Above average — CMS composite of the measures below.
A standard survey is most likely before around December 2026
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 Nursing Home during CMS and state inspections, most recent first.
Failure to Complete Discharge Recapitulations: The facility did not complete a written discharge summary recapitulation for three discharged residents. The records showed one resident with moderate cognitive impairment and ADL assistance needs, another with severe cognitive impairment and dependence for ADLs, and a third with intact cognition but extensive ADL support needs; each had no recapitulation in the chart despite the facility's discharge summary policy requiring one.
Unsanitary glove use during meal service: A dietary aide served meals to three residents while wearing the same gloves after touching unclean surfaces, including the steam table, cabinet, meal cards, a bedside table, a cart, a wall, and the DM. The aide also touched the inside of plates and did not change gloves or wash/sanitize hands between residents. Staff interviews confirmed gloves should be changed after contact with unclean surfaces and between residents.
Failure to Use Enhanced Barrier Precautions: The facility did not ensure EBP were used for two residents with indwelling medical devices, including a foley catheter and a PEG tube. There was no EBP signage or gown-and-glove supply cart near the rooms, and staff did not wear gowns during feeding tube care or peri care. Interviews showed multiple staff, including an LPN, CNA, DON, and the Infection Preventionist, did not know when EBP should be used and believed it applied only to residents with infections such as COVID, flu, or C-diff.
Failure to Track and Evaluate Handwashing PIP: The facility failed to prioritize improvement activities and did not regularly review, analyze, or act on data for its handwashing PIP. QAPI minutes showed no tracking of performance improvement, and the QAPI director/medical records clerk was unsure how improvement would be measured. The Asst. Administrator/IP stated there had been no performance improvement tracking since the PIP began and that no event prompted the PIP.
A resident with severe cognitive impairment was subjected to verbal and physical abuse by a CNA, who forcibly placed the resident into a wheelchair while using harsh language. The incidents were witnessed by dietary staff but were not reported immediately, contrary to the facility's abuse prevention policy. The CNA was later terminated, but the lack of immediate reporting and proper documentation contributed to the deficiency.
The facility did not employ a full-time LNHA, resulting in inadequate oversight of operations such as the Facility Assessment and Quality Assurance program. The Administrator worked part-time, while the unlicensed Assistant Administrator assumed many duties, causing confusion among residents and staff. The absence of a full-time LNHA led to gaps in administrative functions, including outdated facility assessments and poorly attended QAPI and QAA meetings.
The facility did not conduct or document a facility-wide assessment to determine necessary resources for resident care during routine and emergency situations. The Administrator, who does not work full-time at the facility, was unaware of the requirement and had not completed an assessment. The facility's Matrix for Providers showed a census of 43 residents with various care needs, including dementia, tube feeding, and hospice services.
The facility failed to obtain signatures on the NOMNC and SNF ABN forms for two residents before discharging them from Medicare services. One resident had moderate cognitive impairment and required total assistance, while the other had severe cognitive impairment and also required total assistance. Interviews revealed that the Social Services Director and Administrator were unaware of the unsigned documents, indicating a lapse in the facility's process to ensure compliance with Medicare requirements.
The facility failed to maintain a clean and homelike environment, with numerous deficiencies observed such as damaged walls, rusted vents, water-stained tiles, and debris in light fixtures. Interviews revealed unclear responsibilities between housekeeping and maintenance staff, and the facility lacked a policy for cleaning and maintenance.
The facility failed to conduct necessary background checks on newly hired employees, affecting eight employees. The facility did not verify these employees through the Family Care Safe Registry (FCSR) or the Nurse Aide (NA) Registry. The Personnel Policy lacked information on criminal background checks, and the Abuse and Neglect Policy did not include verification procedures. The Business Office Manager was unaware of these requirements, and the Administrator confirmed that verifications should be completed before employment.
The facility failed to ensure that nursing staff, including nurse aides and a certified medication technician, had the appropriate competencies and skills to provide care. Employee files showed no competency evaluations at hire or within the last 12 months. The DON admitted to not documenting observations of staff performance, contributing to the deficiency.
A facility failed to ensure a nurse aide completed required CNA training within four months of employment. The aide, hired while in high school, was unaware of the certification requirement and was not enrolled in classes. The administration had not discussed the need for certification, and the DON confirmed the aide was uncertified. The facility lacked a policy on nurse aide use.
The facility lacked administrative oversight for its QAPI program, potentially affecting all 43 residents. The Administrator, responsible for the QAPI and QAA programs, did not attend several 2024 meetings. The Administrator works two days a week, while the Assistant Administrator, who is not licensed, is usually present but may not attend every meeting.
The facility did not hold quarterly QAA meetings with the required members. Only the Medical Director and DON attended meetings, and the Administrator, who works part-time, did not participate. The QAA Coordinator compiles information from QAPI meetings for review, but no other staff were involved in discussions with the Medical Director.
The facility failed to implement an effective training program for staff, lacking a comprehensive facility assessment and tracking of required training hours. This affected all 43 residents, with no education on dementia care or care of cognitively impaired residents. Employee files showed no tracking of required training, and the DON admitted to not documenting observations or having a tracking tool for education hours.
The facility failed to conduct competency evaluations for nursing staff, including nurse aides and a certified medication technician, at least yearly. This deficiency affected all residents, with no evaluations documented at the time of hire or within the last 12 months. The DON and Assistant DON observed staff quarterly but did not document these observations, acknowledging that undocumented actions are considered not done.
A facility failed to follow its abuse and neglect policy when staff did not immediately report or intervene in two incidents of abuse involving a resident with severe cognitive impairment. A CNA was observed verbally and physically abusing the resident, causing fear and injury. The incidents were not reported immediately due to staff oversight, leading to a delay in addressing the abuse. The CNA was later terminated after an investigation.
A resident with severe cognitive impairment was subjected to verbal and physical abuse by a CNA, who grabbed and jerked the resident into a wheelchair while yelling. The incidents were witnessed by staff but not reported immediately, violating the facility's abuse policy. The resident suffered bruising, and the CNA was suspended after the investigation.
Failure to Complete Discharge Recapitulations
Penalty
Summary
The facility failed to complete a recapitulation, or detailed summary of the resident's stay, for three sampled residents who were discharged from the facility. The facility's discharge summary policy stated that the facility would communicate necessary information to the resident, continuing care provider, and other authorized persons at the time of discharge, and that the discharging resident must have a written discharge summary including a recapitulation of the resident's stay. Resident #42 was admitted on 1/4/25 and discharged on 7/15/25; the record showed moderate cognitive impairment, substantial assistance needed for toilet hygiene, dressing, toilet use, and transfers, and diagnoses including high blood pressure, high cholesterol, and arthritis, but no recapitulation was found. Resident #43 was admitted on 11/12/24 and discharged on 2/23/25; the record showed severe cognitive impairment, dependence on staff for toilet hygiene, dressing, toilet use, and transfers, and diagnoses including high blood pressure, high cholesterol, coronary artery disease, and dementia, but no recapitulation was found. Resident #44 was admitted on 5/11/23 and discharged on 4/2/25; the record showed cognitive skills intact, assistance of two staff for personal hygiene, dressing, toilet use, and transfers, assistance of one with eating, set up and clean up for oral hygiene, showers, and personal hygiene, and diagnoses including dysphagia, quadriplegia, and chronic pain, but no recapitulation was found.
Unsanitary glove use during meal service
Penalty
Summary
The facility failed to ensure food was served to residents in a sanitary manner when Dietary Aide A served meals to three residents after touching unclean surfaces with gloved hands and without changing gloves or washing hands between residents. The report states the facility did not provide the requested policy on sanitary handling of food served to residents. Resident #22 had severe cognitive impairment, partial assistance needs for ADLs and eating, and diagnoses including cancer, high blood pressure, and heart failure. Resident #23 had severe cognitive impairment, was dependent on staff for ADLs, needed partial assistance for eating, and had diagnoses including aphasia, high blood pressure, and irregular heartbeat. Resident #27 had severe cognitive impairment, was dependent on staff for ADLs and eating, and had diagnoses including high blood pressure, high cholesterol, and a thyroid disorder. During observation in the dining room, Dietary Aide A served meals to Residents #22, #23, and #27 while wearing the same gloves, touched the inside of plates with gloved thumbs, touched the steam table, cabinet, meal cards, a bedside table, a metal cart, a wall, and the dietary manager, and did not change gloves between residents. Interviews with Dietary Aide A, the dietary manager, the registered dietitian, and the administrator confirmed that gloves should be changed after touching unclean surfaces and between residents, or hands should be washed or sanitized between residents.
Failure to Use Enhanced Barrier Precautions
Penalty
Summary
The facility failed to establish and maintain an infection prevention and control program when it did not ensure enhanced barrier precautions (EBP) were used for residents with wounds and/or indwelling medical devices. The facility’s EBP policy, dated 10/2/2020, stated that EBP apply to residents with wounds and/or indwelling medical devices, including urinary catheters and feeding tubes, regardless of MDRO colonization status. Resident #4 had a foley catheter due to urinary retention with bladder obstruction, and Resident #1 had a gastrostomy with a PEG tube. Despite these conditions, there was no isolation signage posted in either resident’s room to notify staff and visitors of the need for EBP, and there was no isolation or supply cart with gowns and gloves available inside or near the rooms. Observation of Resident #1’s room showed that on 09/04/2025 at 8:59 A.M., LPN A did not wear a gown when disconnecting the resident’s feeding tube, and CNA B and CNA C did not wear gowns when providing peri care to the resident. During interviews, CMT A and CNA C said they were not sure what EBP was or when it should be used. LPN A stated he/she would not wear a gown when providing care for a resident with an IV, feeding tube, or catheter unless the resident had an infection such as COVID or the flu. The DON said EBP was to be worn with COVID, flu, blood borne pathogens, and C-diff, and staff do not wear EBP when caring for residents with IVs, feeding tubes, or catheters. The Assistant Administrator/Infection Preventionist gave the same explanation and was unable to define what EBP was or when it should be used.
Failure to Track and Evaluate Handwashing PIP
Penalty
Summary
The facility failed to prioritize its improvement activities and to regularly review, analyze, and act on data collected for its performance improvement plan. Review of the facility’s QAPI policy dated 10/31/2024 showed that the QAPI program was to gather quality concerns from multiple data sources, identify quality issues, correct them or show targeted improvement through scheduled monitoring, and develop and implement corrective action and performance improvement programs while monitoring and evaluating effectiveness and revising as needed. However, review of the 2025 QAPI meeting minutes showed there was no tracking of performance improvement for the facility’s handwashing PIP. During interview, the QAPI director/medical records clerk stated the handwashing PIP began on 1/19/2025, signs were posted around the building to educate staff on proper handwashing technique, and additional hand sanitizer stations were placed across the facility, but he/she was not sure how improvement with handwashing would be measured. The Assistant Administrator/Infection Preventionist stated there would be an in-service on handwashing next month for all staff, that there had been no performance improvement tracking for the handwashing PIP since it was put in place at the beginning of the year, and that there was no event that prompted the handwashing PIP; it was started because it was thought to be a good topic to review with staff.
Resident Abuse by CNA and Delayed Reporting
Penalty
Summary
The facility failed to protect a resident from verbal and physical abuse by a Certified Nursing Assistant (CNA). The incident involved a resident with severe cognitive impairment due to dementia, who requires substantial assistance with daily activities. On two separate occasions, the CNA was observed grabbing the resident's arm and forcing them into a wheelchair while using harsh language. The resident was visibly shaken and fearful during these interactions, and on one occasion, sustained bruising to the right forearm. The facility's Abuse and Neglect Policy mandates that all staff be trained to prevent and report abuse. However, the incidents were not reported immediately by the witnesses, which included dietary staff. The Kitchen Supervisor and Dietary Aide A both witnessed the CNA's rough handling of the resident but failed to report the incidents to a supervisor or administrator as required by the policy. This lack of immediate reporting delayed the facility's response to the abuse. The facility's investigation into the incidents revealed that the CNA admitted to using force because the resident did not listen. The CNA was subsequently suspended and later terminated. The Assistant Administrator confirmed that there was no documentation in the employee's file regarding the reason for termination, highlighting a gap in the facility's documentation practices. The facility's failure to ensure immediate reporting and documentation of the abuse incidents contributed to the deficiency.
Lack of Full-Time LNHA Leads to Administrative Deficiencies
Penalty
Summary
The facility failed to employ a full-time Licensed Nursing Home Administrator (LNHA) responsible for the operation of the facility, which led to a lack of oversight in critical areas such as the development of a Facility Assessment and the Quality Assurance program. The Administrator worked only part-time, two days a week, while the Assistant Administrator, who was not a licensed LNHA, assumed many of the administrative duties. This arrangement resulted in confusion among residents and staff, who often perceived the Assistant Administrator as the primary authority figure. The absence of a full-time LNHA contributed to significant gaps in the facility's operations. The Administrator was unaware of the requirement for a current facility assessment, with the most recent one dated 2022. Additionally, the Quality Assurance and Performance Improvement (QAPI) meetings were inadequately attended, with the Administrator missing several meetings throughout the year. The QAA Committee meetings were also poorly attended, with only the Medical Director and Director of Nursing present, indicating a lack of comprehensive oversight and participation from key administrative personnel. The facility's failure to maintain a full-time LNHA and the resulting administrative deficiencies were evident in the interviews conducted with residents, family members, and staff. Residents and family members were under the impression that the Assistant Administrator was the Administrator due to her constant presence, while the Director of Nursing confirmed that the Assistant Administrator made decisions in the absence of the Administrator. This situation highlights the facility's inability to ensure proper administrative oversight and compliance with federal and state regulations, ultimately affecting the quality of care provided to the residents.
Failure to Conduct Facility-Wide Assessment
Penalty
Summary
The facility failed to conduct and document a comprehensive facility-wide assessment to determine the necessary resources for competent resident care during both routine operations and emergencies. This deficiency was identified through interviews and record reviews, revealing that the facility did not have a current assessment in place. The facility's Matrix for Providers indicated a census of 43 residents, with specific characteristics including 26 residents diagnosed with dementia, one resident fed via tube, three residents with indwelling catheters, 11 residents with a history of falls, and six residents receiving hospice services. During an interview, the Administrator admitted to not working full-time at the facility and being unaware of the requirement for a facility assessment, stating that she had found information online but had not yet completed an assessment.
Failure to Obtain Required Signatures on Medicare Non-Coverage Notices
Penalty
Summary
The facility failed to obtain necessary signatures on the Notice of Medicare Non-Coverage (NOMNC) and the Skilled Nursing Facility Advanced Beneficiary Notice (SNF ABN) forms for two residents prior to their discharge from Medicare services. Resident #4, who had moderate cognitive impairment and required total assistance with activities of daily living, was admitted to skilled Medicare Part A services on March 1, 2024, with the last covered day being April 26, 2024. Similarly, Resident #11, who had severe cognitive impairment and also required total assistance, was admitted on February 22, 2024, with the last covered day being March 31, 2024. In both cases, the facility did not secure signatures from the residents, their representatives, or facility staff on the required forms. Interviews with facility staff revealed a lack of awareness regarding the unsigned documents. The Social Services Director was unaware that the forms lacked signatures, although she acknowledged that they should be signed to confirm receipt. The Administrator indicated that the social service designee was responsible for managing these forms and was also unaware of the oversight. This deficiency highlights a failure in the facility's process to ensure compliance with Medicare requirements for notifying residents or their representatives about coverage and potential liability for services not covered.
Facility Fails to Maintain Clean and Homelike Environment
Penalty
Summary
The facility failed to maintain a safe, clean, comfortable, and homelike environment for its residents, as evidenced by numerous deficiencies observed in the physical condition of the facility. Observations revealed significant issues such as a gash in the sheet-rock, multiple nicks and scratches on hallway walls, rusted ceiling vents, water-stained ceiling tiles, and carpets with water stains. Additionally, there were multiple light fixtures with dead bugs and debris, cobwebs in various corners, and dust, dirt, and debris behind fire doors. The nurse's station area had peeling non-skid matting, cracked and peeling vinyl chairs, a water fountain with crusty debris, and loose or missing handrail components. Similar issues were noted in other areas, including the 400 and 200 halls, the conference room, and the north dining room area, which also had cobwebs, dust, debris, and rusted fixtures. Interviews with facility staff indicated a lack of clarity and responsibility regarding cleaning and maintenance duties. The Housekeeping supervisor stated that maintenance personnel were responsible for cleaning hallways, dusting, and cleaning light fixtures, while the Administrator confirmed that maintenance was responsible for cleaning hallways and lights and completing repairs, with housekeeping handling daily room cleanings. The facility did not provide a policy for cleaning, maintenance, and care of furnishings, contributing to the observed deficiencies in maintaining a homelike environment.
Failure to Conduct Background Checks on New Employees
Penalty
Summary
The facility failed to conduct necessary background checks on newly hired employees, affecting eight out of eight sampled employees hired since August 2024. The facility did not verify these employees through the Family Care Safe Registry (FCSR) or the Nurse Aide (NA) Registry to ensure they did not have a history of abuse, neglect, exploitation, or theft. The facility's Personnel Policy, dated January 2020, lacked information regarding the requirement for criminal background checks prior to employment. Additionally, the facility's undated Abuse and Neglect Policy did not include procedures for verifying staff through the FCSR or the NA Registry. During interviews, the Business Office Manager and the Administrator acknowledged the oversight, with the Business Office Manager unaware of the verification requirements and the Administrator confirming that such verifications should be completed before new employees start work.
Deficiency in Staff Competency Evaluations
Penalty
Summary
The facility failed to ensure that five randomly sampled nursing staff, including Nurse Aide A, Certified Nurse Aides A, B, and C, and a Certified Medication Technician, had the appropriate competencies and skill sets to provide nursing and related services. This deficiency was identified through observation, interview, and record review, and it potentially affected all residents in the facility, which had a census of 43. The facility did not have a policy on competencies, and the employee files reviewed showed that none of the sampled staff had undergone a competency evaluation at the time of hire or within the last 12 months. During interviews, the Administrator stated that the Director of Nursing (DON) was responsible for training and competency. The DON mentioned that in-services were planned a year in advance and as needed, and that she and the Assistant DON observed aides performing care quarterly. However, the DON admitted that these observations were not documented, acknowledging that if something is not documented, it is considered not done. This lack of documentation and formal competency evaluations contributed to the deficiency in ensuring staff competencies.
Failure to Enroll Nurse Aide in Required Training
Penalty
Summary
The facility failed to ensure that a nurse aide completed a nurse aide training program within four months of employment, as required. The nurse aide, who was hired on September 13, 2023, completed an orientation module but was not enrolled in any Certified Nurse Aide (CNA) training classes. During an interview, the nurse aide stated that they began employment while still in high school and were not aware of the requirement to be certified within four months of hire. The administration had not discussed CNA classes with the nurse aide, and the Director of Nursing confirmed that the nurse aide was not certified and was unsure why they had not been enrolled in classes. The facility did not provide a policy on the use of nurse aides.
Lack of Administrative Oversight in QAPI Program
Penalty
Summary
The facility failed to maintain administrative oversight for its Quality Assurance and Performance Improvement (QAPI) program, which had the potential to affect all 43 residents. The facility's policy, dated February 13, 2023, states that the Board of Directors and Administration are responsible for the ongoing QAPI program. However, the review of QAPI meeting minutes for 2024 revealed that the Administrator did not attend meetings on February 2nd, May 30th, June 21st, and August 1st. Interviews with the Human Resources/QAPI Coordinator and the Assistant Administrator indicated that the Administrator works only two days a week, and the Assistant Administrator, who is not licensed, is typically present Monday through Friday but may not attend every meeting. Despite the Assistant Administrator's presence, the Administrator is designated as the head of the QAPI and Quality Assessment and Assurance (QAA) program.
Inadequate QAA Meeting Attendance
Penalty
Summary
The facility failed to ensure that quarterly Quality Assessment and Assurance (QAA) meetings were held with the required members. The facility's policy, dated March 3, 2023, mandates that the QAA Committee should include the Administrator, Medical Director, Director of Nursing (DON), Infection Preventionist, and clerical staff, with additional staff as needed. However, the review of meeting notes revealed that only the Medical Director and DON were present for the meetings held on January 31, 2024, April 22, 2024, and August 24, 2024, with no meeting conducted in July 2024. During an interview, the DON stated that she typically meets with the Medical Director on weekends, and the QAA Coordinator compiles information from monthly Quality Assurance and Performance Improvement (QAPI) meetings for review. The Administrator, who works only two days a week, does not attend these meetings, and no other staff members participate in the discussions with the Medical Director.
Deficiency in Staff Training and Facility Assessment
Penalty
Summary
The facility failed to implement an effective training program for both new and existing staff members, as evidenced by the absence of a comprehensive facility assessment that should include staff competencies and skill sets necessary for the care of the resident population. The facility also did not track attendance and hours of training for staff members, who are required to complete at least 12 hours of education annually. This oversight had the potential to affect all 43 residents in the facility. The facility did not provide a facility assessment or a policy on staff education and competencies. A review of education records showed various training sessions were completed, but there were no time frames for the length of training to ensure the required 12 hours. Additionally, there was no education provided on dementia care, care of cognitively impaired residents, or restorative nursing. Employee files revealed that several staff members, including nurse aides and certified medication technicians, had no tracking of required training. During interviews, the Director of Nursing (DON) stated that she and the Administrator create the yearly education calendar and observe staff performing care quarterly, but she has not documented these observations. The DON also mentioned that there is no tracking tool for hours of education and attendance at required training. The Administrator confirmed that the DON is responsible for education, tracking, and the education calendar, and acknowledged that the facility did not have a facility assessment.
Failure to Conduct Competency Evaluations for Nursing Staff
Penalty
Summary
The facility failed to ensure the continued competence of nurse aides by not performing competency evaluations at least yearly for five randomly sampled nursing staff, including Nurse Aide A, Certified Nurse Aides A, B, and C, and a Certified Medication Technician. This deficiency had the potential to affect all residents, with the facility census being 43. The facility did not provide a facility assessment or a policy on competency. Employee files revealed that none of the sampled staff had competency evaluations at the time of hire or within the last 12 months. During interviews, the Administrator stated that the Director of Nursing (DON) was responsible for staff training and competency. The DON mentioned that in-services were planned a year in advance and as needed, and that she and the Assistant DON observed aides quarterly but did not document these observations. The DON acknowledged that if something is not documented, it is considered not done.
Failure to Report and Address Resident Abuse
Penalty
Summary
The facility failed to adhere to its abuse and neglect policy when staff did not immediately intervene or report two separate incidents of staff-to-resident abuse. The incidents involved a resident with severe cognitive impairment, who required substantial assistance with daily activities. On one occasion, a Certified Nurses Assistant (CNA) was observed by the Kitchen Supervisor to have verbally and physically abused the resident by jerking them into a wheelchair, causing the resident to cry out in pain and appear fearful. The Kitchen Supervisor, although trained in abuse and neglect reporting, did not report the incident immediately due to being busy and subsequently forgetting. In a second incident, the same CNA was observed by a Dietary Aide to have aggressively handled the resident, insisting they sit in a wheelchair despite the resident's protests. The Dietary Aide assisted the CNA but did not report the incident immediately. The Kitchen Supervisor later noticed a bruise on the resident's forearm, which prompted them to recall the previous incident and report it to the Assistant Administrator two days later. The Assistant Administrator, upon receiving the report, interviewed the CNA, who admitted to using force with the resident. The CNA was subsequently suspended pending investigation and later terminated. The facility's policy requires immediate reporting of abuse or neglect to supervisory staff, but this protocol was not followed, leading to a delay in addressing the abuse incidents.
Failure to Protect Resident from Abuse
Penalty
Summary
The facility failed to protect a cognitively impaired resident from verbal and physical abuse by a Certified Nursing Assistant (CNA A). The incident involved CNA A grabbing the resident's arm and jerking them back into a wheelchair while yelling and cursing. This occurred in the dining room, where the resident was observed standing and leaning against a chair. The Kitchen Supervisor witnessed the incident and noted the resident appeared scared and shaken. Despite the resident's cognitive impairment, which included severe difficulty in understanding and communication, the CNA's actions were aggressive and inappropriate. The facility's Abuse and Neglect Policy mandates immediate reporting of any suspected abuse, but this protocol was not followed. The Kitchen Supervisor and Dietary Aide A, who both witnessed the incidents, failed to report them immediately to a supervisor or the administration. The policy clearly states that all employees must report any signs of abuse or neglect immediately, yet the delay in reporting allowed the abusive behavior to continue unchecked for several days. The resident involved had a history of severe cognitive impairment, requiring substantial assistance with daily activities. Despite this, the CNA's handling of the resident was rough and verbally abusive, leading to physical harm, as evidenced by bruising on the resident's forearm. The facility's investigation confirmed these events, and the CNA was eventually suspended pending further investigation. However, the failure to report the incidents promptly contributed to the deficiency in ensuring the resident's safety and well-being.
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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 Braymer
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Hill Crest Manor | 14.5 mi | ★★★★★ | 0 | 0 |
| Stonebridge Chillicothe | 20.1 mi | ★★★★★ | 0 | 0 |
| Livingston Manor Care Center | 20.4 mi | ★★★★★ | 17 | 0 |
| Morningside Center | 20.4 mi | ★★★★★ | 1 | 0 |
| Grand River Health Care | 20.5 mi | ★★★★★ | 3 | 1 |
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