Above 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 July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Jenkins Care Community during CMS and state inspections, most recent first.
A resident with a history of falls and cognitive impairment sustained a head injury after falling from bed. Staff did not ensure required fall prevention interventions were in place, delayed family notification, and did not provide timely medical attention as the wound continued to bleed and the resident's mental status declined. The resident was eventually sent to the emergency department and returned with staples to the head.
A resident with multiple medical conditions and recent joint replacement surgery was transferred to the emergency room after a change in condition, but the facility failed to document the resident's status, the timing and details of the transfer, communication with the emergency room, and the order for transfer, resulting in an incomplete medical record.
A facility failed to notify the State Ombudsman of a resident's transfer to the hospital. The resident, who had severe cognitive impairment and multiple medical conditions, was not given appropriate transfer notice. The facility's administrator confirmed that they had not been submitting transfer information to the Ombudsman, based on prior communication indicating it was unnecessary.
The facility failed to complete accurate PASARR assessments for two residents. One resident's admission PASARR omitted a prescribed antidepressant, while another resident did not receive a significant change PASARR after being admitted to hospice. These deficiencies were confirmed by the Social Services Director.
A resident with intact cognition was not invited to attend quarterly care conferences, despite expressing a desire to be involved in their care. The facility staff mistakenly believed that residents below a certain cognitive threshold should not be invited, although the resident's recent BIMS score indicated intact cognition. The resident's family members attended the conferences instead, and the staff acknowledged the resident's right to participate.
A facility failed to provide an ordered psychiatric consult for a resident following a GDR recommendation. The resident, with multiple medical diagnoses including Parkinson's disease and depression, was on medications like Venlafaxine and Clozapine. A medication review suggested a GDR, and the physician ordered a follow-up with a specific psychiatric service. However, the resident was not seen by the ordered service, and the physician was not notified of this change. The DON confirmed a communication breakdown led to the resident being seen in-house instead.
A facility failed to implement interventions to prevent the worsening of contractures for a resident with limited range of motion. Despite recommendations from OT for a therapy carrot and palm protector, there were no physician orders or documentation of their application. Observations showed the resident without devices, and staff interviews confirmed the absence of orders and lack of awareness about the need for these devices, resulting in a deficiency in care.
A facility failed to assess and create a care plan for a resident with PTSD, who also had Parkinsonism and anxiety disorder. The resident was admitted with mildly impaired cognition, but no assessment of PTSD causes or triggers was conducted, and no care plan was in place. This was confirmed by a social services employee during an annual survey.
A facility failed to establish monitoring and reporting parameters for hypoglycemia in a diabetic resident's care plan. The resident, receiving Metformin and insulin, had no specific orders for low blood sugar levels or hypoglycemia treatment. Interviews with staff revealed a lack of clarity and guidelines for managing low blood sugar, with standing orders not defining hypoglycemia parameters. The resident's care plan focused solely on hyperglycemia, neglecting hypoglycemia management.
A resident was prescribed Risperdal for unspecified dementia with behavioral disturbance, which was confirmed by the DON as an inappropriate diagnosis for antipsychotic use. The resident exhibited behaviors such as disorganized thinking and wandering, but the facility lacked a policy on unnecessary medications, leading to the deficiency.
A resident with severe cognitive impairment and multiple diagnoses was physically abused by a CNA during care, resulting in a skin tear and bruising on the resident's hands. The CNA involved reported having a conflict with the resident and was overheard saying she 'won the fight.' The facility's investigation confirmed the abuse, which violated the facility's policy on preventing abuse.
Failure to Provide Timely Care and Notification After Resident Head Injury
Penalty
Summary
A deficiency occurred when a resident with Parkinson's disease, dementia, and a history of falls was not provided timely services following a head injury sustained from a fall. The resident was found on the floor next to her bed with a laceration to the left side of her head after attempting to reach for a remote. Although the wound was cleansed and bacitracin applied, the resident was not immediately sent to the hospital, and neurochecks were initiated per protocol. Documentation indicated that the family and physician were notified, but interviews later revealed that family notification was delayed by several hours, and the resident's wound continued to bleed for an extended period. Observations and interviews highlighted that required fall prevention interventions, such as non-skid strips and dycem for the wheelchair, were not in place as specified in the resident's care plan. Staff interviews revealed confusion and lack of communication regarding the resident's care, with one CNA stating that the resident's head was still bleeding hours after the fall and that the resident became increasingly confused. The responsible party also observed ongoing bleeding and confusion, and noted that neurochecks were not performed during her visit. The resident was eventually sent to the emergency department after a change in neurological status was observed, where she received four staples to her head. Further review of facility policy confirmed that both the physician and family should be notified promptly after any incident resulting in injury or change in condition. Staff interviews, including those with the DON and ADON, confirmed that urgent incidents should take precedence over routine tasks such as medication pass, and that the family should be notified as soon as the resident is stable. The failure to provide timely medical attention, ensure fall prevention interventions were in place, and promptly notify the family constituted the deficiency identified in this report.
Incomplete Medical Record Documentation for Resident Transfer
Penalty
Summary
The facility failed to maintain a complete and accurate medical record for a resident who was admitted following joint replacement surgery and had multiple diagnoses, including dysphagia, aortic valve stenosis, hypertension, and recent gastrointestinal hemorrhage. The resident required significant assistance with activities of daily living, had an indwelling Foley catheter, and experienced frequent pain. On a specific date, the resident exhibited a change in condition, prompting the Nurse Practitioner to order diagnostic tests and treatments, and the resident was subsequently sent to the emergency room for evaluation and treatment. However, the nursing progress notes lacked documentation regarding the resident's condition at the time of transfer, the date and time the resident was sent to the emergency room, whether a report was called to the emergency room, any follow-up with the hospital, and there was no order documented to send the resident to the emergency room. The Assistant Director of Nursing confirmed that the medical record was incomplete and missing these critical details.
Failure to Notify Ombudsman of Resident Transfer
Penalty
Summary
The facility failed to provide appropriate transfer notice and ombudsman notifications for a resident who was discharged to the hospital. The resident, who had severe cognitive impairment and multiple medical diagnoses including chronic kidney disease, GERD, and depression, was not properly notified of their transfer, nor was the State Ombudsman informed. The facility's administrator confirmed that they had not been submitting transfer information to the Ombudsman, based on previous communication from an Ombudsman indicating that such notifications were unnecessary.
Failure to Complete Accurate PASARR Assessments
Penalty
Summary
The facility failed to complete a significant change Pre Admission Screening and Resident Review (PASARR) for two residents, affecting their compliance with regulatory requirements. For one resident, the admission PASARR did not accurately reflect the resident's medication regimen, as it omitted the prescribed antidepressant medication, Celexa. This resident had a history of dementia, depression, and bipolar disorder, and was receiving antidepressant medication. The discrepancy was confirmed during an interview with the Social Services Director. Another resident, who was admitted to hospice services, did not have a significant change PASARR assessment completed following this change in their care status. The resident had diagnoses including Parkinsonism, PTSD, and anxiety disorder. Despite the completion of a Significant Change Minimum Data Set (MDS) assessment, the required PASARR assessment was not conducted, as confirmed by the Social Services Director.
Resident Not Invited to Care Conferences Despite Intact Cognition
Penalty
Summary
The facility failed to invite a resident with intact cognition to attend quarterly care conferences, affecting one of the twelve residents reviewed for care planning. The resident, who had diagnoses including dementia, depression, and bipolar disorder, was admitted with a history of medication changes and required assistance with activities of daily living. Despite having intact cognition as per the annual Minimum Data Set (MDS), there was no documentation indicating that the resident was invited or attended any care conferences. Interviews with the resident confirmed that he was not aware of or invited to any meetings regarding his care, although he expressed a desire to be involved in decision-making. Interviews with facility staff, including Social Services and the MDS nurse, revealed a misunderstanding that residents below a certain cognitive threshold were not invited to care conferences. The resident's Brief Interview of Mental Status (BIMS) scores fluctuated, but the most recent score indicated intact cognition. The staff confirmed that the resident's sister or daughter attended the care conferences instead, and acknowledged that the resident had the right to attend, as he did not have a Power of Attorney or Guardian appointed.
Failure to Provide Ordered Psychiatric Consult After GDR Recommendation
Penalty
Summary
The facility failed to provide an ordered psychiatric consult following a gradual dose reduction (GDR) recommendation for a resident. This resident, who was admitted with multiple medical diagnoses including Parkinson's disease, hallucinations, anxiety, and depression, was receiving medications such as Venlafaxine, Clozapine, and Pimavanserin. A medication regimen review recommended a GDR for these medications, and the physician's response was to follow up with a specific psychiatric service for management. However, the resident was not seen by the ordered psychiatric service, and there was no evidence that the ordering physician was notified of this deviation. The Director of Nursing confirmed that there was a breakdown in communication regarding the psychiatric consultation for the resident. Instead of arranging an appointment with the specified provider, the resident was seen in-house by the facility's service, and the physician was not informed of this change. This oversight resulted in the resident not receiving the intended psychiatric evaluation as per the physician's order.
Failure to Implement Contracture Prevention Interventions
Penalty
Summary
The facility failed to implement interventions to prevent the worsening of contractures for Resident #7, who was admitted with diagnoses including Parkinsonism, PTSD, and anxiety disorder. The resident was assessed to have mildly impaired cognition and limited range of motion in the bilateral upper extremities. Occupational Therapy (OT) services had recommended the use of a therapy carrot for the left hand to promote skin integrity and prevent stiffness. However, there were no physician orders for a palm protector or therapy carrot, and no documentation of their application or refusal was found in the resident's progress notes. Observations revealed that Resident #7 did not have any devices in place on multiple occasions, despite the care plan indicating the need for a therapy carrot and palm protector. Interviews with the resident, OT, CNA, LPN, and the Director of Nursing confirmed the absence of orders and the lack of device application. The therapy carrot and palm guard were found lying unused in the resident's room, and staff were unaware of the requirement to place these devices in the resident's hands, leading to a deficiency in care for maintaining the resident's range of motion.
Failure to Assess and Plan Care for Resident with PTSD
Penalty
Summary
The facility failed to ensure that a resident with Post Traumatic Stress Disorder (PTSD) was appropriately assessed to identify causes and triggers for trauma. This deficiency was identified during an annual survey and affected one resident who was diagnosed with PTSD. The resident, who also had diagnoses of Parkinsonism and anxiety disorder, was admitted to the facility and assessed to have mildly impaired cognition. However, a review of the resident's care plans revealed that there was no plan of care in place to address the resident's PTSD or trauma. Additionally, there was no assessment conducted to determine the cause of the resident's PTSD or potential triggers. An interview with a social services employee confirmed that these assessments and care plans were not in place.
Lack of Hypoglycemia Monitoring Parameters for Diabetic Resident
Penalty
Summary
The facility failed to ensure proper monitoring and reporting parameters for hypoglycemia were in place for a resident with diabetes mellitus type two. The resident, who had intact cognition and required assistance with activities of daily living, was on a medication regimen that included Metformin and insulin. However, the physician orders did not specify parameters for low blood sugar levels, nor did they include instructions for treating hypoglycemia. The resident's plan of care focused on hyperglycemia, with no mention of hypoglycemia management. Interviews with facility staff, including a Registered Nurse and the Director of Nursing, revealed a lack of clarity and specific guidelines for identifying and treating low blood sugar levels. The standing orders available at the nursing station did not define what constituted a low blood sugar level, and there were no specific orders for treating hypoglycemia, such as administering glucagon. This oversight affected the resident's care, as there were no documented concerns related to low blood sugars in the nursing progress notes.
Inappropriate Antipsychotic Prescription for Resident
Penalty
Summary
The facility failed to ensure that a resident had the appropriate diagnosis for the administration of an antipsychotic medication, Risperdal. The resident, who was admitted with diagnoses including metabolic encephalopathy, unspecified dementia with behavioral disturbance, insomnia, chronic pain, and diabetes mellitus with hyperglycemia, was prescribed Risperdal 0.5 mg at bedtime for unspecified dementia with other behavioral disturbance. The Director of Nursing confirmed that this was not an appropriate diagnosis for the use of an antipsychotic medication. The resident's medical records and care plan indicated behaviors such as disorganized thinking, physical and verbal behavioral symptoms, rejection of care, and wandering. Despite these documented behaviors, the facility did not have a policy related to unnecessary medications, and the care plan included interventions such as administering medications as ordered, monitoring for side effects, and attempting gradual dose reductions. However, the facility did not ensure that the use of Risperdal was clinically justified, leading to the deficiency.
Failure to Prevent Physical Abuse of a Resident
Penalty
Summary
The facility failed to prevent physical abuse for a resident with severe cognitive impairment, who required substantial assistance with daily activities. The resident, diagnosed with dementia, anxiety disorder, major depressive disorder, muscle weakness, and mood disorder, was involved in an incident where a CNA reported having a conflict with the resident during care. The resident was noted to have a skin tear and bruising on both hands, which was reported by multiple CNAs who witnessed the aftermath of the incident. The alleged perpetrator, CNA #100, was reported to have said she 'won the fight' with the resident, indicating a physical altercation. The facility's investigation confirmed the occurrence of physical abuse, as the resident had visible injuries consistent with the reported altercation. The resident herself indicated that the CNA responsible for her care was the one who caused the injuries. The facility's policy on abuse, which defines abuse as the willful infliction of injury resulting in physical harm, was not adhered to, leading to the substantiation of the neglect allegation. The deficiency was investigated under a specific complaint number, highlighting non-compliance with the facility's abuse prevention policies.
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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 Wellston
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Edgewood Manor Of Wellston | 2.4 mi | ★★★★★ | 7 | 0 |
| Four Winds Nursing Facility | 2.5 mi | ★★★★★ | 2 | 0 |
| Ayden Healthcare Of Jackson | 9.7 mi | ★★★★★ | 0 | 0 |
| Maple Hills Skilled Nursing & Rehabilitation | 13 mi | ★★★★★ | 2 | 0 |
| Abbyshire Place Health And Rehabilitation Center L | 22.5 mi | ★★★★★ | 2 | 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.