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 Republic Nursing & Rehab during CMS and state inspections, most recent first.
Food storage, handling, and sanitation practices were not followed when dented cans were left with other cans, multiple refrigerated, dry, and frozen foods were found open to air or unlabeled, food trays were transported with uncovered fruit, and kitchen vents, fans, and ceilings had dirt and dust over food areas. Staff also stacked dishes and plate covers while wet, despite acknowledging that dishes should be air dried before stacking.
A resident with multiple chronic conditions experienced a significant decline, including twitching, discomfort, and inability to stand or feed themselves. Despite abnormal lab results indicating potential renal failure, the facility failed to notify the physician in a timely manner. Interviews revealed inconsistencies in procedures for handling changes in condition and lab results, contributing to the delay in addressing the resident's deteriorating condition.
The facility failed to implement proper infection control measures during wound care and insulin administration for two residents. An LPN placed supplies on a resident's bed without a barrier and did not clean scissors between uses. Another LPN conducted blood glucose testing and insulin administration without following proper protocols, placing supplies on a resident's blanket and wearing used gloves while handling various items. Staff interviews revealed a lack of adherence to infection control procedures.
Food Storage, Handling, and Sanitation Failures
Penalty
Summary
The facility failed to store, prepare, distribute, and serve food in accordance with professional standards of practice when dented cans were observed on the canned food rack with other cans instead of being separated in a designated holding area. The report states that one can of sandwich maker had a large dent in the back and a smaller dent near the top, and a second can had two large dents on each side. Staff interviews confirmed that dented cans should not be used and should be removed from the rack and stored separately, but the cans remained on the rack during repeated observations. The facility also failed to ensure food items were properly labeled, sealed, and stored. Observations in the cooler, dry storage area, and freezer showed multiple opened or partially used foods exposed to air, including sliced cheese wrapped in unsealed plastic wrap with no label, a partial onion in unsealed wrap, shredded cheese open to air, unlabeled sliced meat in plastic bags, unlabeled containers of food, open containers of instant mashed potatoes and graham crackers, and opened gallon jugs of soy sauce and teriyaki sauce. Additional observations showed refrigerated and frozen foods in unsealed bags or containers, including meat patties, diced chicken, and other frozen items, as well as an opened and partially used jug of sweet pickle relish labeled with an old date and an unsecured container of green beans. The facility further failed to keep food areas clean and to protect food from contamination during transport and dish handling. Observations showed dirt and dust on vents above silverware napkins, dirt and dust on fans inside the walk-in refrigerator blowing directly over food, and dirt and dust on the ceiling above food. Trays on the food cart were observed with cups of pears and watermelon uncovered while being transported through the halls to resident rooms. In the dish area, cups, bowls, and plate covers were observed stacked while wet or with water trapped inside, despite staff and management acknowledging that dishes should be air dried before stacking. The report states these conditions had the potential to affect all residents who consumed food from the facility kitchen.
Failure to Notify Physician of Change in Condition and Abnormal Lab Results
Penalty
Summary
The facility failed to notify the physician of a change in condition and abnormal laboratory results for a resident, leading to a deficiency. The resident, who was admitted with multiple diagnoses including congestive heart failure, atrial fibrillation, high blood pressure, fibromyalgia, chronic kidney disease, and chronic pain, experienced a significant decline in condition. The resident showed symptoms such as twitching, arm discomfort, inability to stand, incontinence, and inability to feed themselves. Despite these changes, the nursing staff did not document any notification to the resident's physician about the change in condition. Further, the resident's laboratory results, which were abnormal, were not communicated to the physician in a timely manner. The lab results showed elevated potassium, blood urea nitrogen, and creatinine levels, along with a decreased glomerular filtration rate, indicating potential renal failure. These results were received by the facility but were not acted upon promptly, as there was no nurse signature indicating physician notification. The resident's condition continued to deteriorate, leading to a hospital visit where they were diagnosed with a urinary tract infection, severe sepsis with septic shock, bacteremia, acute kidney injury, and acute encephalopathy. Interviews with various staff members, including LPNs, RNs, the NP, and the DON, revealed inconsistencies in the facility's procedures for handling changes in resident conditions and lab results. Staff members acknowledged the need to notify physicians of significant changes and abnormal lab results but failed to do so in this case. The facility's policies on lab reporting and condition changes were not effectively followed, contributing to the delay in addressing the resident's deteriorating condition.
Infection Control Deficiencies in Wound Care and Insulin Administration
Penalty
Summary
The facility failed to implement appropriate infection control measures during wound care for one resident and blood sugar checks and insulin administration for another. During wound care, an LPN placed supplies directly on a resident's bed without using a clean barrier, potentially contaminating the supplies and the bed. The LPN also failed to don a gown, did not clean scissors between uses, and placed used supplies on a dresser and treatment cart without sanitizing them, risking cross-contamination. In another instance, an LPN conducted blood glucose testing and insulin administration without following proper infection control protocols. The LPN placed supplies on a resident's blanket, used a lancet and glucometer without a barrier, and wore used gloves while handling various items, including the medication cart and insulin pen. The LPN did not clean the medication cart after placing a used glucometer on it, potentially spreading infectious organisms. Interviews with staff, including the Assistant Director of Nursing and Director of Nursing, revealed a lack of adherence to infection control procedures, such as placing supplies on a clean surface, sanitizing shared equipment, and disposing of used gloves before leaving a resident's room. The facility's infection prevention and control program was not effectively implemented, leading to these deficiencies.
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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 Republic
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Springfield Skilled Care Center | 8.2 mi | ★★★★★ | 7 | 0 |
| Neighborhoods At Quail Creek, The | 8.8 mi | ★★★★★ | 0 | 0 |
| Brookhaven Nursing & Rehab | 9.1 mi | ★★★★★ | 4 | 0 |
| Wilson's Creek Nursing & Rehab | 9.2 mi | ★★★★★ | 4 | 0 |
| Magnolia Square Nursing And Rehab | 9.4 mi | ★★★★★ | 1 | 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.