Above average — CMS composite of the measures below.
A standard survey is most likely before around October 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 Kingston Health Center Of Vermilion during CMS and state inspections, most recent first.
Several dependent residents did not receive scheduled showers as required, with missed opportunities confirmed by both staff and documentation. Additionally, multiple residents needing staff assistance with eating experienced significant delays during meal times, as only two CNAs were available to assist numerous residents, leading to long wait times and unmet care needs.
A resident receiving IV vancomycin for osteomyelitis was admitted with hospital orders for weekly vancomycin trough level monitoring, but the facility failed to obtain physician orders for these lab tests. While other labs and PICC line assessments were ordered, the required vancomycin trough was omitted, as confirmed by the DON.
A resident with existing diagnoses of dementia and mood disorders was given a new diagnosis of schizoaffective disorder, but staff did not update or resubmit the required PASRR Level I screening as mandated by facility policy and regulatory requirements. Interviews confirmed that staff were aware of the need for an updated PASRR following such changes, but the process was not completed.
A resident with pneumonia and moderate cognitive impairment was receiving continuous oxygen therapy, but staff failed to post the required 'Oxygen in Use' sign on the door as mandated by facility policy. Observations confirmed the absence of signage while the resident was on oxygen, and both the DON and Administrator acknowledged that the sign should have been present.
A facility failed to ensure privacy for residents during toenail trimming, conducted by a podiatrist in a communal dining room. Six residents with impaired cognition were affected, as the care was provided in a shared space, compromising their dignity and privacy. Staff interviews revealed a lack of awareness about the appropriateness of the location for such personal care.
A resident with dementia and impaired cognition, requiring a mechanical lift for transfers, was not properly assisted by an STNA who chose not to use the lift, resulting in the resident being lowered to the floor. The incident was confirmed by facility staff, and the STNA was subsequently placed on a do not return list.
Failure to Provide Scheduled Showers and Timely Eating Assistance
Penalty
Summary
The facility failed to provide scheduled showers to dependent residents and did not ensure timely assistance with eating for residents requiring staff help. For one resident with hypertensive heart disease, dementia, and impaired mobility, showers were scheduled twice weekly but were only documented as given on four out of nine opportunities, with missed showers consistently occurring on Mondays. The resident confirmed rarely receiving showers on the scheduled day due to staff being too busy, and this was verified by an LPN who confirmed the lack of documentation for the missed dates. Another resident with hemiplegia, dementia, and total dependence on staff for ADLs was also not provided scheduled showers, receiving only a sponge bath and a bed bath over a period when seven showers were due. Observation revealed this resident had dry skin and a large amount of an unknown substance under her fingernails. A CNA confirmed the resident did not receive showers as scheduled and verified the condition of the resident’s fingernails. Additionally, this resident was observed waiting for assistance with eating during a meal, with staff confirming that assistance was not provided in a timely manner. Two other residents, one with spastic quadriplegic cerebral palsy and another with progressive multiple sclerosis and impaired cognition, were also affected by delays in receiving assistance with eating. Both were observed waiting for extended periods before staff provided help during meals. Staff interviews confirmed that only two CNAs were present to assist multiple residents in the dining room, resulting in frequent delays and long wait times for residents needing help with eating.
Failure to Obtain Physician Orders for Vancomycin Trough Monitoring
Penalty
Summary
A deficiency occurred when the facility failed to ensure that physician orders were in place to monitor vancomycin levels for a resident receiving intravenous (IV) vancomycin therapy. The resident, admitted with diagnoses including orthopedic aftercare, streptococcal arthritis, and osteomyelitis, was discharged from the hospital with orders for IV vancomycin every 24 hours for 28 days and a weekly vancomycin trough level to monitor medication levels. The hospital had drawn a vancomycin trough prior to discharge, and the resident was admitted to the facility for continued IV antibiotic therapy and rehabilitation. Upon review of the resident's medical record, it was found that while orders were in place for a complete blood count (CBC), basic metabolic panel (BMP), and regular assessment of the PICC line site, there were no physician orders for the required vancomycin trough level monitoring. This omission was confirmed during an interview with the Director of Nursing, who verified that no order for a vancomycin trough was present during the resident's stay. The lack of appropriate monitoring orders for vancomycin levels constituted the deficiency identified in the report.
Failure to Update PASRR Following New Psychiatric Diagnosis
Penalty
Summary
The facility failed to ensure that a Preadmission Screening and Resident Review (PASRR) Level I was updated and resubmitted after a new diagnosis of a serious mental illness was added for one resident. Record review showed that the resident initially had diagnoses of dementia/Alzheimer's disease, mood disorder, and major depressive disorder, but later received an additional diagnosis of schizoaffective disorder. There was no evidence in the clinical record that a new or updated PASRR Level I form was completed or submitted following this new diagnosis. Interviews with the Social Services Director confirmed that a new PASRR Level I should have been completed when the psychiatric diagnosis was added, and the Administrator stated it was her expectation that the PASRR be accurate and resubmitted in such cases. The facility's policy also required PASRR updates upon significant changes in condition or new psychiatric diagnoses. Despite these expectations and policies, the required PASRR update was not performed for the resident after the new diagnosis.
Failure to Post Oxygen in Use Signage for Resident Receiving Oxygen Therapy
Penalty
Summary
Staff failed to post an 'Oxygen in Use' sign on the door of a resident who was receiving continuous supplemental oxygen therapy as ordered by a physician for hypoxia related to pneumonia. The resident had a history of pneumonia, sleep apnea, congestive heart failure, and hypoxia, and was assessed as having moderate cognitive impairment. Observations on two separate occasions confirmed that the required signage was not present while the resident was receiving oxygen via nasal cannula in their room. Interviews with the DON and Administrator confirmed that facility policy and their expectations required an oxygen-in-use sign to be posted whenever a resident was started on oxygen therapy. Review of the facility's oxygen therapy policy also indicated that increased oxygen concentrations present a fire hazard, underscoring the importance of proper signage. Despite these policies and expectations, the sign was not posted as required.
Privacy Violation During Resident Care
Penalty
Summary
The facility failed to provide privacy during resident care, affecting six residents on the memory care unit. These residents, identified as having impaired cognition, were subjected to toenail trimming by a podiatrist in a communal dining room/activity room. This setting was inappropriate for such personal care, as it did not ensure the residents' right to privacy and dignity. The podiatrist was observed trimming the toenails of multiple residents in this shared space, with other residents present, which compromised their privacy. Interviews conducted during the investigation revealed a lack of awareness and understanding among staff regarding the appropriateness of the location for this care activity. The Activity Director was unaware of the podiatrist's presence in the dining room, and the Activity Assistant acknowledged that the care should have been provided in the residents' rooms. The podiatrist himself expressed uncertainty about why the facility had arranged for the toenail trimming to occur in the dining room, citing logistical challenges in moving residents in wheelchairs to their rooms. This deficiency was identified during a complaint investigation.
Failure to Use Mechanical Lift for Resident Transfer
Penalty
Summary
The facility failed to use a mechanical lift for transferring a resident, leading to a deficiency. Resident #53, who was admitted with a diagnosis of unspecified dementia with psychotic disturbance, was assessed as having impaired cognition and was dependent on assistance for bed mobility, transfers, and ambulation. The resident was identified as being at high risk for falls and required a mechanical stand-up lift for all transfers. However, an Agency State tested Nurse Assistant (STNA) #157 did not use the required lift during a transfer in the shower room, resulting in the resident being lowered to the floor. Interviews revealed that STNA #157 chose not to use the stand-up lift, citing time constraints, despite the resident's protests and the facility's established protocols. The Medication Technician (MT) #155 and Physical Therapist (PT) #156 confirmed that the lift was not used, and the Director of Nursing (DON) acknowledged that all staff were informed of the necessary transfer devices for each resident. As a result of this incident, STNA #157 was placed on the do not return list. This deficiency was investigated under Complaint Number OH00155197.
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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 Vermilion
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Mill Manor Care Center | 1.6 mi | ★★★★★ | 5 | 0 |
| Oak Hills Nursing Center | 4.9 mi | ★★★★★ | 4 | 0 |
| Lake Pointe Health Care | 5.3 mi | ★★★★★ | 0 | 0 |
| Amherst Manor Nursing Home | 5.3 mi | ★★★★★ | 0 | 0 |
| Anchor Lodge Nursing Home Inc | 6.5 mi | ★★★★★ | 10 | 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.