Above average — CMS composite of the measures below.
The next survey window likely opens 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 Carl T Curtis Health Education Center Nursing Home during CMS and state inspections, most recent first.
Failure to Monitor Antibiotic Use and Apply Infection Criteria: The facility did not conduct ongoing antibiotic stewardship reviews or use medical criteria and standardized infection definitions for surveillance. The DON and Infection Preventionist provided an antibiotic stewardship spreadsheet, but it did not include total days of therapy, outcome, or adverse events, and the Infection Preventionist RN confirmed there was no formal system for the IP or designee to review antibiotic use.
A facility failed to identify and monitor specific target behaviors for antipsychotic use for two residents. One resident had severe cognitive impairment and was receiving Quetiapine and Rexulti for anxiety/agitation, while another resident with intact cognition and schizophrenia was receiving Rexulti for agitation. In both cases, the chart contained side effect monitoring orders, but no resident-specific target behaviors were documented in the care plan, physician orders, or EMR, and the DON confirmed the gap.
A resident with PVD, DM, bilateral lower-extremity amputations, a sacral DTI, and moderately impaired cognition was transferred to the hospital, but the facility did not document the written reason for the transfer on the bed-hold/transfer notice. The Bed-Hold Notice lacked the transfer reason, and the facility could not locate a notice for one of the hospital discharges; the Administrator confirmed the omission.
Infection control was not followed during insulin administration for a resident when an RN did not perform hand hygiene before donning gloves and did not clean the rubber stopper on a prefilled insulin FlexPen before attaching the needle. During observation, the RN prepared and administered Lantus insulin, opened the resident’s door with a bare hand, and confirmed the missed hand hygiene and stopper cleaning were infection control breaches.
The facility failed to maintain operational ventilation systems in 21 resident bathrooms, as observed with the Maintenance Director. The systems were unable to draw a 1-ply square of toilet paper, indicating non-functionality. The Maintenance Director confirmed the lack of checks and documentation on the ventilation systems' operational status.
A resident did not receive the prescribed medication Lactulose for six days due to unavailability. Despite the Medication Aide ordering the medication and notifying the charge nurse, the medical provider was not informed. The medication was eventually administered after it arrived from the pharmacy, but the delay resulted in a significant lapse in care.
A resident in a LTC facility did not receive their prescribed Lactulose for six days due to unavailability. Despite the Medication Aide ordering the medication and notifying the charge nurse, there were no documented attempts to contact the pharmacy or medical provider. The RN was unaware of the issue until several days later, leading to a significant medication error.
Staff failed to follow Enhanced Barrier Precautions for a resident with a supra-pubic indwelling catheter, as they did not wear gowns during high-contact care activities. Despite the presence of PPE and signage, two nursing assistants entered the resident's room without donning gowns, although they performed hand hygiene and wore gloves. Interviews confirmed that gowns should have been worn, highlighting a lapse in infection prevention protocols.
Failure to Monitor Antibiotic Use and Apply Infection Criteria
Penalty
Summary
Implement a program that monitors antibiotic use. Based on record review and interview, the facility failed to conduct ongoing reviews for antibiotic stewardship and failed to ensure that medical criteria were used for infection surveillance. The facility policy for Infection Prevention and Control Program stated that culture reports, sensitivity data, and antibiotic usage reviews are included in surveillance activities, that medical criteria and standardized definitions of infections are used to help recognize and manage infections, and that antibiotic usage is evaluated and practitioners are provided feedback on reviews. Record review of the facility's antibiotic stewardship policy stated that all clinical infections treated with antibiotics are to undergo review by the infection preventionist or designee and that all resident antibiotic regimens are to be documented on the facility-approved antibiotic surveillance tracking form, including total days of therapy, outcome, and adverse events. However, review of the antibiotic stewardship spreadsheet provided by the DON and Infection Preventionist did not include total days of antibiotic therapy, outcome, or adverse events. The Infection Preventionist RN confirmed that the facility did not have medical criteria and standardized definitions of infections used to help recognize and manage infections, and that although the electronic medical record generated a spreadsheet for antibiotics, there was not a formal system for the infection preventionist or designee to review.
Failure to Identify and Monitor Target Behaviors for Antipsychotic Use
Penalty
Summary
The facility failed to identify and monitor specific target behaviors for the use of antipsychotic medications for 2 of 5 residents reviewed for unnecessary medications. The deficiency was cited under 175 NAC 12-006.05(G) after record review and interview showed that the residents had antipsychotic orders and side effect monitoring orders, but no resident-specific target behaviors were documented in the care plans, physician orders, or electronic medical record. Resident 4 had diagnoses including generalized anxiety disorder, major depressive disorder in partial remission, traumatic brain injury, and vascular dementia with anxiety. The quarterly MDS showed a BIMS score of 4, indicating severe cognitive impairment, and identified no behaviors. Resident 4 was receiving Quetiapine 50 mg twice daily for major depressive disorder with anxiety and Rexulti 2 mg daily for agitation. Although there was an order to monitor for antipsychotic side effects, the record did not identify specific target behaviors to monitor, and the care plan did not include resident-specific target behaviors. The DON confirmed there were no specific target behaviors identified and that the monitoring orders were for side effects, not target behaviors. Resident 20 had diagnoses including generalized anxiety disorder, depressive disorders, agoraphobia, and schizophrenia. The quarterly MDS showed a BIMS score of 14, indicating intact cognition, and identified verbal behaviors toward others 1 to 3 days per week and rejection of care 1 to 3 days per week. Resident 20 was receiving Rexulti 2 mg at bedtime for schizophrenia with indications for use listed as agitation. As with Resident 4, the record contained orders to monitor for antipsychotic side effects, but no specific target behaviors were identified in the orders, care plan, or EMR, and no monitoring for specific target behaviors had been completed. The DON confirmed the absence of specific target behaviors for this resident as well.
Missing Written Reason for Hospital Transfer
Penalty
Summary
The facility failed to provide a written reason for the transfer to the hospital for Resident 24. Record review showed the resident was re-admitted on 12/9/25 with diagnoses including PVD, DM, acquired absence of the right leg above knee, pressure-induced deep tissue damage of the sacral region, infection following a procedure, and acquired absence of the left leg below knee. The MDS identified moderately impaired cognition and dependence for toileting hygiene, bathing, upper and lower body dressing, putting on and taking off footwear, and personal hygiene, with independence in eating. The clinical census showed the resident was sent to the hospital on [DATE] and 12/29/25. The Bed-Hold Notice dated 12/16/25 did not identify a reason for transfer, and the facility could not locate a form for the 12/19/25 transfer to the hospital. The Administrator confirmed that the reason for transfer was not filled out on the bed hold/transfer form and that the facility was unable to locate a Bed-Hold/Transfer Notice for discharge on [DATE].
Infection Control Breach During Insulin Administration
Penalty
Summary
The facility failed to ensure infection prevention and control practices were followed when a staff member did not perform hand hygiene before donning gloves and did not clean the rubber stopper on an insulin FlexPen before administering insulin to Resident 5. The facility’s hand hygiene policy stated that hand hygiene is indicated before performing an aseptic task and that glove use does not replace hand hygiene, including performing hand hygiene before applying non-sterile gloves. During observation of insulin administration, RN A removed the cap from Resident 5’s Lantus (Glargine) FlexPen, attached a disposable needle, flushed 2 units through the needle, and then prepared 10 units for administration. RN A used hand sanitizer, took the insulin pen and an alcohol wipe to the resident’s room, opened the door with a bare hand, and donned gloves without washing hands or using hand sanitizer. RN A wiped the resident’s left arm with an alcohol swab and administered the insulin, but did not clean the rubber stopper on the insulin FlexPen before attaching the needle. RN A and the DON both confirmed these actions were not done and identified them as infection control breaches.
Non-Functional Ventilation Systems in Resident Bathrooms
Penalty
Summary
The facility failed to ensure that ventilation systems were operational in resident bathrooms across 21 occupied rooms. During an observation conducted with the facility Maintenance Director, it was noted that the ventilation system in these bathrooms was not functional, as evidenced by its inability to draw a 1-ply square of toilet paper to the surface of the ventilation cover. This issue was confirmed through an interview with the Maintenance Director, who acknowledged that the ventilation systems had not been checked for their draw capacity and that there was no documentation available regarding the last time the system had been assessed for operational status.
Failure to Notify Medical Provider of Missed Medication
Penalty
Summary
The facility failed to notify the medical provider when a prescribed medication, Lactulose, was not administered for six days to a resident. The resident, who was cognitively intact and had multiple diagnoses including cirrhosis of the liver, was supposed to receive Lactulose to reduce blood ammonia levels. The medication was not available from October 24 to October 29, and the Medication Aide (MA-E) had ordered it on October 24. Despite notifying the charge nurse on October 28 and 29, the medication remained unavailable, and the medical provider was not informed of the missed doses. The Registered Nurse (RN-D) was unaware of any attempts to contact the pharmacy or notify the medical provider about the unavailability of Lactulose. The medication finally arrived on the night of October 29 and was administered the following morning. A review of the resident's progress notes did not show any documentation of attempts to notify the pharmacy or medical provider. The Nurse Consultant confirmed that the medical provider had not been informed about the missed doses, resulting in the resident missing six days of the prescribed medication.
Significant Medication Error Due to Unavailable Medication
Penalty
Summary
The facility failed to ensure that medication was available for a resident, resulting in a significant medication error. Resident 7, who was cognitively intact and had multiple diagnoses including cirrhosis, did not receive their prescribed Lactulose for six days. The medication was intended to reduce blood ammonia levels due to cirrhosis of the liver. The Medication Administration Record (MAR) indicated that the Lactulose was last administered on the morning of 10/24/24, and it was documented as unavailable from that date through 10/29/24. The Medication Aide (MA-E) ordered the Lactulose on 10/24/24 and notified the charge nurse on 10/28/24 and 10/29/24 about its unavailability. However, there were no documented attempts to contact the pharmacy or the medical provider regarding the missing medication. The Registered Nurse (RN-D) was unaware of any efforts to resolve the issue until 10/29/24, when they planned to call the pharmacy. The lack of documentation and communication led to the medication not being administered for six days, which was confirmed as a significant medication error by a Nurse Consultant.
Failure to Follow Enhanced Barrier Precautions for Resident with Indwelling Catheter
Penalty
Summary
The facility failed to adhere to its Enhanced Barrier Precautions (EBP) Policy during the care of a resident with a supra-pubic indwelling catheter. The policy mandates the use of gowns and gloves during high-contact resident care activities to prevent the transfer of Multi-Drug Resistant Organisms (MDROs). Despite the presence of an EBP Precautions sign and available personal protective equipment (PPE) outside the resident's room, staff members did not don gowns while performing catheter care and other high-contact activities. Observations revealed that two nursing assistants entered the resident's room without wearing gowns, although they did perform hand hygiene and wore gloves. The resident, who was severely cognitively impaired and dependent on staff for various activities, had an indwelling suprapubic catheter, which increased the risk of MDRO transmission. Interviews with the nursing assistants and a nurse consultant confirmed that gowns should have been worn during these care activities, indicating a lapse in following the facility's infection prevention protocols.
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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 Macy
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pleasant View Care Center | 10.3 mi | ★★★★★ | 0 | 0 |
| Accura Healthcare Of Onawa | 14.3 mi | ★★★★★ | 0 | 0 |
| Pioneer Valley Living And Rehab | 18.9 mi | ★★★★★ | 7 | 0 |
| Embassy Rehab And Care Center | 19.1 mi | ★★★★★ | 9 | 0 |
| Oakland Heights | 20.5 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.