Average — CMS composite of the measures below.
A standard survey is most likely before around November 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 Schoellkopf Health Center during CMS and state inspections, most recent first.
A resident with COPD, CHF, and atrial fibrillation had an albuterol inhaler kept at the bedside and used it without a documented interdisciplinary assessment or physician order for self-administration. The resident said they used the inhaler more often than ordered and could not state how frequently it was used, while nursing staff said they did not know the usage pattern and that the resident had not been evaluated for safe self-administration.
A resident with a seizure disorder and dementia missed an ordered dose of Levetiracetam because the medication was not available. An LPN found the medication missing from the cart, notified the RN supervisor, and left without confirming follow-up. The MAR and 24-hour report did not show that the missed dose was reported to the physician or supervisor, and the MD and NP both stated they were not updated. The resident had experienced two seizures two days earlier, including one lasting 6 minutes.
Failure to Provide Required Nail Care and Grooming Assistance: A resident with dementia and partial to moderate ADL assistance needs was repeatedly observed with long, jagged, dirty fingernails and chipped nail polish despite facility policy requiring daily observation and weekly inspection/trimming. Staff interviews showed uncertainty about responsibility for nail care, and the unit manager acknowledged the nails were cleaned but not trimmed or filed even though they were jagged; the resident also had red, irritated palms with blisters noted during observation.
Failure to Arrange Outside Eye Consult for Resident With Impaired Vision: A resident with impaired vision, diabetes, and lower-extremity fractures reported that their glasses no longer helped them see and that they could not read small print. An eye consult identified the need for an outside optometry referral to assess whether a new Rx or cataract surgery was needed, but the referral was not scheduled. Staff and the PACE case manager gave conflicting accounts about who was responsible for notifying the case manager and arranging the appointment.
A resident with obesity, OA, and HTN had a bed cane/bedrail ordered for turning and positioning, but the device was found loose, not secured to the bedframe, and easily slid out from under the mattress during observation. The resident’s care documentation did not clearly reflect the bedrail use, no entrapment assessment was documented, and staff interviews showed no routine inspection or PM process for bedrails or beds, with unclear responsibility between nursing, therapy, and maintenance.
Infection Control Lapses During Pressure Ulcer Care: A resident with diabetes and a draining Stage 3 pressure ulcer on the buttocks was not placed on EBP, and wound care was performed without a gown or visible PPE at the room entrance. Staff gave inconsistent accounts about whether the wound was Stage 2 or Stage 3 and whether EBP was required, while the care plan did not reflect the later-identified Stage 3 pressure injury.
CNA annual performance evaluations were not completed in the required 12-month timeframe for three of five CNA files reviewed. The DON said the facility was behind on evaluations, the Administrator said Unit Managers were responsible for completing them, and HR said an email had been sent to management staff to return evaluations, but Unit Managers reported they had not received clear instruction or reminders. Payroll/HR confirmed the files for the three CNAs did not contain evaluations dated within the last 12 months.
The facility did not maintain an effective pest control program, as evidenced by ongoing rodent sightings, droppings, and dead rodents found in resident rooms, dining areas, and the main kitchen. Multiple residents reported frequent rodent activity, and staff confirmed repeated incidents. Observations also revealed unsanitary conditions around exterior grease storage and gaps in loading dock doors, contributing to the pest issue.
A resident with a Foley catheter was not provided proper care, as staff failed to keep the urine collection bag below the bladder, risking urinary tract infections. The resident, with a history of frequent infections, had returned from surgery with a shorter catheter bag, which was improperly handled by staff. Despite awareness of the issue, it was not promptly addressed, leading to a deficiency.
A resident with a Foley catheter and a history of UTIs was on enhanced barrier precautions, requiring staff to wear a mask, gown, and gloves during care. However, a CNA was observed providing care without the required PPE, only wearing gloves. Interviews confirmed the lapse in infection control practices, as the CNA admitted to forgetting the necessary PPE.
The facility failed to maintain an effective pest control program, leading to a widespread rodent infestation across multiple floors and the main kitchen. Residents and staff reported frequent sightings of mice, with droppings found in resident rooms and the kitchen. The infestation was exacerbated by inadequate cleaning practices and improper storage of garbage and kitchen grease. Despite efforts to address the issue, the facility continued to struggle with controlling the rodent problem.
Failure to Assess Resident for Safe Self-Administration of Medication
Penalty
Summary
The facility did not ensure a resident was assessed by the interdisciplinary team to determine whether self-administration of medications was clinically appropriate and safe. Resident #45 had diagnoses including COPD, CHF, and atrial fibrillation, and the MDS documented the resident was cognitively intact. The comprehensive plan of care identified the resident as at risk for cerebral vascular event and cardiac/respiratory distress, but it did not reflect any ability to self-administer medications. There were no physician orders for the resident to self-administer medications or to keep medications at the bedside, and there was no documented evidence that the resident had been assessed for this ability. An albuterol inhaler ordered as needed was found at the resident’s bedside during observations, including on the tray table and later on the resident’s lap. The resident stated they used the inhaler every four hours as needed but had been using it more frequently due to swelling, and could not specify how often it was used each day. The resident also stated they used the inhaler before and after a shower and that nurses were aware of the frequent use. Nursing staff stated the inhaler had been kept at the bedside without a physician order, that they did not know how frequently it was being used because it was not documented, and that the resident had not been evaluated for self-administration. The DON stated residents were expected to be evaluated for the ability to self-administer medications and that there needed to be accountability for what medications residents were taking.
Missed anti-seizure medication dose not reported
Penalty
Summary
The facility failed to provide services consistent with professional standards of quality for a resident with a seizure disorder when an ordered dose of Levetiracetam 750 mg by mouth twice daily was not administered because the medication was not available. The resident had diagnoses including seizure disorder, history of cerebrovascular accident, and dementia, and was assessed as moderately cognitively impaired. The resident’s care plan identified seizure-related fall risk and included interventions to give medications as ordered and monitor for adverse effects. Nursing progress notes documented that the resident experienced two seizures on 07/29/2025, including one lasting 6 minutes during which the resident became unresponsive. On 07/31/2025, the MAR showed that the Levetiracetam dose due at 5:34 PM was not given by an LPN because the medication was not available. The facility’s 24-hour report sheet and nursing progress notes did not show documentation that the missed dose was reported to the nursing supervisor or physician. During interview, the LPN stated they were floating from another unit, did not see the medication in the cart, and alerted the RN supervisor, who said they would call the pharmacy. The LPN stated the medication had not arrived by the end of the shift and they did not follow up further. The DON stated the facility protocol was to notify the supervisor, who would notify the physician for further orders, and that this should have been documented. The Medical Director stated they were not updated about the missed dose, and the NP stated they also did not receive an update and would have ordered lab work if informed. The pharmacy representative stated the medication had not been requested again until several days later and that an emergency delivery would have arrived the same day if ordered.
Failure to Provide Required Nail Care and Grooming Assistance
Penalty
Summary
Resident #126, who had diagnoses of dementia, orthostatic hypotension, and chronic pain, was assessed as moderately cognitively impaired on the Minimum Data Set and required partial to moderate assistance with personal hygiene. The care plan documented that the resident needed limited assistance with grooming and was at risk for alteration in skin integrity. Facility policy stated that nails were to be observed daily, inspected weekly on bath day, and trimmed as indicated, but during multiple observations the resident’s fingernails remained long, jagged, and dirty, with chipped nail polish and debris noted at the base of the fingertips. On 08/18/2025, 08/19/2025, 08/20/2025, and 08/21/2025, the resident was observed with fingernails approximately 1/2 inch beyond the fingertips, jagged, and not maintained. During the 08/21/2025 observation, the resident’s palms were red and irritated, with an intact fluid-filled purplish blister on the left palm and another open blister on the same palm. Staff interviews indicated that nail care was expected to include cleaning, filing, and trimming, usually on shower days, but an LPN stated the CNA was responsible for this care and that the resident’s hands were to be kept covered due to contact dermatitis. The unit manager later acknowledged that the resident’s nails were cleaned but not trimmed or filed, and stated they should have been because they were jagged.
Failure to Arrange Outside Eye Consult for Resident With Impaired Vision
Penalty
Summary
The facility did not ensure that Resident #30 received proper treatment to maintain vision when an outside optometry referral identified on 06/06/2025 was not scheduled. Resident #30 had diagnoses including a left fibula fracture, left ankle fracture, and diabetes with diabetic neuropathy. The resident’s MDS dated 05/13/2025 documented that they were cognitively intact, could understand and be understood by others, had vision adequate with corrective lenses, and used a wheelchair for mobility. The care plan dated 08/13/2025 noted that the resident wore glasses, had impaired vision, and could see large print, with interventions to assess and report changes in vision and arrange eye consults as needed. The eye consult form from 06/06/2025 documented that the resident was seen in the facility and was to have a referral sent to an outside optometrist to determine whether a new prescription would improve vision or whether cataract surgery was indicated, but the referral was not completed. During interview, the resident stated their glasses no longer helped them see, that they had informed staff and a family member, and that they were supposed to see another eye doctor but the appointment was never scheduled. The PACE case manager stated there were no records showing an outside consult was required and no notification had been received from the facility. The RN educator and Unit 2 Manager stated the Unit Manager was responsible for contacting the resident’s PACE case manager to arrange the appointment, and the DON stated the Unit Manager was responsible for following up with the case manager for the optometrist appointment.
Loose Bedrail Not Secured and No Entrapment Assessment
Penalty
Summary
The facility did not ensure correct installation, use, and maintenance of a bed cane/bedrail for one resident, and did not assess for entrapment risk. Resident #12 had diagnoses including obesity, osteoarthritis, and hypertension, and the MDS documented the resident was cognitively intact and needed partial/moderate assistance with bed mobility. The comprehensive care plan documented extensive assist of one for bed mobility, and the active order profile included an order for a bed cane to the right side of the bed for turning and positioning. The record showed therapy and nursing documentation related to bedrail use, but there was no documented evidence of an entrapment assessment in the evaluation. The resident’s closet care plan contained an undated handwritten entry for a bed cane to the right side, but it did not clearly document bedrail use in the care plan hanging on the bathroom door. During observations, an upside down U-shaped black bedrail was found on the right side of the resident’s bed and moved very easily when grabbed, sliding out from under the mattress and not being secured to the bedframe. The resident stated the bedrail was needed for positioning and belonged to them, and later stated it was loose and needed to be put under the mattress more. Staff interviews showed inconsistent understanding of responsibility for installation, inspection, and maintenance. The CNA stated the bedrail was not indicated on the closet care plan and that maintenance was responsible for installing and checking bedrails. The Senior Mechanic stated bedrails were applied by maintenance but were not generally checked again unless a concern was reported, and there was no routine or preventative maintenance performed on resident beds or bedrails. The Director of Facilities stated there was no routine or preventative maintenance on resident beds and no process for checking entrapment with bedrail use. The DON stated the resident had a facility-provided bedrail that was swapped out by a family member, and that there was no evidence entrapment measurements were completed before the issue was identified.
Infection Control Lapses During Pressure Ulcer Care
Penalty
Summary
The facility did not establish and maintain an effective Infection Prevention and Control Program to provide a safe, sanitary, and comfortable environment and to prevent the development and transmission of communicable diseases and infections for one resident with a draining Stage 3 pressure ulcer. The resident had diagnoses including a fractured left fibula and ankle and diabetes, and the MDS documented cognitive intactness and moisture associated skin damage. The comprehensive care plan addressed risk for altered skin integrity, but it did not include MASD or the Stage 3 pressure ulcer later identified by the wound physician. An initial wound evaluation documented a Stage 3 pressure ulcer on the resident’s left buttocks with measurements of 3.9 cm by 0.7 cm by 0.1 cm, light serous drainage, and 100% granulation tissue. A physician order was entered for cleansing with normal saline, applying border gauze daily and as needed, and applying barrier ointment to the peri-wound area. During observation of wound care, two staff members entered the room without a gown, there was no signage indicating enhanced barrier precautions, and no PPE was readily available. One staff member washed hands and donned gloves, assisted with turning the resident, and the LPN washed hands and donned gloves before removing the soiled dressing and completing treatment. Interviews showed inconsistent understanding of when enhanced barrier precautions were required. The LPN stated a gown was not used because the wound was believed to be Stage 2 and that enhanced barrier precautions were only required for Stage 3 and higher pressure ulcers. The RN unit manager stated they were not certain whether the resident should be on enhanced barrier precautions but believed any chronic wound should qualify. The RN educator stated residents should be placed on enhanced barrier precautions if they have pressure ulcers that are Stage 2 and higher or require a dressing. The DON stated only chronic wounds such as Stage 3 generally require enhanced barrier precautions and believed the wound was an acute Stage 3 wound, so they did not consider it necessary. Another LPN later stated the wound doctor confirmed the MASD had been a Stage 3 pressure ulcer and that no one had instructed them to place the resident on enhanced barrier precautions.
CNA annual performance evaluations were missing from employee files
Penalty
Summary
Certified Nurse Aide performance reviews were not completed at least once every 12 months for three of five CNA files reviewed. The facility policy for the Non-Management Employee Performance Evaluation Program stated the purpose was to improve work performance, recognize and correct work deficiencies, and identify training and education needs. Review of the employee files showed CNA #3 was hired on 12/03/2023 and had a 90-day evaluation dated 03/05/2024, CNA #4 was hired on 03/31/2008 and had a most recent evaluation dated 04/30/2023, and CNA #5 was hired on 11/11/2021 and had a 90-day evaluation dated 02/10/2022. There was no evidence in any of these files that a performance evaluation had been completed within the last 12 months. During interviews, the DON stated the facility was behind on completing performance evaluations and that annual evaluations were completed for all employees at the same time each year. The DON also provided performance evaluations for CNA #3 and CNA #4 that had been signed in April 2024, but stated they had not yet been sent to HR. The Administrator stated annual performance evaluations were due and that Unit Managers were responsible for completing evaluations with CNAs. HR stated an email was sent to department management staff instructing them to complete evaluations and return them by 07/09/2025, but no reminders had been sent and HR did not know how many had been returned. Unit Managers for Units 1, 2, and 3 stated they had not received instruction or email reminders about completing CNA performance evaluations, and Payroll/HR confirmed the employee files did not contain evaluations dated within the last 12 months for CNA #3, #4, and #5.
Failure to Maintain Effective Pest Control Program
Penalty
Summary
The facility failed to maintain an effective pest control program on the second and third floors, as well as in the main kitchen, resulting in ongoing rodent activity and evidence of infestation. Multiple residents reported frequent sightings of rodents in their rooms and common areas, with some stating they observed rodents daily. Direct observations confirmed the presence of rodent droppings in resident rooms, bathrooms, and dining areas, as well as dead rodents found in traps and containers. In several instances, rodent droppings were found in personal storage areas, such as wardrobes and nightstands, and in food containers, with one resident reporting that rodents had accessed and contaminated their food. Staff interviews corroborated the persistence of the issue, with some staff noting repeated sightings and the need for ongoing cleaning and monitoring. In the main kitchen, rodent droppings were observed in multiple locations, including near sinks, storage bins, and along tray lines. Although food was stored in covered bins, droppings were found on top of bin lids and on the floor in food preparation and storage areas. The exterior of the facility also presented conditions conducive to pest attraction, with a grease dumpster observed to have grease streaks and residue on its lid and sides. Additionally, the loading dock had visible gaps under the garage doors, providing potential entry points for rodents. The facility's pest control policy assigned responsibilities to various departments for cleaning, maintenance, and exclusion, but the ongoing presence of rodents and droppings indicated these measures were not fully effective. Pest control logbooks and exterminator service reports documented repeated rodent sightings and catches in both resident areas and dietary departments over several weeks. Residents and their families reported using personal traps in addition to those provided by the facility, and some residents expressed distress or inconvenience due to the rodent activity. Despite regular visits from an exterminator and efforts to seal entry points, the facility continued to experience rodent pressure, particularly in an older building structure. The deficiency was observed through direct evidence, resident and staff interviews, and review of facility records.
Improper Catheter Care Leads to Deficiency
Penalty
Summary
The facility failed to ensure proper catheter care for a resident with a Foley catheter, leading to a deficiency. The staff did not maintain the urine collection bag below the level of the resident's bladder, which is crucial to prevent urine backflow and potential urinary tract infections. This issue was observed during a bed bath and brief change, where the Certified Nurse Aide lifted the urine collection bag above the resident's torso, causing visible backflow of urine towards the bladder. The resident had a history of frequent urinary tract infections and was at high risk for further infections due to this improper handling. The resident had undergone recent surgery and returned with a urinary catheter bag that had shorter tubing, which was reported by staff but not addressed promptly. The Registered Nurse Nurse Manager acknowledged the issue but did not take immediate action to resolve it. The Infection Control Preventionist was aware of the problem but did not report it further, assuming it would be addressed during surgical follow-up. The surgeon was not informed of the issue until after the surveyor's observation, highlighting a communication breakdown within the facility regarding the resident's catheter care needs.
Plan Of Correction
Plan of Correction: Approved March 6, 2025 Schoellkopf Health Center submits that its policies, systems and procedures related to the resident care and comprehensive quality improvement program for monitoring of resident care are appropriate. Additionally, it is important to make clear that the submission of this Plan of Correction is not to be construed as an admission that the cited deficiencies are accurate or that at the time of the survey Schoellkopf Health Center did not have policies, procedures and systems in place to maintain compliance with federal and state requirements. However, in an effort to enhance the care furnished to our residents, we have improved some of our existing policies, procedures and systems. I.) The following corrective action was accomplished for the deficiency stated: A.) The CNA that provided inadequate Foley care to Resident #2 was termed from her agency employment contract on (MONTH) 11, 2025 prior to notification of this deficiency. Due to concerns that the administrator and director of nursing were made aware, the facility had already placed her and her agency contract on a “watch status” for performance improvement, which was not accomplished. This appears to be an isolated incident with this particular CNA as she is quoted by state surveyor during interview saying she was “aware the bag was supposed to remain below the resident’s bladder to prevent infection.” B.) Resident #2 had a cystoscopy procedure on 2/4/2025, returned same day to facility with a leg bag attached to her thigh below the bladder. RN unit manager contacted the surgeon on 2/10/2025 and obtained orders to remove leg bag and replace with full urinary collection bag. C.) Resident #2 was on 24-hour report for nursing to monitor for any ill effects s/p cystoscopy or s/s of UTI. D.) The CNA did not care for any other residents with a foley. II.) The following corrective actions have been implemented to ensure all CNA staff are aware of proper Foley care as all residents have the potential to be affected by the same practice. A.) All CNA staff will be in-serviced by IP/In-service Coordinator on proper Foley catheter care to help prevent infections. B.) All residents with an indwelling urinary foley identified and they will be monitored for s/s of UTI. III.) The following systemic changes have been implemented to assure continued compliance with regulations. A.) All nursing staff: RN, LPN, and CNA will be required to complete a Relias training titled “Care of a Urinary Catheter” on a yearly basis. B.) IP/In-service Coordinator or designee will audit 1 resident with a foley per week times 4 weeks, then 1 per month times 2 months to ensure competency in emptying procedure. C.) Administrator and Director of Nursing reviewed policy titled “Catheter Care,” remains appropriate and no changes were made to the policy. IV.) The facilities compliance will be monitored utilizing the following QAPI system: A.) IP/In-service Coordinator will track all staff’s compliance with assigned Relias trainings and report results to QAPI committee, which meets quarterly. B.) IP/In-service Coordinator will report audits to the QAPI committee, which meets quarterly. C.) The IP/In-service Coordinator Nurse will be responsible for overall monitoring and evaluation of implemented plans.
Inadequate Use of PPE for Resident on Enhanced Barrier Precautions
Penalty
Summary
The facility failed to ensure proper infection prevention and control practices for a resident on enhanced barrier precautions. The resident, who had a Foley catheter due to obstructive uropathy and a history of urinary tract infections, required staff to wear a mask, gown, and gloves during high-contact care activities to prevent the transmission of multi-drug-resistant organisms. However, during an observation, a Certified Nurse Aide was seen providing care to the resident, including performing a bed bath, emptying a urinary collection bag, and handling soiled linens, while only wearing gloves and not donning the required mask and gown. Interviews with the Certified Nurse Aide, the Infection Control Preventionist, and the Director of Nursing confirmed that the resident was on enhanced barrier precautions and that staff were required to wear the appropriate personal protective equipment. The Certified Nurse Aide admitted to forgetting to wear the gown and mask, which was a deviation from the facility's infection control policy. This oversight was identified during a complaint investigation, highlighting a lapse in adherence to infection prevention protocols.
Plan Of Correction
Plan of Correction: Approved March 6, 2025 Schoellkopf Health Center submits that its policies, systems and procedures related to the resident care and comprehensive quality improvement program for monitoring of resident care are appropriate. Additionally, it is important to make clear that the submission of this Plan of Correction is not to be construed as an admission that the cited deficiencies are accurate or that at the time of the survey Schoellkopf Health Center did not have policies, procedures and systems in place to maintain compliance with federal and state requirements. However, in an effort to enhance the care furnished to our residents, we have improved some of our existing policies, procedures and systems. I.) The following corrective action was accomplished for the deficiency stated: A.) The CNA that provided care to Resident #2 without donning proper PPE was termed from her agency employment contract on (MONTH) 11, 2025 prior to notification of this deficiency. Due to concerns that the administrator and director of nursing were made aware, the facility had already placed her and her agency contract on a “watch status” for performance improvement, which was not accomplished. This appears to be an isolated incident with this particular CNA as she is quoted by state surveyor during interview saying she “forgot.” This CNA was hired through agency on (MONTH) 10, 2024. During her orientation period she passed bathing and incontinence care, including infection control competency. B.) The facility’s policy and procedure to alert staff of transmission-based precautions, including Enhanced Barrier Precautions were followed as evidence by the proper identification and needed PPE was present outside resident’s room. II.) The following corrective actions have been implemented to ensure all CNA staff are aware of proper PPE/hand hygiene/infection prevention control technique during resident bathing and incontinence care, as all residents have the potential to be affected by the same practice. A.) All CNA staff in serviced by the IP/In-service Coordinator on the proper PPE/ hand hygiene/infection prevention technique for residents on EBP. Inservice will address the proper PPE to wear for residents on EBP to promote a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infection. B.) All CNA staff will have a competency evaluation performed by the IP/In-service Coordinator on proper PPE/hand hygiene/infection prevention technique while performing resident bathing and incontinence care. C.) IP/In-service Coordinator or designee will provide individualized instruction/training with any CNAs who do not pass competency. D.) All resident on Enhanced Barrier Precautions identified. RN Unit Manager or designee will interview appropriate residents on EBP to confirm staffs’ compliance with infection control measures as all residents on EBP have potential to be affected by same practice. III.) The following systemic changes have been implemented to assure continued compliance with regulations. A.) In addition to current competency evaluations that the IP/In-service Coordinator or designee performs, all staff will be required to complete a Relias training titled “Infection Control: Enhanced Barrier Precautions,” and “Basics of Personal Protective Equipment” by (MONTH) 1, 2025 and then on a yearly basis. B.) Administrator and Director of Nursing reviewed policy titled “Infection Prevention” remains appropriate and no changes were made to the policy. C.) IP/In-service Coordinator or designee will audit resident’s care performed by a CNA for a resident on EBP. Will complete 1 audit per week times 4 weeks, then 1 per month times 2 months to ensure compliance with infection control measures/PPE. D.) IP/In-service Coordinator or designee will provide individualized instruction/training with any CNAs who do not pass competency. IV.) The facilities compliance will be monitored utilizing the following QAPI system. A.) IP/In-service Coordinator will track all staff’s compliance with assigned Relias trainings and report results to QAPI committee, which meets quarterly. B.) IP/In-service Coordinator will report audits to the QAPI committee, which meets quarterly. C.) The IP/In-service Coordinator Nurse will be responsible for overall monitoring and evaluation of implemented plans.
Rodent Infestation Due to Ineffective Pest Control
Penalty
Summary
The facility failed to maintain an effective pest control program, resulting in a widespread rodent infestation across multiple floors and the main kitchen. Observations and interviews revealed evidence of rodent droppings and sightings in resident rooms on the First, Second, and Third Floors. Residents and staff reported frequent sightings of mice, with some residents expressing fear and discomfort due to the presence of rodents in their living spaces. The infestation was noted to have started around June 2024, with an increase in sightings reported by residents and staff. In the main kitchen, significant evidence of rodent activity was observed, including droppings found in dry storage areas, under equipment, and around food storage containers. The Food Service Director acknowledged ongoing issues with rodent activity in the kitchen, despite recent efforts to seal entry points and improve food storage practices. The kitchen's cleaning practices were found to be inadequate, with rodent droppings observed in areas that should have been regularly cleaned. The exterior of the facility also contributed to the rodent problem, with garbage and used kitchen grease stored in a manner that attracted rodents. The loading dock door was found propped open, providing easy access for rodents. The facility's garbage compactor was noted to be malfunctioning, leading to the use of an open-top dumpster for regular garbage, further exacerbating the issue. Despite efforts to address the problem, including changing exterminator companies and increasing extermination services, the facility continued to struggle with controlling the rodent infestation.
What surveyors are citing around you — mapped
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Illustrative
What surveyors actually found near you
We read the 139 citations issued within 25 miles in the last 12 months — including the 1 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
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Niagara Falls
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Niagara Rehabilitation And Nursing Center | 0.3 mi | ★★★★★ | 1 | 0 |
| Our Lady Of Peace Nursing Care Residence | 4.3 mi | ★★★★★ | 0 | 0 |
| Elderwood At Grand Island | 5.1 mi | ★★★★★ | 1 | 0 |
| Elderwood At Wheatfield | 7.3 mi | ★★★★★ | 0 | 0 |
| North Gate Health Care Facility | 9.4 mi | ★★★★★ | 1 | 0 |
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