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 Mt Vernon Nursing during CMS and state inspections, most recent first.
The facility failed to ensure dishes were properly air-dried before storage, leading to potential contamination. Observations showed various wet dishes stored upside down, contrary to policy and FDA guidelines. Staff interviews revealed a lack of awareness about proper drying procedures, indicating gaps in training and oversight.
The facility failed to provide written notification of hospital transfers for three residents, despite verbal notifications being made. Residents with serious health conditions were transferred to the hospital without receiving the required written notice. Interviews with staff, including an LPN and the DON, confirmed that while families were contacted by phone, no written notifications were sent, leading to a deficiency in compliance with notification regulations.
The facility failed to provide written bed hold notifications to residents or their representatives during hospital transfers, as required by policy. Three residents with various medical conditions were transferred without receiving the necessary written notifications. Staff typically communicated bed hold agreements verbally, contrary to the facility's policy.
The facility did not ensure drinks in the Special Care Unit were kept at a palatable temperature, with observations showing beverages like orange juice and Kool-aid stored at room temperature. Staff interviews revealed a lack of awareness and protocol for drink storage, and the facility lacked a related policy. The Administrator was unaware of the issue until informed by the surveyor.
The facility failed to administer and document the required two-step TB screening test for three staff members, including a Business Office Manager, a Certified Medication Technician, and an Activity Director. The tests were not conducted timely or documented correctly, contrary to the facility's infection control policy and state requirements. Interviews with staff revealed that TB testing should occur before new hires start working, but records showed discrepancies in the timing and documentation of these tests.
A facility failed to follow standards of practice by conducting finger stick blood glucose monitoring without a physician's order for a resident with severe dementia and diabetes when the Freestyle glucose monitor was unavailable. The resident's monitor had fallen off, and staff performed finger stick tests without obtaining the necessary order, as confirmed by interviews with facility staff.
A CNA at a long-term care facility violated a resident's privacy by posting a video on social media without permission. The video showed a resident with severe cognitive impairment and was identifiable, despite facility policies prohibiting such actions. Staff confirmed the privacy breach, recognizing the resident in the video and expressing concern over the incident.
Improper Drying of Dishes Leads to Potential Contamination
Penalty
Summary
The facility failed to ensure that food-related items were kept safe from potential contamination due to improper drying practices. Observations on two separate occasions revealed that various dishes, including coffee cups, plastic bowls, glass plates, and metal steam table pans, were found wet and stored upside down, preventing adequate air drying. This practice is contrary to the facility's policy and the 1999 Food Code, which require that dishes be air-dried before storage to prevent microorganism growth. Interviews with dietary staff and management revealed a lack of awareness and oversight regarding the proper drying procedures. Dietary Aides A and B were unaware that dishes should not be stacked in a manner that prevents air flow before being completely dry. The Dietary Manager and the Administrator were also not aware of the improper drying practices until the survey. The Director of Nursing acknowledged the requirement for dishes to be air-dried before storage, indicating a gap in communication and training among the staff.
Failure to Provide Written Notification of Hospital Transfers
Penalty
Summary
The facility failed to provide written notification of hospital transfers to residents and their representatives for three residents. Resident #20, who had diagnoses including quadriplegia and heart failure, was transferred to the emergency room twice due to severe health issues, but neither the resident nor their representative received written notification of these transfers. Similarly, Resident #40, with conditions such as pulmonary embolism and atrial fibrillation, was transferred to the hospital after a fall and subsequent drop in oxygen saturation, yet no written notification was provided. Resident #36, diagnosed with diabetes and viral hepatitis, exhibited severe confusion and anxiety, prompting a hospital transfer at the request of the resident's daughter. Again, the facility did not provide a written transfer notification to the resident or their representative. Interviews with facility staff, including an LPN, the Infection Preventionist, and the Director of Nursing, revealed that while verbal notifications were made to families, no written notifications were sent. The Administrator confirmed that the nursing staff completed transfer forms and contacted families by phone, but did not send written notifications. This lack of written communication constitutes a deficiency in the facility's compliance with regulations requiring timely written notification of transfers or discharges to residents and their representatives.
Failure to Provide Written Bed Hold Notifications
Penalty
Summary
The facility failed to notify residents and/or their representatives in writing about the bed hold policy during transfers to the hospital for three residents. The facility's policy, dated February 2014, requires a written bed hold agreement for each occurrence of hospital or therapeutic home leave. However, the facility did not adhere to this policy for Residents #20, #40, and #36, as documented in their medical records. Resident #20, who had diagnoses including quadriplegia and heart failure, was transferred to the emergency room on two occasions without receiving a written bed hold notification. Similarly, Resident #40, with conditions such as pulmonary embolism and atrial fibrillation, was sent to the hospital after a fall, and Resident #36, diagnosed with diabetes and pneumonia, was transferred due to severe confusion and anxiety. In all cases, the facility staff failed to provide the required written notification to the residents or their representatives. Interviews with facility staff, including an LPN, the Infection Preventionist, the DON, and the Administrator, revealed that the nursing staff typically contacted families by phone regarding bed holds but did not send written notifications. The staff completed transfer forms and sent them with EMS, but the bed hold agreements were often communicated verbally, contrary to the facility's policy.
Failure to Maintain Palatable Drink Temperatures in SCU
Penalty
Summary
The facility failed to ensure that residents in the Special Care Unit (SCU) had access to drinks at a palatable temperature. Observations over several days revealed that drinks such as orange juice, apple juice, Kool-aid, and tea were stored at room temperature, approximately 72 degrees Fahrenheit, on the counter in the SCU dining room. The drinks were not refrigerated, and there was no refrigerator available in the unit. The Registered Dietician acknowledged that while the drinks could be left out without significant bacterial growth, they would be more palatable if served cold or with ice. Interviews with staff, including a Certified Nurse Aide (CNA) and the Dietary Manager, indicated a lack of awareness and protocol regarding the storage and temperature of drinks. The CNA mentioned using the drinks for residents whenever needed but did not monitor their temperatures or duration on the counter. The Dietary Manager admitted to not delivering fresh drinks daily due to time constraints. The facility did not have a policy related to drink storage or temperatures, and the Administrator was unaware of the issue until it was brought to their attention by the surveyor.
Failure to Administer and Document TB Screening for Staff
Penalty
Summary
The facility staff failed to maintain a complete infection control program by not ensuring the timely administration and correct documentation of the required two-step tuberculosis (TB) screening test for three staff members. The Business Office Manager, Certified Medication Technician I, and Activity Director were among the ten sampled staff members who did not receive the TB tests as per the facility's policy and state requirements. The policy mandates that new employees undergo a two-step Tuberculin Skin Test (TST) or a TB blood test before starting work, with documentation of results. However, the records showed discrepancies in the administration and documentation of these tests, such as missing administration dates and tests being conducted well after the hire date. Interviews with the Infection Preventionist, Director of Nursing, and Administrator revealed that the facility's practice was to start TB skin testing before new hires began working, ideally two days before orientation, with the second test conducted 7 to 14 days after the hire date. Despite this, the records indicated that the first-step TB test for some staff was administered weeks after their hire date, and the second-step test was not documented correctly. This lack of adherence to the infection control policy and state regulations led to the deficiency identified by the surveyors.
Deficiency in Blood Glucose Monitoring Without Physician Order
Penalty
Summary
The facility failed to provide care according to standards of practice by conducting blood glucose monitoring via finger stick without a physician's order for a resident when the Freestyle glucose monitor was unavailable. The resident, who had severe dementia, type 2 diabetes mellitus with hyperglycemia, and heart failure, was admitted to the facility with an order for blood glucose monitoring using a Freestyle monitor four times a day. However, there was no order for finger stick blood glucose monitoring. Observations revealed that a Licensed Practical Nurse (LPN) performed a finger stick blood glucose test on the resident, obtaining a reading of 87, without a physician's order. The resident's Freestyle glucose monitor had fallen off and had not been on for two days, as confirmed by a Certified Medication Tech (CMT). The facility's staff, including the Infection Preventionist and the Director of Nursing (DON), acknowledged that a physician's order should have been obtained for finger stick testing when the Freestyle monitor was not functioning or had fallen off. Interviews with facility staff, including the Administrator, confirmed that the staff should have followed physician orders for blood glucose monitoring and contacted the physician for finger stick orders if the glucose monitor was not working or had fallen off. The facility did not provide a policy related to obtaining physician orders for such situations, contributing to the deficiency in care provided to the resident.
Resident Privacy Breach Due to Social Media Post
Penalty
Summary
The facility failed to protect the personal privacy of a resident when a Certified Nurse Aide (CNA) posted a video on social media without the resident's or their responsible party's permission. The video, which was uploaded to TikTok, showed the back and profile of the resident, who was identifiable. The resident involved had severe cognitive impairment, was dependent on staff for all personal care and mobility, and had diagnoses including traumatic brain injury, unspecified dementia with behaviors, and anxiety disorder. The incident occurred when CNA A filmed themselves in a wheelchair, moving down the hall in the memory care unit, capturing the resident in the background. The video included comments about the resident having dementia and being exit-seeking, which was confirmed by other staff members who viewed the video. The facility's policy prohibits posting any information capable of identifying residents on social media, and staff are instructed not to use phones while on the floor. Interviews with various staff members, including CNAs, a Certified Medication Tech, a Housekeeper, LPNs, and an RN, confirmed that the video was a violation of the resident's privacy. The staff recognized the resident in the video and expressed concern over the breach of privacy. The Director of Nursing and the Administrator were informed of the video and confirmed that it violated the facility's privacy policies.
What surveyors are citing around you — mapped
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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 33 citations issued within 25 miles in the last 12 months — including the 1 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 Mount Vernon
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lawrence County Manor | 0.4 mi | ★★★★★ | 14 | 1 |
| Ascend At Aurora | 11.1 mi | ★★★★★ | 4 | 0 |
| Ozarks Methodist Manor, The | 12.1 mi | ★★★★★ | 1 | 0 |
| Lacoba Homes Inc | 13.9 mi | ★★★★★ | 2 | 0 |
| Sarcoxie Health Care Center | 16.8 mi | ★★★★★ | 6 | 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.