Above average — CMS composite of the measures below.
The next survey window likely opens around June 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 Gateway Springs Health Campus during CMS and state inspections, most recent first.
The facility failed to ensure RN coverage for at least 8 consecutive hours per day, 7 days per week. Staffing schedules showed no RN was scheduled on one day, and the ED confirmed that no RN worked in the facility that day. The facility census was 47 residents, and the Facility Assessment Tool stated the facility would ensure sufficient staff to meet resident needs at any given time.
Unsecured hazardous chemicals and cleaning supplies were found in multiple areas, including a lobby drawer, a restorative dining room kitchenette, and an unlocked activity room cabinet. Items observed included Cavi-Wipes, hand sanitizer, air freshener, fragrance oil, acrylic paint, glue, and Minwax clear topcoat. RN and DPO staff confirmed the items should have been secured, and the MSDS/SDS information for several products warned of harm if they contacted the eyes or skin or were swallowed.
A resident admitted with lumbar, sacral, and pelvic fractures missed three routine doses of ordered oxycodone shortly after admission because the medication was not available. The MAR showed the missed doses, the resident confirmed missing doses, and the DON stated the nurse should have called the on-call provider and used the emergency box, which had oxycodone available.
An expired insulin aspart pen was found on the 300-hall med cart for a resident with DM2 and an order for sliding-scale insulin. An LPN confirmed the pen was opened earlier and should have been discarded, and facility policy required expired meds to be removed from inventory and disposed of promptly.
A resident with multiple medical conditions, including diabetes, did not have their blood sugar levels documented or insulin administered on specific days, as required by physician orders. The RN confirmed the resident refused meals and blood sugar checks, but failed to document these refusals, leading to incomplete medical records. This deficiency was identified during a complaint investigation.
No RN Scheduled for Required Daily Coverage
Penalty
Summary
The facility failed to ensure the services of a Registered Nurse (RN) for at least eight consecutive hours per day, seven days per week, as required. Review of staffing schedules showed there was no RN scheduled on 07/05/26, and the Executive Director confirmed in interview on 07/15/26 at 11:59 A.M. that no RN worked in the facility on that date. The facility census was 47 residents. Review of the Facility Assessment Tool dated 08/01/25 showed the facility stated it would ensure sufficient staff to meet resident needs at any given time.
Unsecured Hazardous Chemicals and Cleaning Supplies
Penalty
Summary
The facility failed to ensure potentially hazardous chemicals and cleaning supplies were secured and not accessible to residents. During observation of the lobby area, a container of Cavi-Wipes used for disinfecting and cleaning environmental surfaces was found in an unlocked drawer. RN #288 confirmed the wipes were in an unsecured drawer that residents could easily access, and the MSDS stated that if the product came in contact with skin or eyes, or was swallowed, a medical doctor should be called immediately for treatment advice. In the restorative dining room kitchenette, an unsecured bottle of hand sanitizer, a bottle of air freshener, and a bottle of fragrance oil were observed, with labels indicating they should be kept out of the reach of children. RN #288 confirmed these items should have been secured. In the activity room, the room was unlocked and an unlocked cabinet contained a shelf full of acrylic paint, two bottles of glue with warnings about the need for eye wash stations if contact occurred, two bottles of air freshener, and two bottles of Minwax acrylic clear topcoat. The DPO confirmed these items should be secured. The facility policy on Hazard Communication stated hazardous substances were materials that may cause short- or long-term health problems and that SDS binders were to be readily available for immediate intervention if an employee or resident came in contact with a hazardous material.
Missed Ordered Oxycodone Doses on Admission
Penalty
Summary
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist was not met when Resident #40 did not receive medication as ordered by the physician. Resident #40 was admitted with diagnoses including fracture of the fifth lumbar vertebra, fracture of the sacrum, and multiple pelvic fractures, and the MDS dated 07/01/26 showed moderate cognition and need for staff assistance with ADLs. The physician ordered oxycodone 2.5 mg four times daily on 06/29/26, but the MAR for June 2026 showed three missed routine doses: 4:00 P.M. to 7:00 P.M. on 06/29/26, 8:00 P.M. to 11:00 P.M. on 06/29/26, and 6:00 A.M. to 10:00 A.M. on 06/30/26. The resident confirmed missing a few doses when first admitted, and the DON confirmed the three missed doses occurred because the medication was not available, stating the nurse should have called the on-call provider and accessed the facility's emergency box, which had oxycodone available.
Expired Insulin Left in Medication Cart
Penalty
Summary
Expired medication was found in the medication storage area on the 300-hall cart. Resident #24, who was admitted with a diagnosis of type 2 diabetes and had a physician order for insulin aspart per sliding scale, had an insulin aspart pen on the cart with an open date of 06/14/26. During observation with an LPN, the pen was identified as expired, and the LPN confirmed that it should have been discarded. The facility policy stated that expired medications should be immediately removed from inventory and disposed of according to medication disposal procedures.
Failure to Document Blood Sugar Management and Insulin Administration
Penalty
Summary
The facility failed to ensure accurate and complete documentation in the medical record of a resident, specifically regarding the management of blood sugar levels and insulin administration. The resident, who had medical diagnoses including encephalopathy, Parkinson's disease, dementia, diabetes mellitus, and malignant neoplasm of the left breast, was admitted and later discharged within the review period. The Minimum Data Set (MDS) assessment indicated the resident was cognitively intact and required varying levels of staff assistance for daily activities, and received insulin injections. However, the Medication Administration Record (MAR) for October 2024 showed no documentation of blood sugar levels or insulin administration on specific dates before meals, despite a physician's order for insulin administration based on blood sugar levels. Interviews with the Director of Health Services and a Registered Nurse confirmed the lack of documentation and the failure to obtain blood sugar levels or administer insulin on the specified dates. The RN stated that the resident had refused meals and blood sugar checks on those days, leading to the omission of insulin administration, but admitted to forgetting to document these refusals. The facility's medication administration policy requires medications to be administered only with a physician's order and proper documentation, which was not adhered to in this case. This deficiency was investigated under a specific complaint number.
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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 Hamilton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Liberty Station Health Campus | 1.4 mi | ★★★★★ | 7 | 0 |
| Residence At Huntington Court | 3.2 mi | ★★★★★ | 2 | 0 |
| Hamilton Respiratory And Nursing Center | 3.3 mi | ★★★★★ | 14 | 0 |
| Glen Meadows | 3.4 mi | ★★★★★ | 4 | 0 |
| Birchwood Care Center | 3.8 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.