Above average — CMS composite of the measures below.
The next survey window likely opens around March 2027
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 Saunders Medical Center during CMS and state inspections, most recent first.
Bathroom ventilation was not functioning in eight sampled resident rooms, including rooms 102, 105, 107, 114, 119, 121, 204, and 206. Surveyors verified the issue with a one-ply tissue during screening and the environmental tour, and the FM confirmed the problem. The facility also lacked an HVAC policy and a preventative maintenance program, and its HVAC checklist only addressed filter checks.
MDS coding was inaccurate for a resident with severe cognitive impairment, delusions, and dementia with psychosis. Although the resident had an order for Risperdone and informed consent for antipsychotic use, the MDS did not identify antipsychotic medication in section N and was instead coded as an antianxiety medication. Interviews also confirmed that AIMS monitoring was not completed as expected, and the behavior committee and pharmacy reviews noted the antipsychotic use and hallucinations/delusions without identifying the missing AIMS assessment.
A resident's nasal cannula and oxygen tubing were improperly stored, leading to potential cross-contamination. Observations revealed the equipment was left on the floor and not placed in the protective bag attached to the concentrator. Interviews with staff confirmed the equipment should have been stored correctly.
Nonfunctional Bathroom Ventilation in Multiple Resident Rooms
Penalty
Summary
The facility failed to ensure resident bathroom ventilation was functional in eight sampled resident rooms: 102, 105, 107, 114, 119, 121, 204, and 206. During the initial screening and again during the environmental tour, surveyors checked the bathroom ventilation in these rooms with a one-ply tissue and found it was not functioning. The Facilities Manager confirmed the ventilation was not functioning in those rooms and stated the facility did not have a policy to check resident bathroom ventilation for functionality or a preventative maintenance program for the HVAC system. Record review showed the facility's 2026 HVAC Service Checklist included filter checks but no mention of resident bathroom ventilation system checks, and the DON also confirmed the facility did not have an HVAC policy or preventative maintenance program.
MDS Did Not Accurately Reflect Antipsychotic Use
Penalty
Summary
The facility failed to accurately code Resident 41’s Quarterly MDS to reflect antipsychotic medication use. Resident 41 was admitted with severe cognitive impairment, a BIMS score of 6, delusions, and a diagnosis of dementia with psychosis. The MDS indicated no behaviors and did not identify antipsychotic medication use in section N, even though the resident had an order for Risperdone every evening and had signed informed consent for antipsychotic medication. The MDS nurse confirmed the MDS was coded incorrectly and stated the antipsychotic medication had been coded as an antianxiety medication because it was used for anxiety. Record review also showed the resident’s care plan addressed psychotropic medication use, including quarterly AIMS testing, behavior committee review, monthly pharmacy review, and medication administration as ordered. However, interviews confirmed there was no audit process for MDSs or care plans, nursing was responsible for completing AIMS assessments for residents taking antipsychotic medications, and the behavior committee did not notice that the AIMS assessment had not been completed for Resident 41. The behavior committee notes and multiple drug regimen reviews identified that risperidone was being used and that the resident had hallucinations and delusions, but they did not include a recommendation to complete an AIMS assessment. The DON confirmed there was no job duty list, policy, or expectations for the behavior committee and that the resident should have had an AIMS assessment because the resident was on an antipsychotic medication.
Improper Storage of Oxygen Equipment
Penalty
Summary
The facility failed to properly store a resident's nasal cannula and oxygen tubing, which could lead to cross-contamination. During observations on two consecutive days, the oxygen tubing was found laying across the top of the oxygen concentrator, and the nasal cannula was found on the floor behind the concentrator. The nasal cannula and oxygen tubing were not placed into the protective bag attached to the back of the concentrator, as required. The resident was observed sleeping in a recliner chair during these observations. Interviews with the resident, a medication aide, and the Director of Nursing confirmed the improper storage of the nasal cannula and oxygen tubing. The resident indicated they did not remove the nasal cannula independently. Both the medication aide and the Director of Nursing acknowledged that the nasal cannula and oxygen tubing should have been placed into the protective bag when not in use by the resident. The facility's failure to adhere to proper storage protocols for the nasal cannula and oxygen tubing was identified as a deficiency.
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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 Wahoo
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| South Haven Living Center | 3.1 mi | ★★★★★ | 0 | 0 |
| Arbor Care Center-valhaven, Llc | 18.7 mi | ★★★★★ | 29 | 0 |
| Adept Nursing & Rehab Of Ashland | 18.8 mi | ★★★★★ | 0 | 0 |
| Adept Nursing & Rehab Of Waverly | 20.2 mi | ★★★★★ | 0 | 0 |
| Dunklau Gardens | 20.4 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.