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 Tower Lodge Care Center during CMS and state inspections, most recent first.
The facility failed to ensure RN coverage for at least 8 consecutive hours a day, 7 days a week, as required. This deficiency was identified through a review of staffing data and interviews, revealing that no RN was scheduled for any of the weekends reviewed during the 3rd quarter of 2024. The DON acknowledged the lack of consistent RN coverage and stated that the facility would call 911 if needed.
The facility was found to have unsanitary conditions in the kitchen, including debris and grease on equipment and packaging, which could lead to contamination and foodborne illness. The Food Service Director was unable to explain the cause, despite a policy requiring regular cleaning.
A resident experienced a significant weight loss of 23.6 lbs within 24 hours, but the facility failed to notify the physician as required by their policy. The resident, with a history of congestive heart failure and on diuretic medication, was at risk for weight changes. The LPN responsible for entering the weight confirmed no documentation of physician notification, and the DON acknowledged the oversight. The facility's weight policy mandates reweighing and physician notification for significant weight changes, which were not followed in this case.
Deficiency in RN Coverage on Weekends
Penalty
Summary
The facility failed to ensure that a Registered Nurse (RN) was on duty for at least 8 consecutive hours a day, 7 days a week, as required. This deficiency was identified through a review of the Payroll-Based Journal (PBJ) Staffing Data Report, Nurse Staffing Reports, interviews, and facility documentation. Specifically, the facility did not have an RN scheduled for any of the weekends reviewed during the 3rd quarter of 2024, covering April, May, and June. The absence of an RN was confirmed for multiple weekends, including specific dates in April, May, and June, as well as for additional dates in September. During the survey, it was noted that the facility relied on Licensed Practical Nurses (LPNs) during these times, with the Director of Nursing (DON) being available by phone. The DON acknowledged the lack of consistent RN coverage on weekends and stated that the facility would call 911 if needed. The facility's staffing policy, reviewed in April 2024, indicated that there should be at least one registered professional nurse on duty during all day shifts, with a temporary absence not exceeding 72 hours. However, this policy was not adhered to, as evidenced by the lack of RN coverage on the specified weekends.
Unsanitary Kitchen Conditions Observed
Penalty
Summary
The facility failed to maintain a sanitary kitchen environment and equipment, which could lead to contamination and potential foodborne illness. During an inspection, the surveyor observed several unsanitary conditions in the food preparation area, including tan-colored debris on the door and handles of standing refrigerator #1, a brown substance on the packaging of styrofoam plates, and a brown substance on the microwave oven door and handle. Additionally, a thick brown grease-like substance was found on seven of eight stove knobs and one of two oven handles. In the dry storage area, similar unsanitary conditions were noted, with tan-colored debris on the door and handles of the produce standing refrigerator. The Food Service Director (FSD) acknowledged that the equipment should be clean but could not explain the cause of the contamination. The facility's policy on cleaning and sanitation, revised in August 2024, requires the food service staff to maintain sanitation through a comprehensive cleaning schedule, which was evidently not followed.
Failure to Notify Physician of Significant Weight Discrepancy
Penalty
Summary
The facility failed to maintain professional standards of clinical practice by not notifying the physician of a significant weight discrepancy for a resident reviewed for nutrition. The resident, who was admitted with diagnoses including hypertension, congestive heart failure, and a cardiac pacemaker, was on a care plan that required monitoring for weight changes due to their medical history. The resident's weight was recorded as 158.2 lbs on one day and 134.6 lbs the next, indicating a significant weight loss of 23.6 lbs within 24 hours. Despite this discrepancy, there was no documentation that the physician was notified, which was a requirement per the facility's policy. The Licensed Practical Nurse (LPN) responsible for entering the weight into the electronic medical record confirmed that there was no progress note or documentation on the Medication Administration Record (MAR) indicating that the physician was informed of the weight change. The Director of Nursing (DON) also reviewed the records and verified the absence of documentation regarding physician notification. The DON stated that a reweight should have been conducted to confirm the accuracy of the weight change, and the physician and dietitian should have been alerted. The facility's weight policy and scale accuracy procedures, revised in October 2023, require that significant weight changes be reweighed for accuracy and that the physician be notified of any weight loss or gain. However, these procedures were not followed in this instance, leading to a deficiency in maintaining professional standards of care. The surveyor's findings were presented to the facility's administration, including the Licensed Nursing Home Administrator (LNHA) and the DON, who acknowledged the oversight.
What surveyors are citing around you — mapped
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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 431 citations issued within 25 miles in the last 12 months — including the 15 immediate-jeopardy cases — 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 Wall
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Careone At Wall | 1.4 mi | ★★★★★ | 12 | 0 |
| Complete Care At Wall Llc | 1.7 mi | ★★★★★ | 2 | 1 |
| Jersey Shore Post Acute Rehabilitation And Nursing | 1.9 mi | ★★★★★ | 0 | 0 |
| Coral Harbor Rehabilitation And Healthcare Center | 2.3 mi | ★★★★★ | 2 | 0 |
| Imperial Care Center | 2.4 mi | ★★★★★ | 17 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.