Above average — CMS composite of the measures below.
The next survey window likely opens around August 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Gardens At St Henry The during CMS and state inspections, most recent first.
Unsanitary kitchen conditions were observed in the food service area. A trash can by the serving table had thick food particles on the flip lid, and the freezer door handles and nearby refrigerator surface had a red sticky substance. The Dietary Manager verified the findings, and facility policy states the kitchen and servery should be kept as clean as possible during and after operations.
Improper Placement of Suprapubic Catheter Bag: A resident with a suprapubic catheter and intact cognition was observed with the catheter bag laying on the floor folded in half beside the bed. An RN verified the bag was on the floor beside the bed.
Failure to provide care for a PICC was identified for a resident with UTI and ESBL in urine. The resident was observed with a loose, overdue dressing on the right upper arm, and an RN confirmed the dressing had not been changed as ordered. The facility policy required midline catheter dressings to be changed every 5 to 7 days.
Medications were not securely stored when an antibiotic was observed lying on an unattended med cart in the hallway. An RN confirmed the medication had been left on the cart, and the drug was labeled for a resident and identified as Ertapenem sodium solution. Facility policy stated meds must be kept in a locked cabinet, cart, or med room accessible only to authorized personnel.
Failure to Follow Isolation Precautions: A resident with UTI and ESBL in urine had a contact isolation order, but the room sign initially indicated enhanced barrier precautions. An RN entered the room without gloves or a gown and touched the midline catheter dressing before returning with PPE and starting IV antibiotic administration. The room signage was later changed to contact isolation, and the RN confirmed it should have been contact isolation for a while.
Unsanitary Kitchen Conditions Observed
Penalty
Summary
The facility failed to maintain a safe sanitary kitchen. During an observation of the kitchen, the trash can by the food serving table was noted to have a flip lid with multiple areas of thick food particles on it. The kitchen freezer door handles were observed to have a red sticky substance on them, and the surface of the refrigerator behind the door handles also had the same substance. These findings were verified by the Dietary Manager at the time of the observation. The facility policy on cleanliness states that the purpose is to keep the kitchen and servery as clean as possible during and after operations.
Improper Placement of Suprapubic Catheter Bag
Penalty
Summary
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections was not met when the facility failed to properly place a suprapubic catheter bag. Resident #33 was admitted with diagnoses including fracture of the shaft of the humerus, major depressive disorder, anxiety, and panic disorder, and the MDS 3.0 assessment indicated the resident was cognitively intact and had a suprapubic catheter due to neuromuscular dysfunction of the bladder. During observation on 09/02/25 at 10:38 A.M., the resident's suprapubic catheter bag was seen laying on the floor folded in half beside the bed. RN #101 was interviewed and verified that the suprapubic catheter bag was laying on the floor beside the bed.
Failure to Maintain PICC Dressing Care
Penalty
Summary
The facility failed to provide care for a peripherally inserted central catheter for Resident #12, who was admitted on 03/18/25 with diagnoses including urinary tract infection and Extended-Spectrum Beta-Lactamase in urine. The quarterly MDS assessment dated [DATE] identified the resident as cognitively intact and indicated no intravenous catheter. However, a physician order dated 08/25/25 directed that the midline dressing be changed every week on Mondays. During observation and interview on 09/02/25 at 8:45 A.M., Resident #12 was found to have a PICC in the right upper arm, and the dressing was loose and dated 08/25/25. At 9:00 A.M., RN #110 verified that the dressing was loose and overdue to be changed. The facility policy titled Midline Dressing Changes, dated 01/17/19, stated that midline catheter dressings are to be changed every five to seven days.
Unattended Medication Left on Hallway Cart
Penalty
Summary
Medications were not securely stored when an antibiotic was observed on a medication cart located in the hallway and the cart was unattended. During the observation on 09/02/25 at 8:50 A.M., RN #110 was seen exiting a resident room and confirmed that the medication had been left lying on the medication cart without supervision. The medication was labeled for Resident #12 and was identified as Ertapenem sodium solution, reconstituted 1 gram. Review of the undated policy titled Medication Storage stated that medications are to be stored in a manner that ensures resident safety and kept in a locked cabinet, cart, or medication room accessible only to authorized personnel.
Failure to Follow Isolation Precautions
Penalty
Summary
Provide and implement an infection prevention and control program was deficient when staff failed to follow infection control procedures for a resident in isolation. Resident #12 was admitted on 03/18/25 with diagnoses including urinary tract infection and Extended-Spectrum Beta-Lactamase in urine. The quarterly MDS assessment dated [DATE] indicated the resident was cognitively intact and showed no isolation, while a physician order dated 08/26/25 specified contact isolation. On 09/02/25 at 8:45 A.M., a sign on the resident’s room door indicated enhanced barrier precautions and PPE was available. At 9:00 A.M., RN #110 entered the room with the surveyor and did not don gloves or a gown before touching the midline catheter dressing on the resident’s right upper arm; the RN then left, returned with gloves and a disposable isolation gown, donned them, and began administering an IV antibiotic. Later that day, the room sign had been changed to contact isolation, and RN #110 confirmed the signage had been changed to the increased restrictive isolation and should have been contact isolation for a while.
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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 Saint Henry
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Briarwood Village | 4.5 mi | ★★★★★ | 4 | 1 |
| Celina Manor | 10.8 mi | ★★★★★ | 2 | 0 |
| Gardens At Celina | 10.9 mi | ★★★★★ | 3 | 0 |
| Otterbein St Marys Retirement Community | 13.3 mi | ★★★★★ | 0 | 0 |
| Carecore At Minster | 14.6 mi | ★★★★★ | 26 | 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 June 2026) and official state health department websites.