staff did not follow facility policy regarding the investigation and documentation of controlled medication discrepancies. The DON stated that the issue was attributed to a counting error on admission but could not confirm whether the pills were miscounted or actually missing. There was no evidence that the incident was reported to the Division of Health and Senior Services hotline or that the pharmacist was notified, as required by facility guidelines.
Failure to Document Code Status in Care Plans
Penalty
Summary
The facility staff failed to consistently document the code status of residents in their comprehensive care plans, which is a critical aspect of honoring residents' rights to request, refuse, or discontinue treatment. This deficiency was identified for nine residents, where their code status as Do Not Resuscitate (DNR) or Full Code was not documented in their care plans. Additionally, for two residents, the facility failed to transcribe or correct code status orders, leading to discrepancies between the residents' wishes and the documented orders. Interviews with facility staff, including the MDS Coordinator, SSD, and DON, revealed a lack of communication and follow-up regarding the residents' code status. The MDS Coordinator admitted to not updating the care plans with the correct code status, and the SSD acknowledged not verifying if the care plans were updated after changes in code status were communicated. The DON and other staff members expressed that the code status should be documented in the care plans, but there was confusion and inconsistency in ensuring this was done. The failure to document and update code status in care plans poses a risk of providing care that does not align with the residents' wishes. Interviews highlighted that staff relied on various sources, such as face sheets and POS, to determine code status, but discrepancies existed between these documents and the care plans. This inconsistency could lead to situations where residents receive unwanted resuscitation efforts or are not resuscitated when they wish to be, as noted by several staff members during interviews.
Failure in Pre-Dialysis Assessment and Communication
Penalty
Summary
Facility staff failed to perform a pre-dialysis assessment and maintain ongoing communication with the dialysis clinic for a resident requiring dialysis services. The facility's policy and procedure, dated 04/05/23, directed staff to communicate with the dialysis clinic, but this was not adhered to. The memorandum of agreement with the dialysis clinic outlined responsibilities for the facility to assess the patient's physical condition and communicate stability to the dialysis facility's nurse manager prior to each transfer. However, the medical record for the resident showed no documentation of pre-dialysis assessments or communication of vital signs from 11/04/24 to 01/28/25. Interviews with the resident and facility staff revealed that vital signs were not checked before or after dialysis, and there was no formal communication system with the dialysis clinic. The resident reported that the dialysis clinic provided a paper with information upon return, but the facility did not document or communicate this data. The LPN and DON confirmed the lack of a formal communication system and acknowledged that staff did not follow the facility's policy. The administrator was unaware of the communication lapses and the absence of a system to ensure vital signs were shared between the facility and the dialysis clinic.
What surveyors are citing around you — mapped
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Illustrative
What surveyors actually found near you
We read the 83 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
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Stover
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Good Shepherd Care Center | 7.2 mi | ★★★★★ | 0 | 0 |
| Good Samaritan Care Center | 12.1 mi | ★★★★★ | 0 | 0 |
| Tipton Oak Manor | 18.1 mi | ★★★★★ | 0 | 0 |
| Laurie Care Center | 18.1 mi | ★★★★★ | 0 | 0 |
| Lincoln Community Care Center | 18.8 mi | ★★★★★ | 7 | 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.