Above average — CMS composite of the measures below.
The next survey window likely opens 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 Blossom Nursing And Rehab Center during CMS and state inspections, most recent first.
A resident with multiple medical diagnoses and intact cognition was given another resident’s medications after an RN pre-poured meds and placed them in the medication cart drawer while also handling an admission. The resident initially had stable VS and denied distress, but later became drowsy and did not arouse to name, with poor intake and incontinence. The facility investigation identified that carbidopa-levodopa, gabapentin, pravastatin, trihexyphenidyl, and ropinirole were administered in error, contrary to the facility’s medication administration policy.
A resident’s PASARR was not resubmitted after new psychiatric diagnoses were added to the chart. The resident was admitted with mood disorder, and later bipolar disorder and schizoaffective disorder were added, but the PASARR continued to reflect only mood disorder. SS confirmed the PASARR was not resubmitted after the additional diagnoses were entered.
Indwelling urinary catheter care was not documented and assessed appropriately for a resident with urinary retention, osteonecrosis of the right knee, and convulsions. The resident had an order for catheter care every shift, but the chart showed no assessment identifying the catheter use or indication, and the TAR did not document catheter care until several days after admission. The DON confirmed the missing documentation and lack of assessment.
A resident with an indwelling catheter and bowel incontinence received incontinence care from two CNAs who sanitized hands initially and donned PPE, but then changed gloves without hand hygiene, cleaned the resident, and handled a clean brief and repositioning while still wearing dirty gloves. Both CNAs confirmed they did not use proper hand hygiene during the process, and the DON confirmed the facility policy required soiled gloves to be changed and hand hygiene performed before placing a clean brief.
Medication Error Involving Wrong Resident’s Medications
Penalty
Summary
The facility failed to ensure a resident was free from a significant medication error when the resident was given medications intended for another resident. The resident had been admitted with diagnoses including hydronephrosis, UTI, acute kidney disease, atrial fibrillation, CHF, acute metabolic acidosis, diabetes, cerebral ischemia, obstructive sleep apnea, anxiety disorder, and major depressive disorder, and the admission MDS indicated intact cognition. The medication error involved carbidopa-levodopa 25/100 mg, gabapentin 600 mg, pravastatin 40 mg, trihexyphenidyl 5 mg, and ropinirole 0.5 mg being administered to the resident instead of the correct medications. The record states the nurse had prepared another resident’s medications in advance and also placed this resident’s medications in the top drawer of the medication cart while handling an admission. When the nurse returned, she grabbed the wrong medications from the top drawer and gave them to the resident at about 9:00 P.M. The resident was initially alert and oriented with stable vital signs and denied discomfort, but later was noted to be drowsy and not arousing to name, with poor intake and incontinence. The facility investigation documented that the resident was sent to the ED for evaluation and monitored there, and the facility policy stated medications would not be pre-poured and residents were to be identified before medication administration.
PASARR Not Resubmitted After New Psychiatric Diagnoses
Penalty
Summary
The facility failed to ensure that Resident #9’s PASARR was resubmitted after new psychiatric diagnoses were added to the medical record. The resident was admitted on 02/08/23 with an admission diagnosis that included mood disorder, and the PASARR completed on 02/13/23 identified mood disorder. The medical record later showed that bipolar disorder was added on 04/05/23 and schizoaffective disorder was added on 12/13/23, but no evidence was found that the PASARR was resubmitted after either new psychiatric diagnosis. Social Services #117 confirmed in interview on 12/09/25 at 11:55 A.M. that the PASARR had not been resubmitted after the additional psychiatric diagnoses were entered.
Failure to Document and Assess Indwelling Catheter Care
Penalty
Summary
Indwelling urinary catheter care was not documented and assessed appropriately for one resident who was reviewed for catheter use. The resident was admitted with diagnoses including urinary retention, osteonecrosis of the right knee, and convulsions, and had a physician’s order for an indwelling urinary catheter with catheter care every shift. The medical record contained no evidence of an assessment identifying the current use and indication for the catheter, and the treatment administration record showed no documentation of catheter care being provided as ordered until several days after admission. The DON verified that catheter care was not documented from admission until 12/07/25 and that no assessment identifying the use and indication for the indwelling urinary catheter had been completed.
Failure to Perform Hand Hygiene and Change Gloves During Incontinence Care
Penalty
Summary
Provide and implement an infection prevention and control program was not maintained when staff failed to use appropriate infection control practices during incontinence care for Resident #6. Resident #6 was admitted with diagnoses including Alzheimer's disease, diverticulosis, UTI, urinary retention, generalized anxiety disorder, hypertensive chronic kidney disease, diabetes mellitus with neuropathy, Parkinson's disease, unspecified dementia, a history of urinary calculi, and long-term anticoagulant use. The MDS indicated the resident had intact cognition, an indwelling catheter, was sometimes incontinent of bowel, and was dependent for continence care. During observation of incontinence care, two CNAs sanitized hands and donned PPE, emptied the catheter bag, and changed gloves, but did not sanitize or wash hands before donning new gloves. They provided perineal care, including cleaning the resident from front to back and wiping the catheter tube with the same washcloth, then applied a clean brief without changing dirty gloves or performing hand hygiene. One CNA also pulled blankets over the resident and both CNAs repositioned the resident while still wearing dirty gloves. Both CNAs confirmed they did not change gloves or use proper hand hygiene during the process, and the DON confirmed the facility had a policy requiring soiled gloves to be changed and hand hygiene performed before placing a clean brief.
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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 Salem
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Circle Of Care | 1.7 mi | ★★★★★ | 0 | 0 |
| Salem North Healthcare Center | 2.1 mi | ★★★★★ | 7 | 0 |
| Salem West Healthcare Center | 2.1 mi | ★★★★★ | 10 | 0 |
| Auburn Skilled Nursing And Rehab | 5 mi | ★★★★★ | 16 | 0 |
| Vista Center, The | 8.6 mi | ★★★★★ | 4 | 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.