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 October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Carecore At Gaymont during CMS and state inspections, most recent first.
Delayed ADL and Incontinence Care: Residents with severe cognitive impairment, dementia, Parkinson’s disease, CVA, and dependence for toileting hygiene and transfers were observed sitting for hours without being checked or changed. CNAs confirmed that incontinence care was delayed because of staffing shortages and need for transfer assistance, and when care was finally provided, residents were found saturated with urine, with red buttocks or peri areas, and one resident’s nails were long and dirty. A family member also reported repeated delays and foul odor from wet briefs and chair pads.
Failure to address open skin areas and follow ordered treatments: Two residents had untreated skin openings that were observed during care or bedside assessment, with staff acknowledging the areas had been present and not promptly addressed. Two other residents did not receive ordered leg treatments or compression stockings as prescribed, and staff confirmed the ordered care was not being completed.
Unsecured medications and improper storage were observed throughout the facility. A bottle of Med Pass was left on a med cart instead of being stored per label instructions, and multiple residents had meds or inhalers left at the bedside even though they were not ordered to self-administer. An RN found pills on one resident’s bedside table and an LPN admitted giving one dose in error. Staff also found the med room open and unlocked with medications visible, and the DON and RDCO confirmed the unsecured storage.
Improper Hair Restraints and Dirty Kitchen Equipment: Dietary staff were observed preparing trays, prepping food, and cleaning dishes with hair nets covering only their buns, leaving hair exposed on the top, sides, and under the buns. The DM confirmed the improper hair coverage and also confirmed the oven and plate warmer were very dirty, with grease, grime, corrosion, and heavy black char noted on kitchen equipment.
A resident with COPD, HTN, and weakness developed acute respiratory distress with tachycardia, HTN, and low O2 saturation after an earlier stable assessment. The on-call provider was notified and a CNP later found the resident deceased, but the resident’s wife said she was not called about the change in condition and only learned of the death when staff contacted her after it was confirmed. The DON stated that family should be notified immediately when a resident has a significant change in respirations.
A facility failed to maintain a safe, clean, comfortable, and homelike environment for three residents. One resident’s CPAP mask was found tangled in the bed and on the floor, with visible buildup inside the mask, and the room had damaged walls and dirty baseboards. Another resident’s room had a ceiling stain from a leak and windows that did not fit properly, allowing cold draft and outside dampness in. A third resident’s motorized scooter was heavily covered in dust and grime, and an LPN UM verified many wheelchairs were not being cleaned per the schedule.
A resident with chronic pain and an order for PRN hydrocodone-acetaminophen was found in severe pain after the medication ran out and was not available when requested. RN staff said the prior nurse forgot to reorder it, the DON confirmed PRN pain meds should be given within minutes of request, and the resident reported waiting about an hour to an hour and a half for relief.
A facility failed to implement a comprehensive nutritional program for a resident with significant weight loss and multiple medical conditions, resulting in a severe weight loss of 17.6% within 21 days. Despite recommendations for nutritional supplements, the interventions were not implemented timely, leading to further deterioration of the resident's health.
The facility failed to ensure resident rooms were timely cleaned and maintained in good repair, affecting four residents. Issues included frayed call light cords, broken window shades, and stained floors. Despite being reported, these problems persisted, indicating a lapse in adhering to housekeeping and maintenance policies.
The facility failed to ensure call lights were within reach of residents, affecting two residents. One resident with multiple medical conditions was observed twice without access to her call light, and another resident with a history of stroke and other conditions was found with her call light on the floor. Staff confirmed the call lights were not accessible during these observations.
A resident with chronic kidney disease, hypertension, and systolic heart failure, who preferred morning showers on Wednesdays and Saturdays, received bed baths on two occasions without documented refusal or preference. The DON was unaware of the reason for this deviation, despite the facility's policy emphasizing respect for resident self-determination.
The facility failed to ensure a resident's code status was consistent throughout the medical record, with discrepancies found between the electronic medical record and the paper chart. An LPN confirmed the inconsistency, which contradicted the facility's policy on advance directives.
The facility failed to provide appropriate pressure ulcer prevention interventions for a resident with a stage III pressure ulcer. Despite recommendations and the presence of an alternating air mattress, the resident was observed without pressure relief devices in their wheelchair and recliner. The facility also lacked written protocols for pressure reduction measures.
The facility failed to ensure residents receiving supplemental oxygen had complete physician's orders, affecting three residents. One resident with COPD and lung cancer had no oxygen order upon readmission, another had an incomplete order leading to confusion, and a third used oxygen intermittently without a formal order until shortly before discharge.
The facility failed to comply with binding arbitration agreement requirements by not allowing residents up to 30 days to rescind the agreement and not providing an option for a neutral arbitrator. This affected three residents, and the contact information for the arbitration firm listed on the forms was outdated and incorrect.
Delayed ADL and Incontinence Care
Penalty
Summary
The facility failed to ensure activities of daily living were performed timely for residents who required assistance. Four residents reviewed for ADLs were affected, and the report states that residents who were dependent for care were not checked, changed, or provided hygiene assistance at the expected intervals. The facility policy required residents unable to perform ADLs independently to receive care necessary to maintain grooming and personal and oral hygiene. Resident #24 had a history of CVA, generalized weakness, dysphagia, reduced mobility, and severe cognitive impairment, with the MDS showing dependence for all functional abilities including hygiene, bathing, dressing, repositioning, transfers, ambulation, and eating. Observation found the resident’s nails were long and contained an unidentified brown substance under them. The resident stated the nails were too long and wanted them trimmed, and LPNs confirmed the nails were long, had brown substance under them, and that the resident required staff to trim them. Resident #53 had vascular dementia, contractures, abnormal posture, and speech disturbances, and was documented as always incontinent of bowel and bladder and dependent for toileting hygiene and transfers. The resident was observed sitting in a chair in the dining room/lounge area for extended periods, and CNA interviews confirmed the resident had been up since early morning and had not been checked or changed until later in the day. When incontinence care was provided, the brief was saturated and the buttocks were red. Similar findings were documented for Resident #26, who had Alzheimer’s disease, memory problems, and was dependent for toileting hygiene and transfers; the resident remained seated in the dining room for hours before being checked, and when care was provided the resident had a strong urine odor, had been incontinent of urine, and had a red buttock. Resident #25 had Parkinson’s disease, cognitive communication deficit, and muscle weakness, and was documented as severely cognitively impaired, always incontinent of urine, frequently incontinent of bowel, and dependent for toileting hygiene and transfers. The resident had been up since early morning when CNA observation showed she was still sitting in her chair and had not yet been changed because staff needed help with transfers. When incontinence care was performed, the resident was saturated with urine and the peri area and buttocks were deep red with dry flaking skin. A family member also reported finding the resident not changed timely, often incontinent with a foul odor and sitting in wet chair pads. The DON stated residents were to be checked and changed every two hours, but staff interviews described delays related to not enough staff.
Failure to Address Open Skin Areas and Follow Ordered Treatments
Penalty
Summary
The facility failed to ensure that open skin areas were addressed in a timely manner and failed to follow physician orders for ordered treatments. Resident #47, who had COPD, type 2 diabetes, and Parkinson’s disease, was observed lying in bed without the ordered ace wraps on the bilateral lower extremities. The resident’s bilateral feet were very dry with thick white crust, and the right lower leg had multiple open areas, some circular and some partially scabbed with abrasions that appeared to be scratch marks. The resident stated the areas had been present for several days and were itchy. The LPN confirmed the resident did not have the ace wraps on and acknowledged signing the TAR as completed without applying them. The wound care nurse/ADON stated she had not been aware of the open areas and confirmed there were no treatment orders for them at that time. Resident #1, who had morbid obesity, type 2 diabetes, muscle weakness, and needed assistance with personal care, reported that the buttocks were sore and open from bowel movements and hard wiping. During observation of toileting, CNA #115 assisted the resident to the bedside commode and provided peri care, and the resident screamed loudly in pain when wiped. The buttocks were observed to have a long open slit down the gluteal cleft with small open areas on both sides of the inner buttocks. CNA #115 stated the open areas had been present as long as she could remember, and CNA #128 stated the areas had been present for months and had been reported to nurses in the past. The wound care nurse/ADON confirmed she had not been told about the open areas and that there were no treatment orders for them until after assessment. The facility also failed to follow physician orders for Resident #12 and Resident #58. Resident #12, who had a history of intracerebral hemorrhage, severe protein-calorie malnutrition, hypertension, gastrostomy, and hemiplegia/hemiparesis, had an order for lac-hydrin or Dermaphor to both legs with kerlix and two ace wraps per leg in the morning and removal at bedtime, but observation showed the ordered dressings were not on the legs and the resident indicated the facility did not apply them. The DON verified the order had not been completed since it was given. Resident #58, who had severely impaired cognition and was dependent for footwear, had an order for compression stockings to be applied in the morning and removed at bedtime, but was observed sitting in a wheelchair without the stockings on, and a CNA verified they were not applied as ordered.
Unsecured Medications and Improper Storage
Penalty
Summary
The facility failed to ensure Med Pass was stored according to the product label and manufacturer instructions and was left at the bedside or on medication carts. During observation, a 32-ounce bottle of Med Pass that had been opened and partially used was found on top of the medication cart for Oak Hall. The product label and manufacturer instructions stated it should be refrigerated prior to serving, stored in a cool, dry area, and consumed within four days if refrigerated or within four hours if not refrigerated. An RN confirmed the bottle was not stored per the instructions and the facility policy required refrigerated medications to be stored in a secured medication room or other secured location. The facility also failed to ensure medications were not left at the bedside for residents who were not ordered to self-administer. For one resident with diagnoses including dementia, neurocognitive disorder with Lewy bodies, dysphagia, and multiple other conditions, an RN observed a medication cup and six pills on the bedside table. The pills were identified as gabapentin 800 mg, vitamin B12, Synthroid 25 mcg, acidophilus, bupropion 300 mg, and cholecalciferol. The RN stated the resident was not ordered to self-administer medications. An LPN later stated she had administered the six medications but did not observe the resident take them, and she gave the 800 mg gabapentin in error because there were no 400 mg doses available in the medication cart. Two other residents also had medications left unsecured at the bedside. One resident with COPD, emphysema, and chronic bronchitis had multiple vials of ipratropium-albuterol inhalation solution sitting openly on the nightstand, and the resident stated she took them herself without nursing assistance. The MAR did not document administration of the PRN inhalation solution for the month, and the DON confirmed the vials were unsecured and that no residents were to be self-administering medications. Another resident with chronic respiratory failure and COPD had a Ventolin inhaler sitting on the bedside table, and staff stated the resident had kept and used it independently for months. The record review showed no order, assessment, or care plan for self-administration, and staff confirmed medications should be kept secured. The facility further failed to keep the medication room locked. Observation of the TCU/Maple nurses' station showed the nurses' station door was open and unlocked, and the medication room inside was also open and unlocked with many medications in liquid, pill, and cream forms visible. The RDCO confirmed the medication room was unlocked and contained many medications. The facility policy stated all medications and biologicals are to be stored in locked compartments and only authorized personnel should have access to keys.
Improper Hair Restraints and Dirty Kitchen Equipment
Penalty
Summary
The facility failed to assure that dietary staff wore hair nets properly while working in the kitchen. During observation on 07/20/2026 at 8:05 A.M., [NAME] #179 was preparing meal trays and placing them on the cart to be served, Dietary Aid #232 was prepping food items, and Dietary Aid #169 was cleaning dishes. Each staff member had her hair in a bun with the hair net covering only the bun. During a later observation with Dietary Aid #169, the inside of the oven where pans of food were located was noted to be corroded with grease and grime on the top and all sides, with a very thick layer of black char on the bottom of the oven. At 8:16 A.M., the Dietary Manager verified that [NAME] #179, Dietary Aid #232, and #167 had their hair in buns with the hair net only covering the bun, and confirmed that each had hair on the top, sides, and under the buns exposed while working in the kitchen. The Dietary Manager also confirmed the oven and the top of the plate warmer were very dirty. Review of the facility policy titled Dietary Employee Personal Hygiene stated all dietary staff must wear hair restraints to prevent hair from contacting food, and the policy titled Sanitization stated the food service area is to be maintained in a clean and sanitary manner, with utensils, counters, shelves, and equipment kept clean and free from corrosion and other conditions that may affect proper cleaning.
Failure to Timely Notify Family of Significant Change in Condition
Penalty
Summary
The facility failed to timely notify the resident’s primary/emergency contact of a significant change in condition for one resident. Resident #91 had diagnoses including COPD, HTN, muscle weakness, and need for assistance with personal care. A progress note documented that the resident was alert and oriented, with stable vital signs and no oxygen use earlier in the day. Later, the resident developed shortness of breath, difficulty breathing, tachycardia, hypertension, and use of accessory muscles to breathe. The on-call provider was notified, a chest x-ray was ordered, and the resident’s oxygen saturation was 89% on 3 liters of oxygen by nasal cannula. A subsequent note documented that the CNP and RN later found the resident absent of vital signs and verified the resident was deceased. The RN contacted the resident’s wife only after the death was confirmed. During interview, the wife stated no one had called her about her husband’s condition and that she lived about three minutes from the facility and would have come immediately. The RN stated she had started the shift at 6:30 A.M., received report that the resident had a respiratory change in condition, and had not yet seen the resident. The DON stated that family should be notified immediately when a resident has a change in condition, and that a change in respirations would be considered significant, especially when the on-call provider had to be contacted. The facility policy stated that the facility promptly notifies the resident, attending physician, and resident representative of changes in medical or mental condition or status.
Unsafe and Unclean Resident Rooms and Equipment
Penalty
Summary
The facility failed to ensure a safe, clean, comfortable, and homelike environment for three residents. For a resident with epilepsy, dysphagia, anemia, hyperlipidemia, hypertension, and use of a non-invasive ventilator, observation with the resident’s family member showed the CPAP mask tangled in the bed and bed controls and lying on the floor. The inside of the mask had a buildup and appeared soiled. The resident’s room also had multiple areas of missing paint, indented or hole-damaged walls, and dirty baseboards, and a CNA verified these conditions. For another resident with multiple sclerosis, osteoporosis, depression, hypertension, and thyroid atrophy, observation showed a black/brown substance on the ceiling. The resident’s windows did not properly fit, and paper had been shoved into the window to block draft and wetness coming in from outside. The resident stated the draft was cold and that she feared spiders would crawl in through the window if the paper was not stuffed there. The DOM verified the facility had a ceiling leak that may have caused the substance on the ceiling and confirmed the window did not properly fit and had openings to the outside. For a third resident with COPD, type 2 diabetes mellitus, and Parkinson’s disease, observation showed the resident’s motorized scooter had a thick film of dust and grime covering it on all sides. The resident stated she wished someone could help clean it and said it was really bad. An LPN unit manager later verified the scooter had a large buildup of dust and grime and that the resident had not refused cleaning. The unit manager also reviewed the wheelchair cleaning schedule and stated nursing assistants were to clean the chairs nightly, but about 50% of the wheelchairs were dirty and not cleaned per the schedule.
Delayed Availability of PRN Pain Medication
Penalty
Summary
The facility failed to assure pain medications were reordered in a timely manner and available when requested for a resident with almost constant pain. Resident #38 was admitted with diagnoses including low back pain, spondylosis without myelopathy or radiculopathy of the lumbar region, and muscle weakness. The resident was cognitively intact, had a care plan addressing risk for altered comfort related to pain, and had an order for hydrocodone acetaminophen 5-325 mg, one tablet by mouth every eight hours as needed for pain. The MAR showed the resident’s last dose was given on 07/19/26 at 6:33 P.M. and documented as effective. On 07/20/26 at 10:02 A.M., the resident was observed resting in bed, holding her right shoulder, with tears in her eyes, stating she had run out of pain medication the previous evening and rating her pain as 10 out of 10. RN #230 stated the medication was not available when the resident asked for it, that the previous nurse forgot to reorder it, and that he was waiting for pharmacy approval to pull it from the starter box. The DON stated requested pain medications should be administered within five to 10 minutes of request and confirmed residents had run out of pain medication in the past because nurses on the floor did not reorder PRN pain medication from pharmacy. The resident later stated she waited about one hour to one and a half hours to receive her pain medication because it was not available.
Failure to Implement Nutritional Program Leads to Severe Weight Loss
Penalty
Summary
The facility failed to develop and implement a comprehensive, effective, and individualized nutritional program for Resident #122, who was admitted with significant unplanned weight loss and tested positive for COVID-19 shortly after admission. Despite the dietitian's recommendation on 04/09/24 for a frozen nutritional treat twice a day, this intervention was not implemented until 04/23/24. During this period, Resident #122 experienced a severe weight loss of 17.6% within 21 days, dropping from 75 pounds to 61.8 pounds. The dietitian's progress notes did not address the severe weight loss or recommend new interventions in a timely manner, and there was no evidence that the initial nutritional recommendations were followed until much later. Upon admission, Resident #122 had multiple medical diagnoses, including stroke, protein-calorie malnutrition, anemia, and COPD. The resident's BMI was 15.6, indicating underweight status, and she had a stage III pressure ulcer. Despite these critical health indicators, the facility did not ensure that the recommended nutritional supplements were provided promptly. The dietitian confirmed that she could not enter physician's orders into the medical record and relied on nursing staff to do so, which did not happen in a timely manner. Interviews and observations revealed that the resident did not receive the recommended frozen nutritional treat until 04/23/24, and by 04/25/24, the resident's weight had further decreased to 61.8 pounds. The facility's policy on weight assessment and interventions was not effectively followed, leading to significant harm to Resident #122 due to severe weight loss and inadequate nutritional support. The failure to implement timely nutritional interventions and monitor the resident's weight effectively contributed to the resident's deteriorating condition.
Failure to Maintain Clean and Safe Resident Rooms
Penalty
Summary
The facility failed to ensure resident rooms were timely cleaned and maintained in good repair, affecting four of six residents reviewed for environment. Resident #11 had a frayed call light cord, a broken window shade, and stained tile floors. Despite the issues being reported to staff, the problems persisted upon re-observation. Resident #53 had a dried milk spill on the floor and a broken window shade, which were not addressed even after the resident reported the spill to a nursing assistant. The dried spill was later covered with wash cloths, but the window shade remained broken. Resident #38's room had a broken window shade since admission, which was confirmed by both the resident's family member and the Laundry and Housekeeping Supervisor (LHS). Resident #21 also had a broken window shade that had been reported to maintenance but remained unfixed for a long time. Interviews with staff and residents confirmed the deficiencies, and policy reviews revealed that housekeeping surfaces should be cleaned regularly and when visibly soiled, and maintenance personnel are responsible for keeping the building in good repair. The facility census was 70, and the deficiencies were observed and verified by multiple staff members, including a State Tested Nursing Assistant (STNA) and the LHS. The facility's failure to maintain a clean and safe environment for residents was evident in the repeated observations and interviews, highlighting a significant lapse in adhering to their own policies and procedures.
Failure to Ensure Call Lights Were Within Reach of Residents
Penalty
Summary
The facility failed to ensure call lights were within reach of residents, affecting two residents out of 19 reviewed. Resident #51, who has end-stage renal disease, cerebral infarction, anxiety, and depression, was observed twice without access to her call light. On one occasion, the call light was wrapped around the mobility bar on the bed, and on another, it was underneath blankets on the bed. Both times, the resident expressed a need for assistance but was unable to call for help due to the call light being out of reach. Staff interviews confirmed the call light was not accessible to the resident during these observations. Resident #122, who has a history of stroke, protein-calorie malnutrition, anemia, and chronic obstructive pulmonary disease, was also found without access to her call light. The resident was observed lying on her left side, facing the window, and stated that the call light was on the floor and she needed to use the bathroom. The call light was confirmed to be on the floor by a staff member, who then assisted the resident. The facility's policy on answering call lights, dated September 2022, requires that call lights be accessible to residents, which was not adhered to in these instances.
Failure to Honor Resident's Shower Preference
Penalty
Summary
The facility failed to honor a resident's preference for showers, affecting one resident with diagnoses including chronic kidney disease, hypertension, and systolic heart failure. The resident, who had intact cognition and was dependent on staff for bathing, preferred showers in the mornings on Wednesdays and Saturdays. However, the resident received bed baths on two occasions without any documented refusal or preference for a bed bath. The Director of Nursing was unaware of the reason for this deviation from the resident's preference. The facility's policy on Resident Rights emphasized treating residents with kindness, respect, and dignity, and supporting their right to self-determination.
Inconsistent Code Status Documentation
Penalty
Summary
The facility failed to ensure a resident's code status was consistent throughout the medical record. This affected one resident who had a diagnosis of hemiplegia and hemiparesis following cerebral infarction, hypertension, type two diabetes mellitus, and peripheral vascular disease. The resident's quarterly Minimum Data Set (MDS) assessment indicated intact cognition, and the plan of care specified a Do Not Resuscitate Comfort Care-Arrest (DNRCC-A) status. However, the electronic medical record face sheet and physician's orders listed the resident with a full code status, which contradicted the paper chart that had a signed DNRCC-A order. During an interview, an LPN confirmed the inconsistency between the electronic medical record and the paper medical record regarding the resident's code status. The facility's policy on advance directives stated that physician's orders should be consistent and updated with the resident's treatment preferences and/or advance directive. The failure to maintain consistent code status documentation across different parts of the medical record led to this deficiency.
Failure to Provide Pressure Ulcer Prevention Interventions
Penalty
Summary
The facility failed to ensure a resident with a pressure ulcer was provided with appropriate pressure ulcer prevention interventions. Resident #122, who had medical diagnoses including stroke, protein calorie malnutrition, anemia, and COPD, was admitted with a stage III pressure ulcer on the coccyx. Despite the presence of a wound treatment order, there were no additional pressure ulcer prevention interventions documented in the admission physician orders. Observations revealed that Resident #122 was often seated in a wheelchair and a recliner without any pressure relief devices, and the alternating air mattress on the bed did not have specified settings according to the physician's order or manufacturer's instructions. Further review of the facility's wound evaluation notes and interviews with staff confirmed the lack of pressure relief devices in the resident's seating arrangements. The facility's Certified Wound Nurse had recommended several interventions, including a pressure reduction mattress, offloading heels, and a wheelchair pressure reduction cushion, but these were not implemented. Additionally, the facility was unable to provide written protocols for pressure reduction mattresses, offloading heels, wheelchair cushions, and nutritional consults when requested during the survey. The facility's policy on the prevention of pressure injuries was also reviewed, which emphasized the selection of appropriate support surfaces based on the resident's risk factors, but these guidelines were not followed in Resident #122's care.
Incomplete Physician's Orders for Oxygen Administration
Penalty
Summary
The facility failed to ensure residents receiving supplemental oxygen had complete physician's orders for oxygen administration. This deficiency affected three residents who were reviewed for respiratory care. Resident #45, who had a history of COPD and lung cancer, was readmitted from the hospital with a need for supplemental oxygen. However, there was no physician's order for oxygen administration until several days after her readmission, despite the resident using oxygen continuously since her return to the facility. The oversight was confirmed by MDS Nurse #162, who acknowledged that the nurse responsible for the readmission had overlooked the need for an oxygen order. Resident #62, who had diagnoses including COPD and chronic respiratory failure, had an incomplete physician's order for oxygen. The order did not specify whether the oxygen was to be administered continuously or intermittently, leading to confusion for both the resident and the staff. Observations revealed that the resident was unsure about the proper use of her oxygen, and MDS Nurse #162 confirmed that the order lacked necessary details. Resident #224, who had COPD and was discharged home, also experienced a deficiency in oxygen administration orders. Although the resident had been using supplemental oxygen since admission, there was no physician's order until shortly before her discharge. MDS Nurse #162 verified that the resident had been using oxygen intermittently since admission without a formal order. The facility's policy on oxygen administration clearly stated that a physician's order was required, which was not adhered to in these cases.
Non-Compliance with Binding Arbitration Agreement Requirements
Penalty
Summary
The facility failed to comply with the requirements for binding arbitration agreements by not allowing residents up to 30 days to rescind the agreement and not providing an option for a neutral arbitrator. This affected three residents who had signed the facility's binding arbitration agreement. The arbitration agreements reviewed for these residents indicated that disputes would be resolved by a listed arbitration firm without mentioning the option for a neutral arbitrator and allowed only fourteen days to rescind the agreement. Additionally, the contact information for the arbitration firm listed on the forms was outdated and incorrect. Interviews with staff, including the Administrator and Receptionist, confirmed that the facility had been using the wrong form for binding arbitration agreements. The Receptionist was unaware of the regulatory requirement for a 30-day rescission period. The President of Clinical Services acknowledged the error and provided a copy of a new form that complied with federal regulations, allowing for the selection of a neutral arbitrator and a 30-day rescission period. The facility's policy on binding arbitration agreements, revised in November 2023, was also reviewed and confirmed to comply with federal regulations.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
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 192 citations issued within 25 miles in the last 12 months — including the 2 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 Norwalk
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Twilight Gardens Nursing And Rehabilitation | 0.8 mi | ★★★★★ | 10 | 0 |
| Norwalk Memorial Home | 0.9 mi | ★★★★★ | 1 | 0 |
| Vista Care Center Of Milan | 4 mi | ★★★★★ | 0 | 0 |
| Bellevue Care Center | 10.5 mi | ★★★★★ | 0 | 0 |
| Admirals Pointe Nursing & Rehabilitation | 12.1 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 October 2026) and official state health department websites.