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 Brookestone Of David City during CMS and state inspections, most recent first.
The facility did not accurately document the use of hypoglycemic medications in the MDS for two residents. One resident received Metformin, and another received multiple insulin medications during their respective observation periods, but these were not reflected in their MDS. The ADON/MDS Coordinator confirmed the oversight.
The facility failed to follow its bowel protocol for two residents, resulting in prolonged periods without bowel movements. One resident did not receive appropriate interventions or medical provider notifications despite multiple days without a bowel movement. Another resident experienced a similar lapse, with no medications administered or documentation of bowel assessments. The Assistant Director of Nursing confirmed these deficiencies.
The facility failed to ensure proper hand hygiene and infection control during care for two residents. One resident, with a recent UTI, did not receive appropriate hand hygiene from nursing assistants during incontinence care. Another resident, with a stage 2 pressure ulcer, experienced improper glove use and hand hygiene during peri-care and wound care. These deficiencies were confirmed by the ADON/MDS Coordinator and the Infection Preventionist.
Inaccurate MDS Documentation for Hypoglycemic Medication Use
Penalty
Summary
The facility failed to ensure that the Minimum Data Set (MDS), a comprehensive assessment tool used to develop a resident's plan of care, accurately reflected the use of hypoglycemic medications for two residents. Resident 23 was administered Metformin, a hypoglycemic medication, twice daily during a specified 7-day observation period. However, the MDS for Resident 23 did not indicate that hypoglycemic medication was taken during this period. This oversight was confirmed by the Assistant Director of Nursing/MDS Coordinator during an interview. Similarly, Resident 28 received multiple hypoglycemic medications, including Humalog and Insulin Detemir, during a different 7-day observation period. Despite this, the MDS for Resident 28 also failed to reflect the administration of these medications. The Assistant Director of Nursing/MDS Coordinator acknowledged that the MDS should have documented the use of hypoglycemic medications for both residents, indicating a lapse in accurately completing the MDS as per the guidelines outlined in the RAI Manual.
Failure to Follow Bowel Protocol for Two Residents
Penalty
Summary
The facility failed to adhere to its bowel protocol for two residents, leading to prolonged periods without bowel movements. Resident 23 did not have a bowel movement on multiple occasions, specifically from 1/15 to 1/18, 1/26 to 2/1, and 2/3 to 2/8. Despite having orders for Milk of Magnesia and Dulcolax suppositories to promote bowel movements, the facility did not follow the protocol, which required escalating interventions and notifying the medical provider by the fourth day without a bowel movement. The Assistant Director of Nursing confirmed that the protocol was not followed during these periods. Resident 35 also experienced a lapse in care regarding bowel management. The resident did not have a bowel movement from 1/22 to 1/26, and no medications were administered to prevent constipation during December, January, or February. The facility's bowel protocol was not followed, and there was no documentation of bowel assessments or notifications to the medical provider. The Assistant Director of Nursing confirmed the absence of bowel management in the resident's care plan and the lack of documentation in the Medication Administration Record.
Inadequate Hand Hygiene and Infection Control Practices
Penalty
Summary
The facility failed to ensure proper hand hygiene and infection control practices during the care of two residents, leading to potential cross-contamination. For Resident 19, who was dependent on staff for toilet hygiene and had a recent urinary tract infection, the nursing assistants did not perform hand hygiene or use gloves appropriately during incontinence care. Specifically, one nursing assistant touched the resident's facial hair without washing hands, and both assistants failed to change gloves or wash hands at critical points during the care process, such as after removing a saturated brief and before applying a new one. In the case of Resident 15, who had a stage 2 pressure ulcer and was always incontinent of bladder, the nursing assistant and LPN did not adhere to hand hygiene protocols during peri-care and wound care. The nursing assistant removed a brief and wiped the resident's buttocks without changing gloves or washing hands. Additionally, the assistant wiped across the resident's open wound after cleaning the rectal area, which could lead to contamination. The LPN also failed to perform hand hygiene when changing gloves during the procedure. These observations were confirmed by the Assistant Director of Nursing/MDS Coordinator and the Infection Preventionist, who noted the lack of hand hygiene and improper glove use. The deficiencies in hand hygiene and infection control practices were evident in both cases, highlighting a failure to follow established protocols designed to prevent cross-contamination and protect residents' health.
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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 David City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| St. Joseph's Villa, Inc. | 0.8 mi | ★★★★★ | 20 | 0 |
| Emerald Nursing & Rehab Columbus | 19 mi | ★★★★★ | 30 | 0 |
| Brookestone Acres | 19.7 mi | ★★★★★ | 18 | 0 |
| Ridgewood Rehabilitation & Care Center | 22.5 mi | ★★★★★ | 0 | 0 |
| Good Samaritan Society - Osceola | 22.7 mi | ★★★★★ | 0 | 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.