Below average — CMS composite of the measures below.
The next survey window likely opens around November 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 Majestic Care Of Bryan during CMS and state inspections, most recent first.
Unsafe mechanical lift transfer, improper sling use, and delayed alarm response: A resident with multiple medical conditions and dependence for transfers fell when a mechanical lift tipped during a transfer, causing a hip fracture that required surgical repair. In a separate observation, staff used mismatched sling hooks during a lift transfer and one LPN stated she did not understand the new slings. The facility also failed to recognize and care plan for a cognitively impaired resident’s exit-seeking behavior, and a door alarm was observed sounding for minutes before staff responded.
The facility failed to ensure residents on mechanically altered diets received the same portion sizes as residents on a regular diet. During meal prep and tray line service, dietary staff served mechanical soft and pureed turkey using a 3 oz scoop, while regular turkey was served with a 4 oz scoop. The DM confirmed the smaller portions were being followed as written on the corporate menu and that the #10 scoop used for the altered diets held 3 oz.
Missing wound care orders on admission: A resident admitted with DM2, RA, chronic pain, nicotine dependence, severe protein calorie malnutrition, and cognitive communication deficit had two wounds documented on the admission skin assessment, including a sacral area and a right gluteal fold area into the second layer of skin. The physician was notified, but no treatment orders were found in the chart. The resident reported no wound treatments were provided after admission, and the RN and Administrator verified there were no wound care orders or physician notes in the record.
Failure to implement constipation interventions after several days without a bowel movement. A resident with a history of constipation, stroke, hemiplegia, and dependence for toileting had no documented BM for six days. Scheduled constipation meds were given, but no PRN laxatives, suppository, enema, or other interventions were documented in the MAR or progress notes, and an LPN confirmed PRN interventions should have been used after three days without a BM.
A resident with stage 3 and stage 4 pressure ulcers did not receive the wound physician’s ordered dressing change as written because staff questioned the order and used a different treatment plan instead. In addition, another resident with dementia, Parkinsonism, and DM2 had a heel pressure injury that progressed to 100% eschar, but the provider was not notified of the eschar and the treatment order was not changed; the CNP stated she had not been aware of the wound’s condition.
A resident with dementia, DM, and obstructive and reflux uropathy had a suprapubic catheter, and the care plan directed staff to keep the drainage bag and tubing below bladder level for gravity drainage. The resident stated a leg bag was worn at all times, including overnight, and did not want to wear it. Surveyors observed the resident in bed with the leg bag at bladder level, and an LPN confirmed it was not below the bladder; the DON verified the resident always used a leg bag and that this practice was not care planned.
Diet orders were not followed for a resident with dysphagia, abnormal weight loss, and other chronic conditions. The resident received a lunch tray without the ordered protein and without ordered supplements such as ice cream, magic cups, or cottage cheese. CNA and dietary staff confirmed the missing items, and the DM verified the resident was supposed to receive an alternate protein with each meal and the ordered supplements from the kitchen.
A resident with a seizure history and diagnoses including CHF, DM2, and hyperlipidemia received an incorrect morning dose of oxcarbazepine during med pass. An LPN gave 300 mg instead of the ordered 600 mg, and the DON and LPN confirmed the error. Facility policy stated meds were to be administered as ordered by the physician.
A facility failed to prevent resident-to-resident sexual abuse involving two residents. One resident, who was moderately cognitively impaired, was inappropriately touched by another resident. Another resident, with severe dementia, was also inappropriately touched by the same resident. The incidents occurred when the LPN responsible for one-on-one supervision left the resident unsupervised, violating the facility's abuse prevention policy.
A facility failed to implement ongoing interventions for a resident with quadriplegia and other conditions, affecting their discharge planning. Despite having a care plan, there was a lack of documentation and follow-up on discharge interventions until two months after admission. The resident expressed a desire to return home, but the LSW did not consistently assist with discharge progress or application processes, leading to a deficiency.
A resident with multiple health issues, including dysphagia, was not properly monitored during mealtime, leading to a choking incident. Despite a change in diet and speech therapy orders, the resident was left unsupervised with a meal, resulting in no food consumption and spilled food and liquids. Staff were unaware of the need for monitoring, highlighting a deficiency in care.
A resident with multiple diagnoses, including cerebral infarction and hemiplegia, was not provided with the required incontinence care as per their care plan. The resident, who was always incontinent of bowel and bladder, was not checked or repositioned for extended periods, contrary to the care plan's requirement for two-hour checks. Staff were unaware of this requirement, and the resident was found incontinent without timely care, resulting in reddened skin areas.
The facility did not maintain RN coverage for at least eight consecutive hours a day, seven days a week, as required. Staffing schedules showed that on three occasions, there was no RN coverage for a full 24-hour period, potentially affecting all 90 residents. The DON confirmed the absence of RN hours on these dates.
A resident with quadriplegia and pressure ulcers did not receive wound care as ordered by the physician. The facility failed to apply dressings correctly, with observations showing a soiled and peeling dressing on the right ischium and a missing dressing on the left hip. Staff interviews revealed a lack of awareness and communication about the wound care orders, and the DON confirmed the non-compliance with the physician's orders and facility policy.
A resident with schizoaffective disorder did not receive prescribed doses of Risperdal on multiple occasions due to unavailability in the facility. An LPN and CNP confirmed the medication was not in stock, and the DON verified the documentation of these incidents. The facility's policy mandates accurate administration and documentation of medications.
A resident with multiple diagnoses did not receive scheduled showers on several occasions and was denied requested showers on two specific days. The facility's policy allows for showers at any time the resident chooses, but this was not adhered to, as confirmed by the Interim DON.
Unsafe Mechanical Lift Transfer, Improper Sling Use, and Delayed Response to Exit-Seeking and Door Alarm
Penalty
Summary
The facility failed to ensure Resident #02 was safely transferred using a mechanical lift, resulting in an avoidable fall. Resident #02 was admitted with diagnoses including morbid obesity, spinal stenosis, asthma, mitral valve insufficiency, depression, anxiety, unspecified convulsions, and difficulty walking. Her MDS indicated she was cognitively intact, incontinent, dependent for personal and toileting hygiene, bathing, bed mobility, and transfers, required oxygen therapy, and her care plan directed that she use a mechanical lift for all transfers. On 08/07/25, CNA #266 and CNA #269 were transferring Resident #02 from her wheelchair to her bed using a mechanical lift when the lift tipped to one side and the resident fell to the floor while attached to the lift. LPN #288 assessed the resident immediately after the fall, and because she complained of severe right hip pain rated 9 out of 10, EMS was called and she was transported to the emergency room. Hospital records showed she sustained a right hip fracture from the fall and underwent surgical repair on 08/08/25. The interdisciplinary investigation noted the lift was rated for up to 450 pounds, Resident #02 weighed 289 pounds, and inspection of the lift found it wobbled when weight was applied and the legs closed slightly. The facility also failed to ensure safe sling utilization during a mechanical lift transfer for Resident #12. Resident #12 had diagnoses including congestive heart failure, epilepsy, hypertension, history of traumatic brain injury, and depression, and her MDS showed she was cognitively intact, dependent for ADLs and transfers, and required a mechanical lift for all transfers. During observation, CNA #290 attached the purple sling hooks on one side of the lift boom while LPN #228 attached black sling hooks on the other side. CNA #290 stopped the transfer and stated the sling hooks should have matched in color on both sides to ensure the resident was lifted evenly. LPN #228 stated she did not understand the new mechanical lift slings and adjusted her hooks to purple, and later stated she did not recall being trained on the new slings. The facility further failed to timely assess and initiate interventions for Resident #54 after exit-seeking behavior and failed to respond timely to a door exit alarm. Resident #54 had vascular dementia, type 2 diabetes mellitus, repeated falls, anxiety, major depressive disorder, and obstructive and reflux uropathy, and her MDS showed impaired cognition. A progress note documented that she was attempting to leave out of the back door by the vending machines and had to be redirected. However, the elopement risk assessment scored her as zero and indicated she had not displayed exit-seeking behavior, the care plan contained no interventions for exit seeking, and IDT notes contained no elopement-related documentation. In addition, observations showed a door alarm sounding for several minutes without staff response until the surveyor notified staff, and on another occasion the DON checked the alarm after it had been sounding while another staff member remained at the front desk without responding.
Unequal Portions Served for Mechanically Altered Diets
Penalty
Summary
The facility failed to ensure residents on mechanically altered diets received the same portions as residents on a regular diet. During observation of the texture modification process, dietary staff prepared pureed turkey by placing ten 3-ounce scoops of turkey into a food processor and then adding turkey gravy and slices of bread to thin, blend, and thicken the processed meat. The dietary manager confirmed that the portion size for mechanical soft and pureed diets was smaller than the portion size for the regular diet and stated that the menus were created and provided by corporate and followed as written. During lunch meal preparation and tray line plating, the regular turkey portion was served with a 4-ounce scoop, while the mechanical soft and pureed turkey portions were served with a 3-ounce scoop. The facility menu spreadsheet for the lunch meal listed regular herb roasted turkey as 4 oz, mechanical soft herb roasted turkey as one #10 scoop, and pureed herb roasted turkey as one #10 scoop. The facility's scoop size conversion chart showed that a #10 scoop had a 3-ounce capacity.
Missing wound care orders on admission
Penalty
Summary
The facility failed to ensure wound care orders were in place for a resident’s wounds upon admission. Resident #83 was admitted with diagnoses including rheumatoid arthritis, type II diabetes, chronic pain, nicotine dependence, severe protein calorie malnutrition, and cognitive communication deficit. The admission skin assessment documented a sacrum area crusted measuring 5 cm by 4 cm into the second layer of skin and a right gluteal fold area measuring 1.5 cm by 1 cm into the second layer of skin. The assessment indicated the physician was notified, but no treatment orders were found in the medical record. Resident #83 stated she came to the facility with a scabbed wound on her bottom that had been getting better at home, and she reported that no treatments were done for the wound after admission. She also stated the scab came off because of the lack of care and that the area was now open and hurting her. RN #229 verified she completed the admission skin assessment, identified the two wounds, called the physician and left a message, and informed the Unit Manager LPN #297. The Administrator later verified there were no wound treatment orders in the record and that the physician had no notes pertaining to Resident #83.
Failure to Implement Constipation Interventions After Several Days Without a Bowel Movement
Penalty
Summary
The facility failed to ensure that a resident identified as at risk for constipation received interventions when he went longer than three days without a bowel movement. The resident was admitted with diagnoses including spinal stenosis, history of stroke, hemiplegia and hemiparesis, bipolar disorder, fibromyalgia, constipation, and anxiety disorder. He was cognitively intact, dependent on staff for toilet use, bathing, dressing, bed mobility, and transfers, and was always incontinent of bowel. His physician orders included scheduled constipation medications and PRN options such as bisacodyl suppository, fleet enema, and milk of magnesia. Review of the MAR and bowel tracking showed the resident had no documented bowel movement for six days, from 11/27/25 to 12/03/25. Although his scheduled constipation medications were administered as ordered, no PRN medications were given, and there was no documentation in the MAR or progress notes showing interventions were implemented during the period of no bowel movement. The resident stated he had gone four or five days without a bowel movement about a week earlier and said he received his scheduled constipation medications but was not aware of any additional medications being given. An LPN verified there were no documented bowel movements for six days and that PRN interventions should have been implemented after three days without a bowel movement.
Pressure ulcer orders not followed and heel eschar not reported
Penalty
Summary
The facility failed to timely implement physician orders for one resident’s pressure ulcer dressing change. The resident had diagnoses including stage 4 pressure ulcer on the right buttock, stage 3 pressure ulcer on the left buttock, heart disease, diabetes type 2, spondylosis of the lumbosacral region, and dysphagia. The wound care physician changed the wound order to cleanse the wound, apply skin protectant to the peri-wound area, pack the wound bed with wet gauze and normal saline, and cover with gauze pads secured with tape, but the treatment record instead reflected a different order using wound cleanser solution, calcium alginate, Optilock, and pink tape. A progress note documenting the return from the wound care appointment and the new orders was entered late into the record several days later. During interview, the resident stated staff were not following the wound physician’s wet-to-dry dressing order and said he was told it was against regulation and facility policy, although the Director of Nursing stated there was no actual facility policy prohibiting the outside wound physician’s order. The DON said staff were educated by the medical supplier regarding wet-to-dry dressings and that the wound nurse obtained a new order from the medical director instead of following the outside wound physician’s order. The medical director stated he was contacted by a nurse about the order being questioned and gave a new order after being told the wound care physician was refusing to change it, but he did not contact the wound care physician to discuss the rationale. The wound nurse stated she did not enter the wound care physician’s actual order into the treatment records when received because the medical supplier consultant advised against following it. The facility also failed to ensure the provider was notified about eschar on another resident’s heel ulcer and the possible need to change the treatment plan. That resident had dementia, Parkinsonism, and diabetes mellitus type 2, and had no pressure injuries on admission. A deep tissue injury was first noted on the right inner heel, later documented as an unstageable pressure injury measuring 4 cm by 3.1 cm and covered with eschar. The record showed skin prep remained the treatment, with no indication the physician had been notified of the eschar or that the treatment had changed. On observation, the heel wound measured 3.5 cm by 4 cm and was 100 percent covered with eschar, and the CNP stated she had not been notified of the eschar and had not examined the foot since 10/30/25.
Catheter drainage bag not kept below bladder level
Penalty
Summary
The facility failed to ensure a resident with a suprapubic catheter had the drainage bag maintained below the level of the bladder for gravity drainage. Resident #54 was admitted with multiple diagnoses including dementia, diabetes mellitus, and obstructive and reflux uropathy, and had impaired cognition with partial to moderate assistance needed for indwelling catheter care. A physician order dated 07/24/25 specified a suprapubic catheter, and the care plan dated 12/03/25 directed staff to keep the suprapubic catheter drainage bag and tubing below the level of the bladder for gravity drainage. The resident stated on 12/08/25 that the resident wore a leg bag at all times, including during the night, and did not want to wear the leg bag. On 12/09/25, the resident was observed lying in bed with a leg bag attached, the head of the bed flat, and the bag at the level of the bladder rather than below it. An LPN confirmed the leg bag was not below bladder level while the resident was in bed and stated the resident always wore a leg bag. The DON also verified the resident always used a leg bag and stated it was not possible to keep a leg bag below the level of the bladder while the resident was in bed; the DON further verified that use of the leg bag at all times was not care planned. The facility policy stated the catheter must be positioned below the level of the bladder.
Diet Orders Not Followed for Resident Meal Service
Penalty
Summary
The facility failed to ensure a resident's diet orders were followed as written. Resident #9 was admitted with diagnoses including abnormal weight loss, anxiety disorder, asthma, heart failure, osteoarthritis, cognitive communication deficit, and dysphagia. The resident's record showed a mechanically altered diet, and the care plan included interventions to provide and serve the diet as ordered and to provide and serve supplements as ordered. Physician orders dated 10/07/25 directed a regular diet with pureed texture and thin consistency, along with double eggs at breakfast, ice cream and magic cups with lunch and dinner, and cottage cheese with lunch. During observation, Resident #9 received a lunch tray with pureed green beans, mashed potatoes, and pureed peaches, but no protein and no ice cream or magic cup supplements. The resident stated that some items were missing from the lunch tray. CNA #283 confirmed the resident had not been provided a magic cup supplement, ice cream, cottage cheese, or other protein. Dietary staff stated the resident did not eat beef or pork and had not been provided the pureed pasta with red meat sauce because of the beef content. The dietary manager later verified the resident was to receive an alternate protein with each meal and that ice cream and magic cups were supplied by the kitchen and kept in the freezer.
Significant Medication Error with Ordered Seizure Medication
Penalty
Summary
The facility failed to ensure a seizure medication was administered as ordered, resulting in a significant medication error for Resident #20, one of nine residents observed during medication administration. Resident #20 was admitted with diagnoses including congestive heart failure, type two diabetes mellitus, hyperlipidemia, and unspecified convulsions, and her admission paperwork listed a past medical history of seizures. Her annual MDS assessment indicated she was cognitively intact and had no behaviors at the time of review. Physician orders dated 11/04/25 directed oxcarbazepine 300 mg by mouth every evening at bedtime and 600 mg by mouth every morning for seizure disorder. During observation on 12/10/25 at 8:00 A.M., an LPN administered 300 mg of oxcarbazepine instead of the ordered 600 mg morning dose. The DON and the LPN later confirmed that the resident received the incorrect 300 mg dose and should have received 600 mg. Facility policy stated medications would be administered as ordered by the physician.
Failure to Prevent Resident-to-Resident Sexual Abuse
Penalty
Summary
The facility failed to prevent resident-to-resident sexual abuse, affecting two residents. Resident #8, who was moderately cognitively impaired, was involved in an incident where another resident, Resident #9, touched her breast on top of her clothing. Later, Resident #9 was observed with his hand down Resident #8's shirt. These incidents occurred while the nurse was completing her morning medication pass. Resident #12, who had severe dementia and was rarely understood, was also involved in an incident with Resident #9. Resident #9 was witnessed touching Resident #12's brief near her crotch area before staff could intervene. Later, Resident #9 was found with his hand in Resident #12's pants while she was in her wheelchair. These incidents occurred when the LPN responsible for one-on-one supervision left Resident #9 unsupervised to assist other residents and visitors. The facility's policy on abuse prevention was not adhered to, as Resident #9 was left unsupervised despite being placed on one-on-one staff supervision after the first incident. The failure to maintain supervision allowed Resident #9 to engage in inappropriate behavior with both Resident #8 and Resident #12, leading to the deficiency.
Failure in Discharge Planning for Resident with Complex Needs
Penalty
Summary
The facility failed to ensure ongoing interventions were implemented to promote the discharge of a resident with quadriplegia, cervical spinal cord injury, and other medical conditions. The resident was admitted with a stage IV pressure ulcer and had a discharge goal to return home after healing. The baseline care plan included interventions such as discussing discharge desires, initiating community resources, and involving family or representatives. However, there was a lack of documentation and follow-up on these interventions until a social services note was made two months after admission. The Licensed Social Worker (LSW) discussed discharge planning with the resident, who expressed a desire to return home after healing. Despite this, there was minimal documentation of progress or follow-up on discharge planning. The LSW confirmed that they had not returned to assist the resident with discharge progress or application processes. This lack of consistent and documented discharge planning led to the deficiency identified by the surveyors.
Failure to Monitor Resident During Mealtime
Penalty
Summary
The facility failed to provide necessary interventions and monitoring for a resident who had difficulty consuming meals, leading to a choking incident. The resident, who was admitted with multiple diagnoses including chronic obstructive pulmonary disease, vascular dementia, and cognitive communication deficit, required a mechanically altered diet and assistance with eating. Despite these needs, the resident experienced a choking episode while eating a burrito, which required back blows to resolve. Following this incident, the resident's diet was changed to dysphagia advanced, and a speech therapy evaluation was ordered to manage the resident's swallowing difficulties. On a subsequent observation, the resident was found alone in her room, attempting to eat a mechanically altered diet without any staff supervision. The resident was seated in bed with the privacy curtain drawn, obstructing the view from the corridor. The resident did not consume any of the meal provided, and food and liquids were spilled on her clothing and bed linens. A staff member confirmed that the meal tray was placed in the room without returning to assist the resident, and was unaware of the resident's need for monitoring during meals. This lack of supervision and assistance during mealtime was confirmed by a Regional Registered Nurse during a review of the medical record.
Failure to Implement Incontinence Care Plan
Penalty
Summary
The facility failed to provide and implement appropriate interventions for a resident's incontinence needs, as observed during a survey. The resident, who was admitted with multiple diagnoses including cerebral infarction and hemiplegia, was always incontinent of bowel and bladder and required substantial assistance with activities of daily living. The care plan for the resident included frequent checks and changes for incontinence, but observations revealed that these interventions were not consistently implemented. Specifically, the resident was not checked for incontinence or repositioned for extended periods while in a wheelchair, contrary to the care plan's requirement for two-hour checks. During the survey, it was noted that the staff was unaware of the resident's need for two-hour incontinence checks, and the electronic documentation did not reflect this requirement. The resident was found to have been incontinent of urine and stool without timely care, resulting in reddened areas on the skin. The facility's bowel and bladder management policy emphasized the need for strategic interventions, but these were not effectively applied in this case, leading to the deficiency noted in the report.
Failure to Maintain RN Coverage
Penalty
Summary
The facility failed to ensure the presence of a registered nurse (RN) in-house for at least eight consecutive hours a day, seven days a week, as required. This deficiency was identified through a review of staffing schedules and staff interviews. Specifically, the facility's staffing schedules for the period between June 1, 2024, and June 30, 2024, revealed that there were three dates—June 9, June 20, and June 27—where there was no RN coverage for a full 24-hour period. This lack of RN coverage had the potential to affect all 90 residents residing in the facility, as confirmed by the Director of Nursing (DON) during an interview on July 2, 2024. The DON verified the absence of RN hours on the specified dates, confirming the deficiency.
Failure to Implement Physician-Ordered Wound Care
Penalty
Summary
The facility failed to ensure that pressure ulcer wound dressings and preventative interventions were implemented as ordered by the physician for a resident with quadriplegia and multiple medical conditions, including stage three and stage four pressure ulcers. The resident was admitted with these pressure ulcers, and the care plan included specific interventions to prevent further skin integrity issues. However, the facility did not adhere to the physician's orders for wound treatment, which included specific instructions for dressing changes and applications. On a particular day, the resident reported that wound dressing treatments were not completed the previous day, and observations confirmed that the dressings were not applied as ordered. The right ischium dressing was found to be soiled and peeling, with no date or initials indicating when it was last changed, and the left hip dressing was not applied. Interviews with staff revealed a lack of awareness and communication regarding the wound dressings, and the Director of Nursing verified the non-compliance with the physician's orders and facility policy.
Medication Administration Deficiency
Penalty
Summary
The facility failed to ensure that medications were administered as ordered by the physician, resulting in a significant medication error for a resident diagnosed with multiple conditions, including schizoaffective disorder. The resident was prescribed Risperdal, an antipsychotic medication, to be administered in specific dosages in the morning and at bedtime. However, on multiple occasions, the medication was not available for administration, as documented in the nursing progress notes. Specifically, the medication was unavailable on three separate dates, and the absence of the medication was noted in the medical record. During an observation, an LPN was unable to locate the prescribed Risperdal in the medication cart and the facility's contingency medication storage. The LPN notified a CNP, who confirmed that the medication was not available in the facility. The Director of Nursing later confirmed the entries in the progress notes indicating the unavailability of the medication. The facility's medication policy requires that medications be administered as prescribed and documented accurately, including reasons for non-administration and any negative outcomes. This deficiency was investigated under a specific complaint number.
Failure to Provide Scheduled Showers
Penalty
Summary
The facility failed to ensure that a resident dependent on care received showers as scheduled or per request. Resident #14, who had diagnoses including a fracture of the right lower leg, spinal stenosis, and heart failure, was scheduled for routine showers on Mondays and Thursdays. However, the resident only received showers on 05/02/24, 05/06/24, 05/16/24, and 05/27/24, and refused a shower on 05/20/24. There was no evidence that the resident received showers on 05/09/24, 05/13/24, 05/23/24, or 05/24/24 as scheduled or requested. The resident confirmed that she asked for a shower on 05/23/24 and 05/24/24 but did not receive one until 05/27/24. An interview with the Interim Director of Nursing confirmed the lack of evidence for the missed showers. The facility's policy, revised in 01/2021, stated that showers could be given at any time the resident chooses and are typically scheduled twice a week unless additional showers are requested. This deficiency was investigated under Complaint Number OH00153677.
What surveyors are citing around you — mapped
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Illustrative
What surveyors actually found near you
We read the 59 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Bryan
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Williams Co Hillside Country L | 1 mi | ★★★★★ | 0 | 0 |
| Evergreen Healthcare Center | 8.2 mi | ★★★★★ | 15 | 0 |
| Park View Care Center | 9.7 mi | ★★★★★ | 9 | 0 |
| Fairlawn Haven | 14.5 mi | ★★★★★ | 0 | 0 |
| Vancrest Of Hicksville | 14.8 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 July 2026) and official state health department websites.