Below 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 The Cottages At Garden Grove, A Skilled Nrsg Comm during CMS and state inspections, most recent first.
Failure to Provide Consistent Pressure Ulcer Care and Monitoring: A resident with severe cognitive impairment, malnutrition, and total dependence developed a Stage 2 coccyx pressure ulcer that progressed to Stage 3 and then an unstageable wound with eschar. The record showed wound treatment frequency was not clarified, the TAR reflected inconsistent scheduling, one treatment was missed because the resident was up in a chair, and there was no documented evidence of regular wound assessments during part of the course. Staff interviews indicated the wound care may have been ordered daily but was being done every three days, and the NP was concerned this may have contributed to the wound worsening.
A resident with encephalopathy and epilepsy was care planned for mechanical lift transfers with two staff due to fall risk and dependence for transfers, but a CNA used a gait belt and attempted to stand the resident after the resident said they could walk to the bathroom. The resident’s legs gave out and the resident was lowered to the floor with no injuries. The incident report stated the care plan was not followed.
Two residents experienced significant medication errors involving crushed and improperly administered meds. One resident with hypokalemia had KCl ER crushed despite a do-not-crush order, and another resident with a feeding tube had multiple ordered meds crushed, mixed together with water, and given all at once via G-tube. Staff interviews showed confusion about crushing orders and whether meds should be administered together.
A resident with a history of Parkinson's Disease and chronic constipation did not receive timely bowel interventions or prescribed medication due to lapses in staff documentation, communication, and adherence to the facility's bowel protocol. The resident went several days without a bowel movement, staff failed to notify the provider about missed medications and ongoing constipation, and the care plan did not address constipation. The resident was eventually hospitalized for fecal impaction after experiencing symptoms related to constipation.
A resident with impaired cognition and brittle bones was injured when a CNA provided care alone, contrary to the care plan requiring two staff members. The resident sustained a skin tear and a fracture, which the facility attributed to the resident's medical condition. The CNA admitted to not following the care plan, and disciplinary action was taken.
A resident with full cognition refused incontinence care during the night, but a CNA proceeded with the care against the resident's wishes, violating their rights. The resident's care plan indicated they should not be disturbed unless they requested assistance. The CNA's actions were based on previous incontinence incidents, but did not align with the resident's expressed refusal at the time.
A facility failed to investigate and report an alleged abuse incident involving a CNA and a resident with dementia and anxiety. The CNA had a physical altercation with the resident, resulting in a skin tear, but was not removed from care duties pending investigation. The incident was not reported to the Department of Health in a timely manner, and a full investigation was delayed until surveyors arrived.
A resident with dementia and multiple sclerosis was observed leaning far to the right in their wheelchair, affecting their ability to eat. Despite facility policy requiring assistance for repositioning, staff did not consistently intervene or trigger a physical therapy evaluation. Interviews revealed a lack of clarity and action regarding the resident's needs, and no adaptive equipment was implemented to address the issue.
A resident with dementia and anxiety did not receive necessary assistance with personal hygiene, including shaving and nail care, despite requiring substantial assistance and not refusing care. Observations showed the resident had thick facial hair and unclean fingernails over several days. Staff interviews revealed that personal hygiene tasks were not consistently performed due to time constraints, contrary to facility policy.
A resident with peripheral vascular disease, diabetes, and chronic kidney disease was not provided with activities that matched their interests, such as classical music, religious services, and outdoor time. The facility's activity program failed to meet the resident's preferences, leading to feelings of loneliness and lack of engagement. Staff cited time constraints and resource limitations as reasons for the deficiency.
Two residents with pressure ulcers did not receive necessary care due to facility oversights. One resident's wound treatments were missed due to unavailable supplies, while another did not have the ordered alternating pressure overlay in place. Staff failed to communicate and ensure proper equipment use, leading to deficiencies in care.
The facility failed to serve food and drinks at appropriate temperatures during two observed lunch meals. A resident in Cottage 60 received a meal with a cheeseburger at 130°F and drinks above the acceptable cold range. Another resident in Cottage 31 was served a carrot salad and apple juice also above the cold range. Staff interviews revealed inconsistencies in adhering to food handling guidelines, resulting in dissatisfaction with food temperature and taste.
A facility failed to maintain effective infection control practices, as an LPN and CNA did not perform proper hand hygiene or wear gowns while caring for a resident with a Stage 4 pressure ulcer on enhanced barrier precautions. The LPN did not change gloves during wound care, and both staff members disregarded the facility's infection control policies, potentially compromising the resident's health.
The facility failed to thoroughly investigate alleged violations involving mistreatment, neglect, or abuse for two residents. Investigations were incomplete, lacking timely assessments, staff statements, and documentation of care plan adherence.
Failure to Provide Consistent Pressure Ulcer Treatment and Monitoring
Penalty
Summary
The facility failed to ensure a resident with significant risk factors received necessary pressure ulcer treatment and services consistent with professional standards of practice. Resident #153 had diagnoses including stroke, protein-calorie malnutrition, and pressure ulcers, was severely cognitively impaired, dependent on staff for all mobility and functional abilities, weighed 80 pounds, and had pressure-reducing devices and nutrition/hydration interventions in place. The resident developed a new Stage 2 pressure area on the gluteal cleft/coccyx, and prior orders were in place to protect the area because the coccyx protruded and the resident had little fat for protection. The record showed wound care orders were not clearly followed or clarified. A Nurse Practitioner order documented Triad paste and Allevyn to the open area every three days, while the treatment administration record also reflected daily Triad paste with dressing changes every three days. There was no documented evidence that the frequency was clarified with the Nurse Practitioner to determine whether the treatment was daily or every three days. On one occasion, the treatment was not completed because the resident was already up in the chair. The record also lacked documented wound assessments for a period between the documented treatment changes. The resident’s pressure ulcer worsened over time, progressing from Stage 2 to Stage 3, then to an unstageable wound with eschar, and later to a larger wound with 100% loose eschar. Staff interviews indicated the wound had worsened during February 2026, that the resident was frail, and that the treatment should have been applied daily rather than every three days. The Nurse Practitioner stated they were not aware the wound treatments were only being done every three days and were concerned this could have caused the ulcer to increase in size and delayed healing, possibly causing harm to the resident. The resident later expired.
Failure to Follow Mechanical Lift Care Plan During Transfer
Penalty
Summary
The facility failed to ensure adequate supervision to prevent accidents for a resident who required a mechanical lift for transfers. Resident #151 had diagnoses including encephalopathy and epilepsy, and the 09/11/2025 MDS documented intact cognition and dependence for transfers. The comprehensive care plan, initiated 09/05/2025, identified the resident as at risk for falls and with a self-care deficit, and included an intervention to lift mechanically with two people for transfers. The 09/05/2025 RN Unit Manager fall assessment also documented the resident as high risk for falls. On 09/12/2025, Certified Nurse Aide #37 attempted to help the resident stand after the resident convinced the aide they could stand and walk into the bathroom. The aide applied a gait belt and stood the resident, but the resident’s legs gave out and the resident was lowered to the floor. The incident report documented no injuries. The report stated the care plan was not followed because the resident had been care planned for a mechanical lift, and the root cause identified was that the aide should not have listened to the resident.
Significant medication errors with crushed potassium and grouped G-tube medications
Penalty
Summary
The facility failed to ensure residents were free from significant medication errors for two residents. One resident had diagnoses including hypokalemia and was cognitively intact. The physician order for potassium chloride extended-release 20 mEq documented that it was to be given by mouth once daily and not crushed or chewed. During medication administration observation, an LPN crushed the potassium chloride extended-release tablet and mixed it with other crushed medications in applesauce before giving it to the resident. The MAR documented the potassium chloride extended-release tablet as administered by mouth, and the LPN later stated the pharmacy had approved crushing it if that was the only way the resident would take the medication. A second resident had diagnoses including right-sided paralysis, was dependent on most activities of daily living, and had a feeding tube. The care plan addressed nutritional risk due to tube feeding and included medications per physician order. Orders were present for multiple medications to be given by gastrostomy tube, including hydroxychloroquine, lisinopril, calcium with vitamin D3, metoprolol tartrate, aspirin, atorvastatin, venlafaxine, and baclofen, along with water flushes before and after the medication pass. During observation, an LPN crushed these medications, mixed them together with water, and administered them all at once through the gastrostomy tube, followed by water. Interviews showed staff understood the medications were being crushed and given together, but did not consistently follow the order instructions or the standards described in the report. The LPN stated they did not know whether all medications could be administered together. The unit manager and DON stated medications via gastrostomy tube could be crushed and given together unless otherwise specified, while the pharmacist stated crushed medications should be administered one at a time with water flushes in between and that potassium chloride could not be crushed. The NP stated an order was required to crush a medication and that they were not aware the potassium chloride was being crushed or that the feeding tube medications were being given together.
Failure to Provide Timely Bowel Care and Notify Provider for Resident with Constipation
Penalty
Summary
A deficiency was identified when a resident with Parkinson's Disease, constipation, and irritable bowel syndrome did not receive timely treatment or interventions for constipation, as required by the facility's bowel protocol. The resident did not have a bowel movement for several days after admission, and there was no documented evidence that bowel interventions were implemented in accordance with the protocol. The resident's prescribed bowel medication, Linzess, was not available or administered for several days, and there was no documentation that the medical provider was notified of the missed doses or the resident's ongoing constipation. The facility's bowel protocol required certified nursing assistants to record bowel movements every shift and licensed nursing staff to monitor bowel patterns daily, applying interventions as needed. However, documentation showed that the resident went multiple days without a bowel movement, and interventions such as suppositories were delayed or not documented. Additionally, the medical provider was not notified when the resident failed to have a bowel movement for several days, nor when bowel medications were unavailable. The resident's care plan did not address constipation as a problem area, and there was no plan for ongoing management of the resident's constipation. Interviews with staff revealed inconsistencies in following the bowel protocol, uncertainty about the accuracy of bowel movement tracking reports, and a lack of communication regarding interventions and outcomes. The electronic system used to track bowel movements did not consistently transfer accurate data, leading to discrepancies between reports and actual documentation. Ultimately, the resident was transferred to the hospital with a diagnosis of fecal impaction after experiencing chest pain and diaphoresis, and hospital records confirmed ongoing constipation and the need for multiple interventions.
Failure to Follow Care Plan Leads to Resident Injury
Penalty
Summary
The facility failed to ensure adequate supervision and assistance devices to prevent accidents for a resident who was care planned for two staff assistance. The resident, who had moderately impaired cognition and was dependent on staff for mobility and toileting, was left in the care of a single Certified Nurse Aide (CNA). This CNA provided care alone, contrary to the care plan that required two staff members to assist due to the resident's history of false accusations against staff. During this time, the resident sustained a skin tear and later reported pain in the left arm, which was found to have a fracture. The incident report documented that the resident had risk factors for fractures due to a medical condition that caused brittle bones. Despite the facility's investigation, they could not determine when the fracture occurred, but they concluded it was likely due to the resident's comorbidities rather than the incident itself. The CNA involved admitted to providing care alone and acknowledged the oversight in not following the care plan, which required two staff members to assist the resident. Interviews with staff, including the Assistant Director of Nursing and the Director of Nursing, confirmed that the CNA did not adhere to the care plan, which was designed to prevent such incidents. The facility's investigation did not find evidence of abuse, neglect, or mistreatment, but disciplinary action was taken against the CNA for not following the care plan. The facility believed the fracture was due to the resident's brittle bones, although the exact timing of the fracture could not be determined.
Plan Of Correction
Plan of Correction: Approved April 15, 2025 Resident #2’s ADL care plan has been reviewed and was found to be accurate. All other residents’ care plans will be reviewed to ensure that they reflect the appropriate level of assistance required by the residents. The following policy will be reviewed and revised as deemed necessary to ensure that appropriate levels of assistance are care planned for all residents: Comprehensive Care Plan Policy. Clinical Staff will be inserviced on the previously mentioned policy including any revisions and/or policy changes implemented after reviewing such policies. Staff will also be inserviced on “Promoting Resident’s Independence, Resident Rights and Abuse.” The “Promoting Resident Rights and Independence Questionnaire,” which will include components of the ADL Critical Element Pathway, will be conducted weekly and the results of the audits will be compiled and reported monthly to the QAA Committee. The audit will be completed monthly until we achieve 100% for three consecutive months. The Monitoring Log that is used to track Accidents and Incidents across the facility has been edited to include the names of staff members involved in each incident. This will allow for increased surveillance. The findings will be reported in QAA Monthly as part of the Investigation of Accidents/Incidents Audit that is completed by the ADON. The Director of Nursing will be responsible for overseeing this process.
Violation of Resident's Right to Refuse Care
Penalty
Summary
The facility failed to uphold a resident's right to self-determination and choice, leading to a deficiency. A resident, who had diagnoses including impaired hearing and full cognition, refused incontinence care during the night shift. Despite the resident's clear refusal and statement that they were not incontinent, Certified Nurse Aide #4 proceeded to provide incontinence care, rolling the resident in bed and pulling down their incontinence brief. This action was against the resident's wishes and violated their rights. The resident's care plan, updated prior to the incident, indicated that the resident preferred not to be disturbed during the night unless they requested assistance. The aide's rationale for providing care was based on the resident's previous incontinence during the night and prior acceptance of care. However, the resident explicitly stated they did not need incontinence care at the time of the incident, and the aide's actions were not in alignment with the resident's expressed wishes or the care plan. The incident was documented in an incident report, and the facility's investigation confirmed that the aide violated the resident's rights by not respecting their refusal of care. The resident expressed initial upset and anger over the situation, although there were no psychological concerns noted post-incident. The facility's policies and staff expectations clearly outlined the importance of respecting resident rights and documenting refusals, which were not adhered to in this case.
Plan Of Correction
Plan of Correction: Approved April 15, 2025 Resident #1’s care plan has been reviewed and was found to be accurate. There is a care plan intervention under “Self – Care Deficit” that states “Allow to make choices in care, i.e., clothing, ADL routine, etc.” All other residents' care plans will be audited to ensure that there is a care plan intervention under “Self – Care Deficit” that states “Allow to make choices in care, i.e., clothing, ADL routine, etc.” The following policies will be reviewed and revised as deemed necessary to ensure that residents’ choices and preferences regarding their care are carefully planned for as well as followed by the staff members when providing care: - Comprehensive Care Plan Policy - Resident Right to Refusal Policy Clinical Staff will be inserviced on the previously mentioned policies including any revisions and/or policy changes implemented after reviewing such policies. Staff will also be inserviced on “Promoting Resident’s Independence, Resident Rights and Abuse.” The “Promoting Resident Rights and Independence Questionnaire,” which will include components of the ADL Critical Element Pathway, will be conducted weekly and the results of the audits will be compiled and reported monthly to the QAA Committee. The audit will be completed monthly until we achieve 100% for three consecutive months. The Director of Nursing will be responsible for overseeing this process.
Failure to Investigate and Report Alleged Abuse
Penalty
Summary
The facility failed to ensure that all allegations of abuse, neglect, and mistreatment were thoroughly investigated or reported to the New York State Department of Health as required. This deficiency involved a physical altercation between a Certified Nurse Aide (CNA) and a resident, resulting in a skin tear on the resident's arm. The CNA was not immediately removed from direct resident care pending investigation, and the incident was not reported to the Department of Health in a timely manner. The resident involved had diagnoses of restlessness, agitation, and mild dementia with anxiety. The resident was known to have severely impaired cognition and required moderate assistance for most activities of daily living. On the day of the incident, the resident reportedly became combative and struck the CNA several times. In response, the CNA grabbed the resident's arm, causing a skin tear. Despite the incident, the CNA continued to work their scheduled shifts without suspension pending investigation. The facility's policies required that any witnessed or suspected incidents of abuse be reported to the Department of Health and that the accused employee be placed on immediate temporary suspension pending investigation. However, the facility did not initiate a full investigation until four days after the incident, following the arrival of the New York State Department of Health for a recertification survey. The Director of Nursing and the Administrator were not immediately informed of the incident, and the CNA was not removed from resident care during this period.
Failure to Assist Resident with Proper Positioning in Wheelchair
Penalty
Summary
The facility failed to ensure that a resident maintained their ability to perform activities of daily living, specifically in maintaining proper posture while seated in a wheelchair. The resident, who had diagnoses including unspecified dementia and multiple sclerosis, was observed multiple times leaning far to the right in their wheelchair without assistance for repositioning. This leaning affected their ability to eat, as food and drink were observed falling to the floor during meals. The facility's policy required that residents receive necessary assistance for repositioning based on assessments from the interdisciplinary team. Despite this, the resident was not consistently repositioned, and staff interviews revealed a lack of clarity and action regarding the resident's needs. Certified Nurse Aide #12 and Licensed Practical Nurse #16 acknowledged the resident's leaning issue but did not ensure consistent intervention or trigger a physical therapy evaluation. Interviews with the Assistant Director of Nursing and Occupational Therapist indicated that proper positioning was crucial for the resident's safety and comfort. However, there was no evidence of a reassessment or implementation of adaptive equipment to address the resident's leaning. The Occupational Therapist suggested that lateral supports might not have been tried due to concerns about the resident's behavior, but alternative solutions like blankets were not documented as being implemented.
Failure to Provide Adequate Personal Hygiene Care
Penalty
Summary
The facility failed to ensure that a resident, identified as Resident #100, received necessary assistance with personal hygiene, specifically in removing unwanted facial hair and maintaining clean and trimmed fingernails. Resident #100, who had diagnoses of dementia and anxiety, required substantial assistance with personal hygiene and did not refuse care. Despite this, observations over several days revealed that the resident had thick facial hair and long, unclean fingernails with debris underneath, indicating a lack of proper grooming and hygiene care. Interviews with staff, including Certified Nurse Aides and a Licensed Practical Nurse, confirmed that personal hygiene tasks such as shaving and nail care were not consistently performed for Resident #100. Staff acknowledged noticing the resident's facial hair and unkempt nails but cited time constraints and other priorities as reasons for not addressing these issues promptly. The facility's policy required daily personal hygiene care, including shaving and nail care, to maintain residents' dignity, which was not adhered to in this case.
Failure to Provide Meaningful Activities for Resident
Penalty
Summary
The facility failed to provide an ongoing program of activities that supported the interests and preferences of Resident #120, as required by their own policies and the resident's care plan. Resident #120, who had diagnoses of peripheral vascular disease, diabetes, and chronic kidney disease, was noted to have moderately impaired cognition and expressed feelings of depression. Their preferences included listening to classical music, attending religious services, and spending time outdoors. However, the facility did not offer activities that aligned with these interests, as evidenced by the lack of attendance records for music, spiritual services, or outdoor activities. Observations and interviews revealed that Resident #120 was not provided with meaningful activities. The activity calendar was not easily visible, and the resident was only invited to activities they did not enjoy, such as BINGO. The resident expressed a desire for social interaction with others of the same sex and to participate in religious services, but these needs were not met. The resident was observed sitting alone or with cognitively impaired residents without interaction, and their request to go outdoors was denied by staff. Interviews with facility staff, including the Recreation Specialist and the Director of Therapeutic Recreation, highlighted systemic issues in the activity program. The Recreation Specialist admitted to time constraints and a lack of resources, which prevented them from incorporating Resident #120's preferences into the activity schedule. The Director of Therapeutic Recreation confirmed the absence of outside vendors and social groups, and restrictions on outdoor activities due to temperature policies. These deficiencies contributed to the resident's feelings of loneliness and lack of engagement in meaningful activities.
Deficiencies in Pressure Ulcer Management
Penalty
Summary
The facility failed to provide necessary treatment and services for residents with pressure ulcers, as observed during the recertification and abbreviated surveys. Resident #7, who had an unstageable pressure ulcer on the right heel, did not receive the prescribed wound treatments due to a lack of supplies. The treatment administration record indicated that the treatment was not completed on multiple days, and the responsible LPN did not notify a supervisor about the unavailability of supplies. This oversight was only discovered after several days, highlighting a lapse in communication and supply management. Resident #125, diagnosed with dementia and Stage 2 pressure ulcers on both heels, did not have the ordered alternating pressure overlay in place on their bed. Observations over several days showed the overlay was not being used, despite documentation indicating it was checked and functioning. Interviews with staff revealed a lack of awareness and responsibility in ensuring the overlay was in place and operational, which was crucial for preventing further skin breakdown. The facility's policies required regular assessment and documentation of pressure ulcers, as well as the use of pressure-relieving devices as ordered. However, the failure to adhere to these protocols for both residents resulted in deficiencies in care. The lack of proper wound care supplies and the absence of the alternating pressure overlay contributed to the facility's inability to meet professional standards of practice for pressure ulcer management.
Deficiency in Food Temperature and Palatability
Penalty
Summary
The facility failed to ensure that residents received food and drink at palatable and appetizing temperatures during two lunch meals observed on 7/10/2024 and 7/15/2024. Specifically, during the lunch meal on 7/10/2024 in Cottage 60, Resident #40 was served a meal where the cheeseburger was measured at 130 degrees Fahrenheit, and the milk, apple juice, and water were all above the acceptable cold temperature range. Similarly, on 7/15/2024 in Cottage 31, Resident #105 received a meal where the carrot salad and apple juice were also above the acceptable cold temperature range. Both residents expressed dissatisfaction with the temperature and taste of the food. Interviews with staff revealed inconsistencies in food handling and serving practices. Dietary staff and certified nurse aides were not adhering to the facility's food handling guidelines, which required hot foods to be served at 135 degrees or higher and cold foods at 41 degrees or less. The Food Service Director and Registered Dietitian confirmed that the temperatures recorded during the observations were not acceptable and that there were lapses in ensuring drinks were served at the correct temperatures. The facility's policy was not effectively implemented, leading to the deficiency in food service quality.
Inadequate Infection Control Practices During Resident Care
Penalty
Summary
The facility failed to establish and maintain an effective infection prevention and control program, as evidenced by the actions of two staff members, a Licensed Practical Nurse (LPN) and a Certified Nurse Aide (CNA), during the care of a resident with a Stage 4 pressure ulcer. The LPN did not perform hand hygiene or change gloves during wound care, and both the LPN and CNA failed to wear gowns while providing incontinence and wound care to the resident, who was on enhanced barrier precautions due to an active infection. These actions were contrary to the facility's policies on hand hygiene and enhanced barrier precautions. The resident involved had a severely impaired cognition, was dependent on most activities of daily living, and was incontinent of bowel and bladder. The resident's care plan included maintaining universal precautions and infection control practices through proper handwashing. Despite this, the LPN and CNA did not adhere to these protocols, as observed during their care of the resident. The LPN placed soiled linen on the floor and did not change gloves after removing the old dressing, while the CNA left the room without performing hand hygiene. Interviews with the staff revealed a lack of understanding and adherence to the facility's infection control policies. The CNA believed they had received precaution and handwashing training recently, while the LPN was unsure about enhanced barrier precautions and stated that the resident was on precautions for the first time on the day of observation. The Registered Unit Nurse Manager and Infection Preventionist confirmed that the resident had been on enhanced barrier precautions for about a month and that the staff's actions were unacceptable, potentially leading to infection or worsening of the resident's wound.
Incomplete Investigations of Alleged Violations
Penalty
Summary
The facility did not ensure all alleged violations involving mistreatment, neglect, or abuse were thoroughly investigated for two residents. Resident #1 was found with a bruise of unknown origin, and an assessment was not completed timely, nor was an investigation to rule out abuse/neglect initiated at the time of the report. Additionally, Resident #1 fell and sustained an injury, but the investigation did not identify if the resident's care plan was followed for toileting or if the resident's fall mat was in place at the time of the fall. The facility's investigation was incomplete, lacking follow-up with staff and proper documentation of the incident and care plan adherence. Resident #2 had a fall and was documented as clearly incontinent. The investigation did not determine when the resident was last provided incontinence care and whether the care plan for toileting was followed. Furthermore, Resident #2 had another fall while in another resident's room and was incontinent at the time. The facility's investigation did not identify if the resident's care plan was followed for toileting every 2 to 4 hours. The facility failed to document when the resident was last provided incontinence care and did not ensure the care plan was followed. The facility's policy required all reports of resident abuse or neglect to be promptly and thoroughly investigated by facility management. However, the investigations for both residents were incomplete and lacked critical information to rule out abuse, neglect, or mistreatment. The facility did not follow its own procedures for obtaining staff statements, assessing residents timely, and ensuring care plans were adhered to, leading to deficiencies in the quality of care provided to the residents.
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Illustrative
What surveyors actually found near you
We read the 209 citations issued within 25 miles in the last 12 months — including the 8 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 Cicero
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Elderwood At Liverpool | 5.2 mi | ★★★★★ | 15 | 0 |
| Sunnyside Care Center | 7.6 mi | ★★★★★ | 14 | 0 |
| Bishop Rehabilitation And Nursing Center | 9.3 mi | ★★★★★ | 6 | 0 |
| Onondaga Center For Rehabilitation And Nursing | 10.5 mi | ★★★★★ | 22 | 2 |
| Central Park Rehabilitation And Nursing Center | 11 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.