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 La Plata Nursing Home during CMS and state inspections, most recent first.
The facility failed to maintain sanitary conditions in its food service operations, with staff observed handling food without proper hygiene practices and the kitchen environment inadequately maintained. A dietary staff member used the same gloves to serve food and handle lettuce, violating hygiene policies. Structural issues and unclean kitchen equipment further highlighted the facility's deficiencies.
The facility failed to document appropriate diagnoses for antipsychotic medications for three residents and did not complete a 14-day review for PRN lorazepam use for another resident. One resident received Seroquel for dementia without documented behaviors or a gradual dose reduction. Another resident was prescribed Seroquel for depression without a relevant diagnosis, and the physician declined a dose reduction despite behavioral issues. Additionally, PRN lorazepam orders lacked proper review and documentation.
The facility failed to follow infection control standards, including improper hand hygiene and glove use during medication preparation and personal care. Enhanced Barrier Precautions were not implemented for a resident with a feeding tube, and the facility did not adhere to its Legionella policy, lacking a comprehensive water management program. Tuberculin Skin Tests for employees were not completed or documented correctly.
The facility failed to ensure insulin and insulin-like products were labeled with the date opened and expiration date, affecting two residents. Observations revealed that insulin pens were not properly labeled, and staff interviews indicated a lack of adherence to labeling protocols. The Assistant Director of Nursing admitted to not auditing the insulins due to being busy, and the DON confirmed that unlabeled insulin should not be administered.
The facility failed to ensure proper medication administration practices, as staff did not remain with residents during medication administration and left medications unattended. A resident reported confusion over medication labeling, while another resident, with vision impairments, had medications left at the bedside without a physician's order. The ADON and DON acknowledged these practices were against facility policy.
The facility failed to report an allegation of misappropriation of a resident's medications to the state agency. The DON received information about a resident hoarding pain medications and giving them to a CNA, who then passed them to their spouse, also a facility employee. The DON, unaware of the reporting requirement, did not notify the administrator or state agency immediately.
The facility failed to investigate an allegation of misappropriation of a resident's medications. The DON received information that a resident was hoarding pain medications and giving them to a CNA, who then passed them to their spouse, also a facility employee. The DON did not conduct a thorough investigation, only speaking with the ADON and an LPN, and did not interview the involved CNAs or other staff. The administrator was informed but did not initiate an investigation or report the incident to the state agency.
Sanitation and Hygiene Deficiencies in Food Service Operations
Penalty
Summary
The facility failed to maintain sanitary conditions in its food service operations, as observed during a survey. Dietary staff were seen handling food without adhering to proper hygiene practices. Specifically, a dietary staff member was observed using the same pair of gloves to serve food from a steam table and then reach into a container of lettuce, which was then served to residents. This action was repeated multiple times without changing gloves or washing hands, contrary to the facility's policy that mandates handwashing and changing gloves between tasks to prevent cross-contamination. In addition to improper food handling practices, the facility's kitchen environment was found to be inadequately maintained. Observations revealed structural issues such as a cracked ceiling support beam and flaking paint above food preparation areas. The kitchen hood and its components, including the suppression system and filters, were covered in dust, debris, and oily material, indicating a lack of regular cleaning and maintenance. The stove top and backsplash were also noted to have significant carbon buildup and oily residue, further highlighting the facility's failure to maintain a clean and sanitary food preparation environment. Interviews with the dietary manager, registered dietician, and maintenance director revealed a lack of awareness and oversight regarding these deficiencies. The dietary manager, who had been in the position for six weeks, was unaware of the ceiling issues and the state of the kitchen equipment. The maintenance director confirmed that the range hood was cleaned by a contracted company every six months, but was unaware of the buildup on the filters. These interviews underscore a breakdown in communication and responsibility for maintaining the kitchen's cleanliness and adherence to food safety standards.
Inadequate Documentation and Review of Psychotropic Medication Use
Penalty
Summary
The facility failed to adequately document appropriate diagnoses or resident behaviors to justify the use of antipsychotic medications for three residents. One resident was prescribed Seroquel for dementia with agitation, but there was no care plan direction for staff regarding its use. The resident's medication administration records showed consistent administration of Seroquel without documented behaviors or a gradual dose reduction, despite a pharmacist's recommendation to evaluate the necessity of the medication. Another resident was prescribed Seroquel for depression, but there was no documentation of a diagnosis of schizophrenia, bipolar disorder, or major depressive disorder. The resident exhibited behaviors such as yelling and attempting to hit others, yet the care plan did not address the use of antipsychotic medications. The consulting pharmacist recommended a dose reduction, but the physician declined, citing the resident's behaviors as justification for continued use. Additionally, the facility failed to complete a 14-day review for the PRN use of lorazepam for a resident with a diagnosis of bipolar disorder. The order was open-ended with no stop date, and the physician provided a rationale for lifelong use without specifying a duration. Another resident had an open-ended PRN order for lorazepam without a documented rationale or duration, and the physician had not reviewed the pharmacist's recommendation to limit the medication to 14 days.
Infection Control and Policy Failures in LTC Facility
Penalty
Summary
The facility failed to adhere to professional standards of practice for infection control, as evidenced by staff not washing their hands or using hand sanitizer, and improperly using gloves during medication preparation and personal care for several residents. Specifically, a Certified Medication Technician (CMT) did not wash hands or wear gloves while preparing medications for a resident with dysphagia, using bare hands to open medication capsules. Additionally, Certified Nurse Assistants (CNAs) failed to change gloves and perform hand hygiene after providing pericare to residents, subsequently touching clean items with contaminated gloves. The facility also neglected to implement Enhanced Barrier Precautions (EBP) for a resident with a feeding tube, failing to post necessary signage or provide personal protective equipment (PPE) outside the resident's room. Staff were unaware of EBP requirements and did not use appropriate PPE during high-contact care activities. The Infection Preventionist acknowledged that EBP had not been fully implemented, and staff had not received education on the precautions. Furthermore, the facility did not follow its Legionella Surveillance and Detection policy, as evidenced by the lack of a comprehensive water management program and failure to investigate a resident's pneumonia diagnosis for possible Legionnaire's disease. The facility's water management team was not clearly identified, and there was no documentation of cold water temperature monitoring. Additionally, the facility did not ensure Tuberculin Skin Tests (TST) were completed and documented according to requirements for several employees, with missing or incomplete documentation of test results.
Failure to Label Insulin and Insulin-like Products
Penalty
Summary
The facility failed to ensure that insulin and insulin-like products were administered within the manufacturer's guidelines once opened, affecting two residents. The manufacturer's guidelines specify that Lantus insulin is good for 28 days, Victoza for 30 days, Toujeo for 56 days, Humulin R for 31 days, Aspart insulin for 28 days, and Novolog Flex pen for 28 days after opening. The facility's policy requires that multi-dose vials be dated and discarded within 28 days unless otherwise specified by the manufacturer. For Resident #5, the facility administered Novolog and Toujeo insulin without labeling the opened insulin pens with the date they were opened or the use-by date. Observations on November 7, 2024, revealed that the Aspart and Toujeo insulin pens were not labeled with the necessary information. Similarly, for Resident #16, the facility administered Lantus, Novolog, and Victoza without proper labeling. Observations showed that multiple insulin pens belonging to the resident were not labeled with the date they were opened or the use-by date. Interviews with staff, including Certified Medication Technicians and the Assistant Director of Nursing, revealed that there was an expectation for insulin to be labeled with the open date and expiration date. However, the staff responsible for opening the insulin did not ensure proper labeling, and the Assistant Director of Nursing admitted to not having audited the insulins due to being busy. The Director of Nursing confirmed that staff should not administer insulin without a date, as it would be unclear if it was within the appropriate time frame for use.
Medication Administration Deficiency
Penalty
Summary
The facility failed to ensure that residents received care and services in accordance with professional standards of practice, specifically in the administration of medications. For Resident #2, the nursing staff did not remain with the resident while administering medications, which led to confusion about whether the medication was intended for the resident. The resident, who was cognitively intact, reported that the nurse left a pill in a medication cup with an unclear name label and walked away. The resident had to verify with the nurse before taking the medication, indicating a lapse in the facility's medication administration protocol. Resident #1, who had cataracts and chronic obstructive pulmonary disease, reported that nursing staff left medications on the bedside table and left the room before the resident took them. The resident, who was also cognitively intact, mentioned that some nurses left an inhaler at the bedside, which the resident used as needed. This practice was not supported by a physician's order, as the resident's Physician Order Sheet did not include an order for medications to be left at the bedside. Resident #3, diagnosed with macular degeneration and cataracts, reported that staff often did not stay with the resident during medication administration. The resident, who used corrective lenses and was cognitively intact, had to rely on feeling the medications to identify them due to poor vision. The Assistant Director of Nurses acknowledged that some staff had been leaving medications with residents without ensuring they were taken, which was against the facility's policy. The Director of Nurses and the administrator confirmed that it was inappropriate for staff to leave medications unattended or at the bedside without a physician's order.
Failure to Report Misappropriation of Medications
Penalty
Summary
The facility failed to report an allegation of misappropriation of a resident's medications to the state survey agency. The Director of Nurses (DON) received information that an unnamed resident was hoarding pain medications and giving them to a Certified Nursing Assistant (CNA) employed by the facility, who then passed them to their spouse, also a facility employee. This incident was not reported to the state agency within the required time frame, as the DON did not realize it was a reportable incident. The facility's policy on abuse prevention and reporting did not include the responsibility to report and investigate allegations of misappropriation to the state agency within the required time frames. The DON, who had been in the position for about 10 months, was unaware of the need to notify the administrator and state agency immediately. The administrator was informed of the incident a day later, upon returning to the facility, and expressed that the allegation should have been reported promptly to the state agency.
Failure to Investigate Alleged Misappropriation of Medications
Penalty
Summary
The facility failed to investigate an allegation of misappropriation of a resident's medications. The Director of Nurses (DON) received information from a former employee that an unnamed resident was hoarding pain medications and giving them to a Certified Nursing Assistant (CNA), who then passed them to their spouse, also a facility employee. Despite the report, the DON did not conduct a thorough investigation. The DON attempted to identify the resident but was unsuccessful and only spoke with the Assistant Director of Nurses (ADON) and one Licensed Practical Nurse (LPN) who denied leaving medications unattended. The DON did not interview the involved CNAs or any other staff or residents. The administrator was informed of the situation by the DON the day after the alleged incident. The administrator acknowledged that the DON should have initiated an immediate and thorough investigation into the misappropriation allegation. However, neither the DON nor the administrator conducted a comprehensive investigation or reported the incident to the state agency. The facility's policy on reporting abuse did not include the responsibility to investigate allegations or share results with the state agency, contributing to the oversight.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 61 citations issued within 25 miles in the last 12 months — 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 La Plata
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Twin Pines Adult Care Center | 11.5 mi | ★★★★★ | 3 | 0 |
| Kirksville Manor Care Center | 11.5 mi | ★★★★★ | 23 | 0 |
| Macon Health Care Center | 18.5 mi | ★★★★★ | 0 | 0 |
| Loch Haven | 19.4 mi | ★★★★★ | 27 | 0 |
| Knox County Nursing Home District | 20.6 mi | ★★★★★ | 1 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.