Above average — CMS composite of the measures below.
The next survey window likely opens around May 2027
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 Eagle Creek Nursing Center during CMS and state inspections, most recent first.
Kitchen sanitation and maintenance deficiencies: The kitchen was observed with a leaking pipe under the 3-sink compartment, loose tiles with a black mildew-like substance, water-damaged ceiling tiles above the steam table, and broken or missing floor tiles with debris caked into the gash between the food prep and dishwashing areas. The FSD confirmed the leak and water spillover, and the RD confirmed all findings; facility policy required staff to maintain kitchen sanitation through a written cleaning schedule.
Ordered Pureed Diet Not Provided: A resident with cerebral infarct, muscle weakness, and dysphagia was ordered a pureed texture diet with nectar thick liquids, and the care plan directed staff to provide the diet as ordered. During breakfast, the resident was observed eating scrambled eggs with a lumpy texture instead of the ordered pureed omelet, and an RN confirmed the tray did not match the meal ticket or the physician-ordered diet.
Unsanitary resident room conditions were observed in a shared room occupied by two residents. A strong urine odor was present and could be smelled from the hallway, and repeated observations showed stained sheets, cobwebs and dust on the walls and ceiling, debris under the beds and nightstand, and a broken nightstand corner held with dirty tape. CNAs and an LPN confirmed the findings and noted the room needed cleaning and the sheets needed to be changed.
A resident with multiple medical diagnoses and moderately impaired cognition had a new Bipolar Disorder diagnosis added, but the facility did not update the PASARR to reflect the change. The only PASARR on file was completed before admission, and the most recent review did not capture the new mental health diagnosis. The DON verified no updated PASARR had been completed until surveyor intervention.
The facility failed to maintain sanitary conditions in the kitchen, impacting all 71 residents. Observations revealed unlabeled and undated food items, and a dirty stove hood with debris over cooking surfaces. The Dietary Manager confirmed the lack of use-by dates and absence of policies for food labeling, storage, and equipment cleaning.
A facility failed to create a comprehensive care plan for a resident on Eliquis, an anticoagulant, despite the resident's moderate cognitive impairment and multiple health conditions. The absence of a care plan addressing the bleeding risk was confirmed by the DON.
The facility failed to provide fortified foods as ordered by physicians for three residents with specific dietary needs, including those with dysphagia, COPD, and dementia. Staff interviews revealed that fortified food recipes were not followed, and the Dietary Manager confirmed the oversight. The facility's policy requires adherence to diet orders, which was not met in these instances.
A facility failed to timely implement enhanced barrier precautions for a resident with a chronic diabetic ulcer. The resident, who was cognitively intact and had a history of diabetes with a foot ulcer, required wound treatments and dressing changes. Despite the ulcer being classified as chronic on October 7, 2024, enhanced barrier precautions were not applied until December 16, 2024. This deficiency was confirmed through medical record reviews, staff interviews, and observations.
Kitchen sanitation and maintenance deficiencies
Penalty
Summary
The kitchen was not maintained in a clean, sanitary manner. During observation, a pipe underneath the 3-sink compartment across from the steam table was leaking water into a metal pan, and the tiles behind the pan were loose with a black mildew-like substance on the tiles and floor beneath them. Two ceiling tiles above the steam table were covered with a black mildew-like substance and were saturated with water, and one tile was bulging downward and dripping water onto the steam table below. Several small white tiles at the threshold between the food preparation area and the dish washing area were missing or broken, creating a gash in the floor with debris caked into it. On the following day, the ceiling tiles above the steam table had been replaced but still showed new water stains. The pipe under the 3-sink compartment continued to leak into the metal pan, and the tiles behind it remained loose with a black mildew-like substance on the tiles and floor beneath them. The broken and missing floor tiles at the threshold between the food preparation area and the dish washing area were still present with debris caked into the gash. The Food Services Director confirmed the leaking pipe, the water collection pan, the water spillover onto the floor, and the damaged floor tiles, and the Regional Dietitian confirmed all findings. Facility policy stated food and nutrition services staff will maintain kitchen sanitation through a written, comprehensive cleaning schedule.
Ordered Pureed Diet Not Provided
Penalty
Summary
The facility failed to ensure a resident received a mechanically altered diet as ordered by the physician. Resident #69 had diagnoses including cerebral infarct, muscle weakness, and dysphagia, and the admission MDS indicated impaired cognition and a mechanically altered diet. The care plan identified increased nutrition/hydration risk and directed staff to provide the diet as ordered. The active physician’s order required a pureed texture diet with nectar thick liquids. During breakfast observation, the resident was eating in her room with no staff present. The meal ticket on the tray indicated a pureed baked omelet, but the resident’s plate contained scrambled eggs with a lumpy texture, which she was consuming. RN #300 observed the tray and confirmed that scrambled eggs were present instead of the ordered pureed omelet. The facility’s puree food preparation guidance stated puree products are to be maintained between a pudding-like or mashed potato equivalent thickness.
Unsanitary Resident Room Conditions
Penalty
Summary
The facility failed to ensure resident rooms were maintained in a clean and sanitary manner in the shared room of two residents. During observations, a strong urine odor was present in the room and could be smelled from the hallway. The odor remained present during later observations while the two residents were in the room eating lunch, and housekeeper #401 entered to clean and mop. Staff later confirmed the odor may have been related to one resident being incontinent of urine in large amounts and possibly saturating through incontinence briefs into the mattress, and also possibly related to a resident in the adjacent room who was incontinent and non-compliant with care. Repeated observations over several days showed the room remained uncleaned. Resident #69's sheets continued to have a rust-colored circular stain near the grab bar and light brown stains near the foot of the bed. Cobwebs and dust remained on the walls and ceiling between the sink and window, debris remained under both residents' beds and under the nightstand beneath the television, and the nightstand had a broken corner held together with dirty tape that appeared old. CNA #710, CNA #718, and LPN #603 confirmed the cobwebs, dust, debris, stained sheets, urine odor, and the need for the sheets to be changed and the room cleaned. The facility policy stated occupied resident rooms are to be cleaned daily to maintain a sanitary environment.
PASARR Not Updated After New Mental Health Diagnosis
Penalty
Summary
The facility failed to ensure PASARR was completed and updated after a resident received a new qualifying mental health diagnosis. Resident #51 was admitted with multiple diagnoses including cerebral infarction, dysphagia, contractures, COVID-19, muscle weakness, hypertension, depression, cerebrovascular disease, hemiplegia and hemiparesis, constipation, lack of coordination, and malaise, and the quarterly MDS showed moderately impaired cognition. An updated diagnosis list showed Bipolar Disorder was added on 02/21/25, but the PASARR documentation on file was completed prior to admission and there was no further documentation reflecting the new diagnosis. The most recent PASARR review provided by the facility was dated 04/19/18 and did not capture Bipolar Disorder. The DON verified on 06/23/2026 that no other PASARR reviews had been completed after the new mental health diagnosis was added, and reported a new screening was completed that same day following surveyor intervention.
Sanitation Deficiencies in Kitchen Affecting All Residents
Penalty
Summary
The facility failed to maintain sanitary conditions in the kitchen, affecting all 71 residents who received food from there. During an initial kitchen tour, surveyors observed a large unlabeled and undated food bin containing a white substance under the food preparation counter. In the walk-in refrigerator, there were items such as soy sauce, Worcestershire sauce, mayonnaise, and an opened bag of cheese, all lacking expiration or use-by dates. Additionally, the stove ventilation hood was found to have brown fuzzy debris hanging from the bottom rack, directly over open pans of cooking food. The Dietary Manager confirmed the absence of use-by dates for the open foods and acknowledged the dirty condition of the stove hood. Furthermore, the Dietary Manager stated that there were no facility policies for labeling and storing foods or for cleaning equipment, and no evidence of stove hood cleaning was provided.
Failure to Develop Comprehensive Care Plan for Anticoagulant Use
Penalty
Summary
The facility failed to develop a comprehensive care plan for a resident who was on an anticoagulant, specifically Eliquis (apixaban), which is taken every 12 hours. The resident, who was moderately cognitively impaired, had multiple diagnoses including acute and chronic respiratory failure, tracheostomy status, hemiplegia, chronic obstructive pulmonary disease, convulsions, heart failure, and type two diabetes mellitus. Despite these conditions and the use of anticoagulants, the medical record review on December 17, 2024, revealed that there was no care plan addressing the bleeding risk associated with the anticoagulant use. This deficiency was confirmed during an interview with the Director of Nursing on December 19, 2024.
Failure to Provide Special Dietary Foods as Ordered
Penalty
Summary
The facility failed to provide special dietary foods as ordered by the physician for three residents, affecting their nutritional needs. Resident #14, who has dysphagia, a history of weight loss, and dementia, was ordered fortified foods at each meal. Similarly, Resident #15, with chronic obstructive pulmonary disease, nausea, and a history of weight loss, and Resident #37, with dementia, heart disease, and a history of weight loss, were also ordered fortified foods. However, during an observation, these residents were served a meal that did not include the required fortified foods. Interviews with staff revealed that the fortified food recipes, which include high-caloric ingredients, were not followed. The cook admitted to not preparing fortified foods for the lunch meal, and the Dietary Manager confirmed that the cooks had not been preparing fortified foods according to the recipes planned by the Registered Dietitian. The facility's policy states that meals should be provided as ordered by healthcare providers, but this was not adhered to in these cases.
Delayed Implementation of Enhanced Barrier Precautions for Resident with Diabetic Ulcer
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by the delayed implementation of enhanced barrier precautions for a resident with a chronic diabetic ulcer. The resident, who was cognitively intact, had a history of type two diabetes mellitus with a foot ulcer, among other medical conditions. The resident's wound, initially an abrasion, was classified as a diabetic ulcer by a Wound Certified Nurse Practitioner on October 7, 2024. Despite the need for wound treatments and dressing changes, the resident was not placed on enhanced barrier precautions until December 16, 2024. The deficiency was confirmed through medical record reviews, staff interviews, and observations. A physician order for enhanced barrier precautions was not issued until December 16, 2024, despite the resident having a chronic diabetic foot ulcer that required such precautions. The Director of Nursing verified that the resident was not placed on enhanced barrier precautions until this date. A memo from CMS indicated that enhanced barrier precautions are necessary for residents with chronic wounds, such as diabetic foot ulcers, even if they are not known to be infected or colonized with a multi-drug resistant organism.
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Illustrative
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 West Union
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Adams County Manor | 0.4 mi | ★★★★★ | 30 | 0 |
| Monarch Meadows Nursing And Rehabilitation | 12.9 mi | ★★★★★ | 0 | 0 |
| Ohio Valley Manor Care Center | 13.5 mi | ★★★★★ | 0 | 0 |
| Maysville Nursing And Rehabilitation Facility | 15.9 mi | ★★★★★ | 1 | 0 |
| Villa Georgetown Rehabilitation And Healthcare Cen | 18 mi | ★★★★★ | 5 | 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.