Above average — CMS composite of the measures below.
A standard survey is most likely before around August 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 Carroll Healthcare Center Inc during CMS and state inspections, most recent first.
A lockbox containing personal items such as a wallet, checkbook, and legal paperwork belonging to three residents was misplaced during an office cleanout. Staff did not maintain a log or verify the contents of the lockbox, and there was a lack of communication between outgoing and incoming social service staff. The missing items were reported by families, and the facility was unable to provide evidence of the lockbox's whereabouts or recovery.
A CNA provided incontinence care to a resident using proper cleansing techniques but failed to remove gloves before touching the resident's bed covers, remote control, and bed controls, contrary to facility policy requiring glove removal and hand hygiene before handling items in the resident's environment.
A resident with a spinal fusion surgery was not provided timely wound care and antibiotics as ordered, leading to wound dehiscence and infection. The facility failed to follow physician orders for dressing changes and did not clarify antibiotic prescriptions, resulting in the resident's hospitalization for further surgical intervention.
A resident with multiple health issues experienced a significant change in condition, including increased respiratory rate and decreased oxygen saturation. Despite several attempts to contact the On Call physician service, no response was received, and the resident eventually expired. The facility's policy required notifying the attending or On Call physician and contacting the medical director if no response was received.
A resident's narcotic pain medication was misappropriated by an LPN, who signed out narcotics without proper documentation. Discrepancies in narcotic counts and irregular signatures were noted, and facility cameras captured the LPN at the medication cart after the count. The facility's policies on controlled substances were not followed, leading to this deficiency.
Failure to Safeguard and Track Resident Personal Belongings
Penalty
Summary
The facility failed to ensure that resident possessions were maintained securely and treated with respect, resulting in the loss of personal items belonging to three residents. The incident began when a lockbox containing resident belongings was misplaced during the cleaning of the social service office for a new hire. Staff involved in the cleaning process, including a registered nurse and housekeeping, did not maintain a log of the items in the lockbox, nor did they verify the contents with residents or witnesses before securing the items. The lockbox, which contained items such as a wallet, checkbook, and legal paperwork, was last seen placed among medical records and subsequently could not be located. The families of the affected residents were notified of the missing items, and in one case, the family contacted the police to report the loss. The facility did not initiate contact with law enforcement or obtain a police report until prompted during the investigation. Statements from staff involved in the cleaning and removal of items were incomplete, with no witness statements obtained from all staff present during the incident. Housekeeping staff reported removing trash and boxes but did not recall discarding a lockbox, and the administrator confirmed there was no evidence to show the lockbox was thrown away. Documentation revealed that there was no established process for tracking or safeguarding resident items placed in the lockbox, and no log or inventory was maintained. The lack of communication between outgoing and incoming social service staff contributed to the oversight, as the new designee was unaware of the lockbox and its contents. The facility's failure to maintain secure handling and documentation of resident possessions led to the loss of personal items for three residents, with no clear resolution or recovery of the missing property.
Failure to Remove Gloves After Incontinence Care
Penalty
Summary
During an observation of incontinence care for a resident identified as always incontinent, a Certified Nurse Aide (CNA) was seen following several appropriate steps, including handwashing, preparing supplies, and providing privacy. The CNA cleansed the resident using the correct front-to-back technique, changed areas on the washcloth with each wipe, rinsed, dried, and applied barrier cream as per standard procedure. The resident was then repositioned, and a clean incontinence brief was applied. However, after completing the incontinence care, the CNA failed to remove her gloves before touching the resident's bed covers, television remote control, and bed control. This action was in direct contradiction to the facility's policy, which requires gloves to be removed and hands washed before returning the resident to a comfortable position and handling items in the resident's environment. The CNA confirmed during an interview that she did not remove her gloves prior to touching these items.
Inadequate Wound Care and Antibiotic Administration
Penalty
Summary
The facility failed to provide timely and adequate wound care and antibiotic treatment for a resident who had undergone spinal fusion surgery. The resident was admitted to the facility for post-operative care with a surgical incision on the back. Despite having orders to cleanse the incision and apply a dressing twice daily, the facility did not consistently follow these orders. Additionally, there was a lack of communication and clarification regarding the antibiotic Keflex, which was prescribed by the surgeon but not properly administered by the facility. The resident was discharged home without evidence that the surgical wound was stable or free from infection. Upon a follow-up visit with the surgeon, the wound was found to be dehisced and infected, leading to the resident's immediate hospitalization and subsequent surgery for incision and drainage. The facility's records showed inconsistencies in wound care documentation, and there was no evidence that the surgeon was contacted for clarification on the antibiotic order. Interviews with facility staff revealed a lack of proper discharge planning and education for the resident and family regarding wound care. The Director of Nursing admitted that the facility did not reach out to the surgeon for clarification on the antibiotic order and acknowledged that the nursing staff failed to monitor the wound condition adequately. The facility's policy on dressing changes was not followed, contributing to the resident's wound complications.
Failure to Notify Physician of Resident's Change in Condition
Penalty
Summary
The facility failed to ensure timely notification of a physician regarding a resident's change in condition, affecting one resident. The resident had a history of right hip fracture, type two diabetes mellitus, protein calorie malnutrition, anxiety disorder, adjustment disorder, and hypertension. The resident was hospitalized after a fall and broken hip. On a specific date, the resident's respiratory rate increased significantly, and the oxygen saturation level decreased. Despite multiple attempts to contact the On Call physician service, no response was received. The nursing staff increased the resident's oxygen and repositioned them multiple times, but the resident's condition did not improve. The resident eventually expired in the early morning hours, and the family and physician were notified posthumously. The Director of Nursing (DON) confirmed that the nurses were unable to get a response from the On Call physician service and acknowledged that the nurses did not escalate the issue to her. The facility's policy required notifying the attending physician or On Call physician in case of significant changes in a resident's condition, and if no response was received, the medical director should be contacted. This deficiency was investigated under a specific complaint number.
Misappropriation of Resident's Narcotic Medication
Penalty
Summary
The facility failed to protect a resident's narcotic pain medication from misappropriation, affecting one resident diagnosed with diabetes mellitus and chronic pain syndrome. The resident had an order for Percocet to be administered as needed for pain. However, discrepancies were noted in the medication administration records and narcotic count sheets, indicating potential misappropriation by an LPN. The facility's investigation revealed that the LPN was signing out narcotics without documenting their administration on the MAR consistently. Witness statements and observations during the investigation highlighted irregularities in the narcotic count process. A registered nurse reported administering Percocet to the resident and noted discrepancies in the narcotic count. Another nurse observed changes in the narcotic count and irregular signatures on the narcotic sheets. The facility's cameras captured the LPN returning to the medication cart after the narcotic count, and the narcotic count sheet was missing shortly after. The facility's policies on controlled substances and misappropriation of resident property were not adhered to, as only authorized personnel should have access to controlled drugs. The investigation found that the LPN was the only individual identified at the medication cart after the narcotic count, and the narcotic count sheet was missing. This incident of past noncompliance was subsequently corrected before the survey.
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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 Carrollton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Arbors At Minerva | 9.4 mi | ★★★★★ | 2 | 0 |
| Minerva Rehabilitation And Nursing Center | 10.6 mi | ★★★★★ | 10 | 0 |
| Bowerston Hills Nursing & Rehabilitation | 11.2 mi | ★★★★★ | 5 | 0 |
| Sunnyslope Nursing Home | 12.2 mi | ★★★★★ | 1 | 0 |
| Louisville Gardens Care Center | 18.2 mi | ★★★★★ | 17 | 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.