Average — CMS composite of the measures below.
A standard survey is most likely before around September 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 Beaver City Manor during CMS and state inspections, most recent first.
The facility failed to submit investigation reports of potential abuse or neglect to the state agency within the required 5 working days for two residents. One resident experienced a fall resulting in a cervical spine fracture, and the report was submitted late. Another resident had concerns about financial misappropriation by their child, and the investigation report was also delayed.
The facility failed to properly monitor and document the use of psychotropic medications for two residents. One resident, with dementia and anxiety, was not regularly assessed for adverse reactions to Seroquel, an antipsychotic medication. Another resident, with severe cognitive impairment, had no documented rationale or duration for PRN use of Haloperidol, and no assessments were conducted for adverse reactions. These deficiencies highlight a lack of adherence to the facility's policy on psychotropic drug use.
The facility reported a medication error rate of 7.14% due to two incidents where LPNs failed to prime insulin pens before administering Novolog insulin to a resident with Diabetes Mellitus. The facility's policy requires priming to ensure accurate dosing, but both LPNs administered the insulin without this step, resulting in medication errors confirmed by the DON.
A resident with diabetes did not receive the correct dose of Novolog insulin due to two LPNs failing to prime the insulin pen before administration, as required by facility policy. The DON confirmed this as a significant medication error.
Delayed Reporting of Abuse and Neglect Investigations
Penalty
Summary
The facility failed to submit investigations of potential abuse or neglect to the state agency within the required 5 working days for two residents. For Resident 6, the facility did not count the day of the incident as the first day, resulting in the investigation report being submitted on the 6th business day after the resident's fall and subsequent injury. Resident 6, who was at risk for falls, experienced a fall resulting in a cervical spine fracture, and the investigation report was delayed in submission to the state agency. For Resident 2, the facility also failed to submit the investigation report within the required timeframe. The resident had concerns about financial misappropriation by their child, which was reported to Adult Protective Services. However, the investigation report was submitted to the state agency on the 7th business day after the initial report to APS. This delay in reporting was confirmed by the Facility Administrator during an interview.
Deficiencies in Monitoring and Documentation of Psychotropic Medication Use
Penalty
Summary
The facility failed to ensure proper monitoring and documentation for residents receiving antipsychotic medications, specifically for two residents. Resident 6, who has a diagnosis of dementia, anxiety, and a psychotic disorder, was prescribed Seroquel, an antipsychotic medication. Despite the known risks associated with Seroquel, particularly in elderly patients with dementia-related psychosis, the facility did not conduct regular Abnormal Involuntary Movement Scale (AIMS) assessments as required. The only AIMS assessment on record was from December 2023, and no further assessments were completed to monitor for adverse extrapyramidal reactions, despite observations of Resident 6 struggling with motor control during meals. Another resident, Resident 5, who has severe cognitive impairment and multiple diagnoses including dementia and anxiety, was prescribed several psychotropic medications, including antianxiety and antipsychotic drugs. The facility failed to document a rationale or determine the duration for the use of PRN (as needed) psychotropic medications, specifically Haloperidol, which was prescribed for agitation. Additionally, there were no AIMS assessments conducted for Resident 5 to monitor for adverse reactions to the antipsychotic medication. The facility's policy on the use of psychotropic drugs requires that such medications are only given when necessary to treat a specific condition and that their use is documented and monitored for effectiveness and adverse reactions. However, the facility did not adhere to these guidelines, as evidenced by the lack of documented assessments and monitoring for the residents receiving these medications. This oversight in monitoring and documentation led to deficiencies in the care provided to the residents, as identified by the surveyors.
Failure to Prime Insulin Pens Leads to Medication Errors
Penalty
Summary
The facility failed to maintain a medication error rate of less than 5%, with an observed error rate of 7.14%. This deficiency was identified through observations and record reviews involving the administration of insulin to a resident diagnosed with Diabetes Mellitus. The facility's policy requires insulin pens to be primed before use to ensure accurate dosing. However, two separate incidents were observed where Licensed Practical Nurses (LPNs) did not prime the insulin pen before administering the prescribed dose of 28 units of Novolog insulin to the resident. In the first incident, LPN-A did not prime the insulin pen before administering the insulin to the resident, which was confirmed as a medication error by the Director of Nursing (DON). Similarly, in the second incident, LPN-B also failed to prime the insulin pen before administering the insulin. Both LPNs followed the same procedure of attaching the needle and dialing the dose without priming, leading to the administration of potentially incorrect insulin doses. The DON confirmed that the failure to prime the insulin pen constituted a medication error, contributing to the facility's elevated medication error rate.
Failure to Prime Insulin Pen Leads to Medication Error
Penalty
Summary
The facility failed to prevent significant medication errors for a resident with a diagnosis of Diabetes Mellitus, who was prescribed Novolog insulin to manage blood sugar levels. The facility's policy required insulin pens to be primed before each use to ensure accurate dosing. However, during observations, it was noted that two LPNs did not follow this procedure. LPN-A and LPN-B both administered 28 units of Novolog insulin to the resident without priming the insulin pen, which is a necessary step to avoid air in the insulin reservoir and ensure the correct dose is delivered. The Director of Nursing confirmed that the staff are expected to prime the insulin pen before setting the ordered dose, and acknowledged that failing to do so constituted a significant medication error. This oversight occurred on two separate occasions with the same resident, indicating a lapse in adherence to the facility's medication administration policy. The failure to prime the insulin pen could potentially result in the resident not receiving the correct dose of insulin as prescribed, which is critical for managing their diabetes effectively.
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 35 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 Beaver City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Andbe Home, Inc | 20.4 mi | ★★★★★ | 23 | 0 |
| Good Samaritan Society - Colonial Villa | 24.6 mi | ★★★★★ | 12 | 0 |
| Bertrand Nursing Home | 28.8 mi | ★★★★★ | 0 | 0 |
| Christian Homes Health Care Center | 30.6 mi | ★★★★★ | 13 | 0 |
| Elwood Care Center | 31.5 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Beaver City Manor.
100% money-back within 48 hours.
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.