Not rated by CMS — ratings are suppressed for new or low-volume facilities.
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 Meadows Of Marion Health And Rehabilitation The during CMS and state inspections, most recent first.
Search of Resident’s Room Without Consent: A resident with intact cognition and diagnoses including paraplegia, Type II DM, and flaccid neuropathic bladder had their room searched by the Administrator and LSW after staff reported a marijuana smell in the room and hallway. A bag of vapes was found, and the resident later stated they should have been present during the search; the Administrator confirmed the resident did not consent before the search and police were not contacted.
A resident with quadriplegia, dependent for transfers and requiring a Hoyer lift, was being moved from a wheelchair to a bed when a CNA intentionally activated the lift’s emergency release to complete the transfer quickly, causing the resident to be rapidly lowered onto the bed instead of using the standard down button as required by the lift manual. The cognitively intact resident reported aggravation of a prior shoulder injury and ongoing right shoulder pain afterward, with pain scores documented as high and treated with PRN oxycodone and nonpharmacological measures. Staff interviews and the facility’s investigation confirmed that the emergency release was used contrary to manufacturer instructions, resulting in the unsafe transfer.
Two residents experienced multiple falls that were not thoroughly investigated or documented, and interventions to prevent further falls were inconsistently implemented or followed. Staff statements were often missing from fall investigations, care plans were not always updated, and required neurological checks were not completed as scheduled. Facility leadership confirmed gaps in documentation and inconsistencies in following fall prevention protocols.
Search of Resident’s Room Without Consent
Penalty
Summary
The facility failed to obtain consent before searching a resident’s personal possessions. Resident #90 was admitted with diagnoses including paraplegia, Type II diabetes, and flaccid neuropathic bladder, and an MDS assessment completed on 03/06/26 indicated intact cognition. On 04/13/26, the ADON received a report that the resident’s room and the hallway around the room smelled like marijuana, and the Administrator and LSW went to search the room. During the search, a bag full of vapes was found in the resident’s room. Afterward, the Administrator, LSW, and ADON spoke with the resident about why the room had been searched, and the resident stated they should have been present during the search. In interviews, the ADON confirmed the marijuana-smell report and that the Administrator and LSW searched the room, the Administrator confirmed the resident was in the building but not in the room at the time, and also confirmed the resident did not consent before the search. The Administrator and LSW stated they believed the marijuana smell constituted reasonable suspicion, and the Administrator stated police were not contacted.
Improper Use of Mechanical Lift Emergency Release During Resident Transfer
Penalty
Summary
The deficiency involves the facility’s failure to ensure safe use of a mechanical lift during a transfer for a resident who was quadriplegic, dependent for transfers, and required a Hoyer lift per the care plan. The resident had intact cognition with a BIMS score of 15 and diagnoses including quadriplegia, Type II diabetes mellitus, chronic respiratory failure, and Guillain-Barré syndrome. During an evening transfer from wheelchair to bed using a Hoyer lift, a CNA activated the emergency release mechanism, causing the resident to be rapidly lowered approximately 8–12 inches onto the bed instead of using the standard down button. The Hoyer lift manual specifies that safe lowering is to be performed by pressing the down button and notes that injury or damage may occur if instructions are not followed. Following the incident, the resident complained of right shoulder pain. An LPN assessed the resident, and subsequent imaging showed degenerative changes in the right shoulder joints without acute fracture or dislocation. The resident’s medical record documented multiple episodes of reported shoulder pain in the days after the incident, with pain scores ranging from four to nine and administration of as-needed oxycodone and nonpharmacological interventions, which were recorded as effective. During interviews, the resident reported that a former shoulder injury had been aggravated when the aide activated the emergency release, causing the rapid drop onto the bed. Staff interviews and written statements confirmed that the CNA intentionally pulled the emergency release during the transfer because she wanted to complete the transfer quickly, rather than using the proper lowering method described in the lift manual.
Failure to Investigate and Document Resident Falls and Implement Appropriate Interventions
Penalty
Summary
The facility failed to ensure that resident falls were thoroughly investigated, documented, and that appropriate interventions were implemented and followed for two residents reviewed for falls. For one resident with multiple complex diagnoses and a history of repeated falls, the facility did not consistently document or investigate the circumstances of each fall, such as the resident's footwear, the number of staff assisting, or the last time the resident was toileted, even when multiple falls occurred in the bathroom or on the way to the bathroom. Interventions were often added after each fall, but there was a lack of evidence that these interventions were always implemented or effective, and staff statements were frequently missing from the fall investigations, including for witnessed falls. The care plan was not always updated to reflect new interventions, and some interventions were documented as being in place when they were not, according to staff interviews. For another resident with a history of cerebral infarction and chronic pain, the facility did not consistently document falls or complete required neurological checks after a fall. There were discrepancies in the documentation regarding whether falls were witnessed or unwitnessed, and not all falls were recorded in the incident accident log. Neuro checks were not completed according to the required schedule, with a significant gap of 16 hours between checks, and there was no evidence of progress notes or fall investigations for some reported falls. The facility's fall management policy did not provide clear guidance on fall investigations beyond the requirement for the charge nurse to gather information. Interviews with facility leadership confirmed the lack of thorough documentation, missing staff statements, and inconsistencies in the implementation and documentation of fall interventions. The facility was unable to provide evidence of staff following care plan interventions at the time of several falls, and new interventions were sometimes added without clear rationale or supporting documentation. The deficiencies were identified through staff interviews, record reviews, and observation of facility practices related to fall prevention and investigation.
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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 Marion
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Marion Valley Post Acute | 1 mi | ★★★★★ | 7 | 0 |
| Marion Nursing & Rehab | 1.4 mi | ★★★★★ | 22 | 0 |
| Marion Pointe | 2.7 mi | ★★★★★ | 12 | 0 |
| Presidential Post-acute | 3.1 mi | ★★★★★ | 19 | 1 |
| Harding Pointe | 3.1 mi | ★★★★★ | 19 | 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.