Above average — CMS composite of the measures below.
The next survey window likely opens around October 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 Abbyshire Place Health And Rehabilitation Center L during CMS and state inspections, most recent first.
A resident with cognitive impairment and a history of falls was found unsupervised on a facility's patio, resulting in a fall from his wheelchair. Despite interventions like a door alarm, staff reported difficulty hearing it, leading to ineffective supervision. The resident's care plan required supervision due to his fall risk, but the measures in place were insufficient, resulting in multiple unsupervised incidents.
Inadequate Supervision Leads to Resident Fall
Penalty
Summary
The facility failed to provide adequate supervision and prevent accidents for a resident with cognitive impairment and a history of falls. The resident, who had multiple diagnoses including dementia, heart failure, and muscle weakness, was at risk for falls and required supervision or assistance for mobility. Despite these needs, the resident was found unsupervised on the facility's enclosed patio area, where he fell from his wheelchair and sustained abrasions. The facility's interventions, such as placing an alarm on the patio door, were ineffective as staff reported difficulty hearing the alarm when away from the nurses' station. The resident's fall risk assessment and care plans indicated he was at risk for falls due to factors like confusion, impulsiveness, and poor safety awareness. The care plan included interventions like using a two-person assist for transfers and placing an alarm on the patio door. However, the alarm was not loud enough to alert staff when the resident exited to the patio, leading to his unsupervised fall. Staff interviews confirmed that the alarm was hard to hear, especially when they were attending to other residents or tasks. The incident was further complicated by the resident's daughter, who had previously requested that her father not be left unattended outside. Despite this, the resident was found alone on the patio multiple times, indicating a failure in implementing effective fall prevention measures. The facility's investigation into the incident acknowledged the inadequacy of the alarm system and the need for more effective supervision to prevent such occurrences.
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What surveyors actually found near you
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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 Bidwell
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Arbors At Gallipolis | 0.4 mi | ★★★★★ | 2 | 0 |
| Holzer Senior Care Center | 0.9 mi | ★★★★★ | 0 | 0 |
| Pleasant Valley Healthcare Center | 7.7 mi | ★★★★★ | 3 | 0 |
| Majestic Care Of Lakin | 11.8 mi | ★★★★★ | 0 | 0 |
| Overbrook Center | 14.6 mi | ★★★★★ | 11 | 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.