Below 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 Otterbein Monclova during CMS and state inspections, most recent first.
A MaxiSky ceiling lift with a broken safety latch was used to transfer a resident who required maximum assistance for all activities of daily living. Two CNAs were aware of the broken latch but proceeded with the transfer. Manufacturer instructions required all safety features to be intact and inspected before each use, and the manufacturer's representative confirmed the latch was a critical safety feature.
A resident with ESRD and other chronic conditions did not receive a physician-ordered dose of Xphozah (tenapanor) on multiple occasions because the medication was not available in the facility. This resulted in a significant medication error, as confirmed by medical record review and staff interview.
A resident with significant medical conditions developed new pressure ulcers that were not promptly assessed, measured, or described by staff. Despite existing orders for skin protection, documentation lacked timely wound evaluation, and the physician was not notified when new sores appeared. The facility did not follow its policy for prompt identification and management of skin complications.
Staff did not follow enhanced barrier precautions during wound care for a resident with a surgical wound, as both the DON and an LPN wore only gloves instead of the required gloves and gowns. The LPN also failed to change gloves or perform hand hygiene after touching potentially contaminated surfaces before handling clean wound dressings, contrary to facility policy.
The facility failed to maintain an effective QAPI program, resulting in repeated deficiencies in pressure ulcer management. A resident with multiple medical conditions was not repositioned as required, and another resident's dressing changes were neglected after refusal, leading to drainage and bleeding. These issues highlight the facility's ongoing failure to adhere to care plans and policies.
The facility did not follow the approved menu, affecting 12 residents. CNAs served meals that did not match the planned menu, providing available items like fish filets and sandwiches instead of the scheduled cheeseburger meal. The previous week's menu was posted, and no current menu was available. The Dietetic Technician confirmed the lack of adherence to the menu and portion sizes.
The facility failed to maintain proper sanitation and food storage practices across multiple kitchens. Observations revealed dirty ovens, improperly stored food items, and dented cans, with issues confirmed by staff. The facility's food storage policy was not adhered to, posing potential risks to residents.
A resident with intact cognition and specific bathing preferences did not receive showers on preferred days due to the unavailability of a shower chair. The facility's documentation practices were inadequate, as the type of bathing was not recorded in the electronic medical record, and there was no policy regarding resident choices. Staff interviews revealed inconsistencies in documentation and a lack of clarity on honoring the resident's preferences.
A facility failed to notify a resident's representative of a transfer to the emergency room, despite the resident's request for the transfer due to increased pain. The resident had diagnoses including acute kidney failure and hypertensive heart disease. The DON confirmed the resident was his own responsible party and had not been in contact with his family, but there was no documentation of the resident's request not to contact them. The facility's policy required notification of the resident's representative, which was not followed.
A facility failed to implement a nursing plan of care for a resident dependent on staff for ADLs, specifically grooming. The resident, with severe cognitive impairment and limited mobility, was observed with long, jagged fingernails and debris, indicating neglect in grooming. CNAs confirmed the resident's dependence and were unaware of recent grooming care. The DON verified the absence of a documented care plan addressing these needs.
The facility failed to provide adequate grooming assistance for two residents. One resident with severe cognitive impairment was observed with long, dirty fingernails, while another resident with intact cognition was seen in soiled clothing, with heavy beard growth and unkempt hair. Staff confirmed the residents' dependency on assistance for daily activities and were unaware of recent grooming efforts.
A resident with severe cognitive impairment and limited range of motion did not have a right hand splint applied as ordered by the physician. Observations showed the resident without the splint, and staff interviews revealed a lack of awareness about the splint order and application schedule. The electronic care card also lacked instructions for the splint, leading to inconsistent application and potential impact on the resident's care.
A resident with impaired cognition and multiple health conditions was left with medications unattended at their bedside, contrary to facility policy. An LPN admitted to leaving the medications and forgetting to return to ensure they were ingested, affecting the resident and potentially impacting others with similar impairments.
A facility failed to ensure an appropriate diagnosis for the continued use of an indwelling urinary catheter and did not secure the catheter tubing for a resident. The resident, with multiple diagnoses including urinary tract infection and chronic kidney disease, had intact cognition and was dependent on toileting hygiene. Despite the physician's recommendation to remove the catheter, the resident refused due to concerns about incontinence and skin breakdown. Observations confirmed the catheter tubing was not secured, contrary to the facility's guidelines.
The facility failed to monitor psychotropic medications for two residents, leading to a deficiency in medication management. One resident with major depressive disorder and anxiety was not monitored for side effects and effectiveness of medications like bupropion and fluvoxamine. Another resident with Alzheimer's and depressive disorder was not monitored for medications like Seroquel and sertraline. The DON confirmed the absence of monitoring orders, violating the facility's psychotropic medication management policy.
A facility failed to maintain infection control standards for a resident with an indwelling urinary catheter. The resident's catheter drainage bag was found on the floor, contrary to the facility's guidelines. Additionally, two CNAs provided catheter care without wearing gowns, violating the facility's enhanced barrier precautions policy.
The facility failed to provide adequate care for pressure ulcers for two residents. One resident was not repositioned as required, despite having a stage four sacral ulcer, and there was no documentation of refusal. Another resident refused a dressing change, and the facility did not document attempts to re-approach or notify the physician. Observations showed unchanged dressings with drainage and bleeding. The facility did not adhere to its skin care management policy, leading to non-compliance.
The facility failed to provide a sanitary and comfortable environment for two residents. A resident's room had a missing windowsill, damaged paint, and debris on the floor, while another resident's restroom was unkept with towels and debris on the floor. These conditions were verified by staff during observations.
The facility failed to store food safely and sanitarily, affecting all 57 residents. Observations revealed multiple instances of improper food storage, including undated and expired items, moldy food, and unlabeled containers across several houses. Staff interviews confirmed these findings, and the facility's policy required proper labeling and dating of food items.
The facility failed to maintain a clean and sanitary environment in several houses, with observations of collapsed cabinets, discolored drywall, and musty odors. The Maintenance Director confirmed these issues, indicating previous moisture exposure and inadequate maintenance.
Failure to Maintain Ceiling Lift in Safe Working Condition
Penalty
Summary
The facility failed to ensure that a MaxiSky Lift, a ceiling-mounted lift used for transferring and repositioning residents, was maintained in safe working condition prior to use. During incontinence care for a resident with multiple complex medical conditions, including hemiplegia, heart failure, and diabetes, it was observed that the safety latch on the MaxiSky Lift was broken on one side. Both CNAs providing care were aware of the broken latch but were unsure how long it had been in that condition. The resident required substantial to maximum assistance or was dependent in all functional abilities, according to the most recent assessment. Review of the manufacturer's instructions for the MaxiSky Lift indicated that all safety features, including end stoppers and safety latches, must be intact and inspected before every use. The instructions specifically stated not to use the lift if any damage or missing parts were identified. Despite this, the lift was used to transfer the resident while the safety latch was broken, as confirmed by staff interviews and direct observation. The manufacturer's representative confirmed that the safety latch is a secondary safety feature designed to prevent patient falls during transfers.
Failure to Administer Physician-Ordered Medication Due to Unavailability
Penalty
Summary
The facility failed to ensure that a resident received medications as ordered by the physician, resulting in a significant medication error. Specifically, a resident with multiple diagnoses, including end stage renal disease (ESRD), chronic kidney disease (CKD), and type two diabetes mellitus, had a physician order for Xphozah (tenapanor) 30 mg to be administered orally once daily for ESRD. Review of the medication administration records (MAR) for November and December revealed that the ordered medication was not administered on several specified dates. Interviews and record reviews confirmed that the medication was not given because it was not available in the facility on those dates. The facility's policy requires medications to be administered in accordance with written physician orders, but this was not followed in this instance. The deficiency was identified during a complaint investigation and affected one resident out of three reviewed for medication administration, with a facility census of 54.
Failure to Timely Assess and Treat Newly Identified Pressure Ulcers
Penalty
Summary
The facility failed to ensure that newly identified wounds for a resident were promptly assessed, measured, and treated according to policy. Medical record review showed that a resident with multiple diagnoses, including spastic diplegic cerebral palsy, chronic kidney disease, and chronic respiratory failure, was at risk for pressure ulcers and had a care plan in place for impaired skin integrity. On several occasions, documentation indicated the presence of open sores on the resident's buttocks, but there was no evidence of wound assessment, measurement, or detailed description in the records. Orders for barrier cream were present, but the wounds were not properly evaluated or described until a wound physician assessment was completed nearly two weeks after the initial identification of the sore. Staff interviews confirmed that wound measurements and descriptions were not completed when new wounds were found, and the physician was not notified in a timely manner. Facility policy required prompt identification and management of skin complications, but this was not followed. The deficiency was identified through medical record review, staff interviews, and policy review, and affected one resident out of three reviewed for pressure ulcers.
Failure to Adhere to Enhanced Barrier Precautions and Hand Hygiene During Wound Care
Penalty
Summary
Staff failed to follow appropriate infection prevention and control measures during wound care for a resident with a surgical wound and an active order for enhanced barrier precautions (EBPs). Specifically, during an observed wound care procedure, the Director of Nursing and an LPN wore only gloves, omitting the required gowns as specified by the resident's physician order and facility policy. The signage at the resident's door indicated the need for EBPs, including gloves and gowns, but this was not adhered to during the procedure. Additionally, the LPN was observed touching various potentially contaminated surfaces, such as tray tables, bed sheets, and the bed itself, with gloved hands and then using the same gloves to handle clean wound dressing materials without performing hand hygiene or changing gloves. This failure to maintain proper hand hygiene and use of personal protective equipment was confirmed by both the DON and the LPN during interviews, and it was inconsistent with the facility's written policy on isolation precautions and EBPs for residents with wounds.
Repeated Deficiencies in Pressure Ulcer Management
Penalty
Summary
The facility failed to maintain an effective quality assurance and performance improvement (QAPI) program, as evidenced by repeated deficiencies related to pressure ulcer management over four consecutive comprehensive surveys. The CMS Provider History Profile document indicated that the facility had been cited for not providing adequate services or treatments to prevent or heal pressure ulcers in previous surveys and complaint investigations. This ongoing issue had the potential to affect all 54 residents in the facility. Resident #8, who was admitted with multiple complex medical conditions including a stage four sacral pressure ulcer, was observed multiple times over several days lying on her back without being repositioned by staff. Despite a care plan intervention requiring repositioning every two hours, observations and interviews revealed that staff did not consistently adhere to this protocol. The resident's Braden Scale assessment indicated a moderate risk for developing pressure ulcers, yet there was no documentation of refusal to be repositioned, highlighting a lack of adherence to the care plan and facility policy. Resident #11, who also had multiple medical conditions and was at risk for pressure ulcers, had a care plan that included specific interventions for skin impairment. However, after refusing a dressing change due to anxiety and pain, there was no documentation of attempts to re-approach the resident or notify the physician. Observations revealed that the resident's dressings were not changed for several days, resulting in drainage and fresh bleeding upon removal. This lack of documentation and follow-up on the resident's care plan further exemplifies the facility's failure to effectively manage pressure ulcer care and adhere to its own policies.
Failure to Follow Approved Menu
Penalty
Summary
The facility failed to ensure that the approved menu was followed, affecting 12 residents in home number 85. During an observation, CNAs were found serving meals that did not match the facility's menu for the day. The CNAs admitted to serving items that were available in the kitchen, such as fish filets, tater tots, potato salad, strawberries, turkey cold cut sandwiches, and peanut butter and jelly sandwiches, instead of the planned cheeseburger meal with specific sides. The previous week's menu was posted, and no current menu was available. The Dietetic Technician confirmed that the home was not following a menu or dietitian-calculated portion sizes, impacting the nutritional needs of the residents.
Sanitation and Food Storage Deficiencies
Penalty
Summary
The facility failed to adhere to proper sanitation and food storage practices, as observed in multiple kitchens. In house 5069, the built-in oven was found dirty with grime and dirt, and food items such as butter, cooked bacon, and scrambled eggs were left on the counter without proper temperature control. Additionally, open and undated packages of Egg-O waffles and a bag of French fries were found in the freezer, which also had a non-functioning thermometer. A can of apple pie filling was dented, and a foul odor was detected from the dishwasher. These findings were confirmed by a CNA present during the observation. In house 5076, similar issues were noted, including dirty storage areas, a dirty refrigerator floor, and grime-covered ovens. The cabinet door faces throughout the kitchen were also dirty, as verified by an LPN. In house 5090, the bottom of the refrigerator and freezer were dirty, and the kitchen storage room floor had paper and food debris. Dented cans of beets and enchilada sauce were found, and the ovens were again noted to be dirty. These observations were confirmed by a CNA. The facility's policy on food storage, dated 10/01/09, mandates proper storage, labeling, and dating of food to prevent foodborne illness, which was not followed in these instances.
Failure to Honor Resident Bathing Preferences
Penalty
Summary
The facility failed to honor the bathing preferences of a resident, identified as Resident #32, who had intact cognition and was dependent on staff for bathing. The resident preferred showers on specific days, but the facility did not provide showers on the preferred days of 01/08/25, 01/18/25, 01/29/25, 03/08/25, and 03/15/25. The resident did not refuse showers on these dates, and the failure to provide showers was attributed to the unavailability of a shower chair. The facility's documentation practices were inadequate, as the type of bathing provided was not recorded in the electronic medical record, and paper shower sheets used for documentation were not part of the medical record. Interviews with staff, including CNAs and the Director of Nursing, revealed inconsistencies in documentation practices and a lack of clarity on whether the resident's bathing preferences were honored. The Administrator confirmed that there was no policy regarding resident choices, although resident rights were followed. The facility's failure to document the type of bathing provided and the lack of a clear policy on resident choices contributed to the deficiency in honoring the resident's bathing preferences.
Failure to Notify Resident's Representative of Hospital Transfer
Penalty
Summary
The facility failed to notify a resident's representative of a change in condition, specifically a transfer to the emergency room, affecting one resident. The resident, who had diagnoses including acute kidney failure, atrial fibrillation, and hypertensive heart disease, requested to be transferred to the emergency room due to increased pain. Despite the resident's request, there was no documentation that the resident's power of attorney or family member was notified of this transfer. The Director of Nursing confirmed that the resident was his own responsible party and had not been in contact with his family member for a couple of years. However, there was no documentation indicating that the resident had requested not to contact his family member. The facility's policy required notification of the resident's representative in such situations, but this was not adhered to in this case.
Failure to Implement Nursing Plan for Resident's Grooming Needs
Penalty
Summary
The facility failed to implement a nursing plan of care to address a resident's need for assistance with activities of daily living (ADL), specifically grooming. This deficiency affected a resident who was admitted with diagnoses including cerebral infarction, type 2 diabetes mellitus, expressive language disorder, gastrostomy, and hypertension. The resident was assessed with severe cognitive impairment, limited range of motion on one side, and was dependent on staff for ADLs. Observations noted the resident had long, jagged fingernails with black/brown debris, indicating a lack of grooming care. Interviews with two Certified Nurse Aides confirmed the resident's dependence on staff for hygiene and their unawareness of when the resident's fingernails were last trimmed. The Director of Nursing verified that a nursing plan of care addressing the resident's ADL dependence was not developed or documented in the medical record.
Deficiency in Grooming Assistance for Residents
Penalty
Summary
The facility failed to provide adequate assistance with activities of daily living, specifically grooming, for two residents. Resident #53, who has severe cognitive impairment and is dependent on staff for daily activities, was observed on multiple occasions with long, jagged fingernails and black/brown debris underneath. Certified Nurse Aides confirmed the resident's dependency for hygiene and were unaware of when the resident's fingernails were last trimmed. Resident #11, who is also dependent on staff for daily activities and has intact cognition, was observed wearing the same soiled shirt with food debris, heavy beard growth, unkempt and matted hair, and long fingernails. The resident expressed a preference for being clean-shaven but did not want a straight razor used. An LPN verified the lack of grooming, including bathing, shaving, and clean clothing for this resident.
Failure to Apply Splint as Ordered for Resident
Penalty
Summary
The facility failed to ensure that devices to prevent contractures were applied in accordance with physician orders for a resident with severe cognitive impairment and limited range of motion. The resident, who was admitted with diagnoses including cerebral infarction and type 2 diabetes mellitus, had a physician order for a right hand splint to be applied during the day and removed at bedtime. However, the medical record lacked documentation confirming the application of the splint as ordered. Observations over two days noted the resident without the splint during various times, and interviews with CNAs and an LPN revealed that staff were unaware of the splint order or its application schedule. The electronic care card also lacked evidence of the splint or instructions for its use. This deficiency affected the resident's care, as the splint was not consistently applied according to the physician's directive, potentially impacting the resident's range of motion maintenance.
Medications Left Unattended at Bedside
Penalty
Summary
The facility failed to ensure medications were secured and not left at the bedside, affecting one resident and potentially impacting two others identified as cognitively impaired and independently mobile. The incident involved a resident with a history of dysphagia following cerebrovascular disease, heart failure, chronic respiratory failure, chronic kidney disease, and dementia. The resident required substantial assistance with eating and had no orders to self-administer medications. Despite this, medications mixed in pudding were left unattended on the resident's bedside table by a nurse from the previous shift. Interviews revealed that the night nurse left the medications and did not return to ensure they were ingested. An LPN confirmed that the medications were left by the previous shift nurse and admitted to forgetting to return and check if the resident took the medication. The facility's policy on medication administration, which requires observation to ensure the dose is completely ingested, was not followed, leading to this deficiency.
Failure to Ensure Appropriate Catheter Use and Securing
Penalty
Summary
The facility failed to ensure an appropriate diagnosis for the continued use of an indwelling urinary catheter and did not secure the catheter tubing for a resident. The resident, who was admitted with diagnoses including acute and chronic respiratory failure, depressive disorder, urinary tract infection, anxiety, chronic kidney disease stage three, and chronic obstructive pulmonary disease, had intact cognition and was dependent on toileting hygiene. The resident was occasionally incontinent of bowel and bladder and had an indwelling urinary catheter without a supporting diagnosis for its use. The physician orders did not include instructions for securing the catheter tubing, and the care plan lacked guidelines for securing the catheter. During an interview, the resident expressed a preference for keeping the catheter due to concerns about incontinence and skin breakdown. Observations confirmed that the catheter tubing was not secured, and this was verified by two CNAs. The Director of Nursing revealed that the resident had been diagnosed with urinary retention from the hospital, and although the physician recommended removing the catheter, the resident refused. The facility's skills checklist for catheter care and management indicated that the catheter should be secured properly, which was not adhered to in this case.
Failure to Monitor Psychotropic Medications
Penalty
Summary
The facility failed to ensure proper monitoring of psychotropic medications for two residents, leading to a deficiency in medication management. Resident #48, who had diagnoses including major depressive disorder and anxiety, was prescribed multiple psychotropic medications such as bupropion, fluvoxamine, buspirone, and escitalopram. Despite the care plan's requirement to monitor for side effects and effectiveness, there was no documentation of such monitoring in the medication administration record (MAR) from February 18 to March 25. The Director of Nursing (DON) confirmed the absence of orders for monitoring these medications. Similarly, Resident #161, with diagnoses including Alzheimer's disease, dementia, and depressive disorder, was prescribed medications like Seroquel, hydroxyzine, trazodone, and sertraline. The care plan required monitoring for side effects, effectiveness, and behavior interventions, but the MAR from March 10 to March 25 showed no documentation of such monitoring. The DON verified the lack of orders for monitoring targeted behaviors and medication effects. Additionally, the facility's policy on psychotropic medication management was not adhered to, as it requires adequate monitoring and indication for use.
Infection Control Deficiency in Catheter Care
Penalty
Summary
The facility failed to ensure proper infection control standards for a resident with an indwelling urinary catheter. The resident, who had diagnoses including acute and chronic respiratory failure, depressive disorder, urinary tract infection, anxiety, chronic kidney disease stage three, and chronic obstructive pulmonary disease, was observed with a catheter drainage bag lying on the floor beneath their recliner chair. This was confirmed by an LPN, indicating a failure to adhere to the facility's skills checklist, which requires the drainage bag to be below the level of the bladder but off the floor. Additionally, the facility did not follow its policy on enhanced barrier precautions (EBP) for residents with indwelling medical devices. During catheter care, two CNAs were observed wearing only gloves without gowns, despite the facility's policy requiring both gloves and gowns during high-contact resident care. This was verified through interviews with the CNAs, highlighting a lapse in adherence to infection control protocols designed to protect both residents and staff.
Failure to Provide Adequate Pressure Ulcer Care
Penalty
Summary
The facility failed to ensure proper interventions were in place to promote the healing of pressure ulcers for two residents. Resident #8, who has multiple health conditions including a stage four sacral pressure ulcer, was observed consistently lying on her back without being repositioned by staff, despite her care plan indicating the need for repositioning every two hours. Interviews with the resident and staff revealed that the resident was not being turned and repositioned as required, and there was no documentation of the resident refusing such care. Resident #11, who also has multiple health conditions and two stage four pressure ulcers, refused a dressing change due to anxiety and pain. The medical record lacked documentation of any attempts to re-approach the resident for the dressing change or notification to the physician about the refusal. Observations revealed that the dressings on Resident #11's back had not been changed for several days, resulting in drainage and bleeding when the dressing was finally removed. The facility's policy on skin care management requires staff to be alert to changes in skin condition and to document any identified changes. However, the facility failed to adhere to these protocols, as evidenced by the lack of documentation and failure to follow through with necessary interventions for both residents. This deficiency was investigated under a specific complaint number, indicating non-compliance with established care standards.
Facility Fails to Maintain Sanitary and Comfortable Environment
Penalty
Summary
The facility failed to maintain a sanitary and comfortable environment for its residents, as evidenced by the conditions observed in the rooms of two residents. Resident #33, who is cognitively intact with a BIMS score of 15, was found to have a room with a missing windowsill, allowing wind to enter, damaged door trim, damaged paint, and an unidentified brown substance on the doorframe and waste receptacle. Additionally, debris such as hair, food crumbs, and trash was observed on the floor throughout the room. These findings were verified by an LPN during the observation. Resident #212, with a BIMS score of 12 indicating moderate cognitive impairment, was found to have a restroom with damaged paint, two cups, and a towel on the floor, a towel on a shower chair, and generalized debris on the floor. The resident confirmed that the towels had been left since the previous night's shower. A CNA verified these observations. This deficiency was investigated under Complaint Number OH00162138.
Improper Food Storage and Labeling
Penalty
Summary
The facility failed to ensure food was stored in a safe and sanitary manner, potentially affecting all 57 residents. Observations across multiple houses revealed numerous instances of improper food storage. In House #4, a refrigerator contained opened and undated cartons of soup and a bag of food without a label or date, along with paper towels with a pinkish/red tint underneath the bottom drawer. In House #2, a refrigerator had an opened and undated container of macaroni salad with a puffed-up lid, a container of cream cheese with mold, and expired milk. Additionally, a dried pink substance, possibly dried blood, was found in the bottom drawer. Similar issues were observed in House #5, where a refrigerator contained undated and expired items, including apple juice and lunch meat, and a dried pink substance in the bottom drawer. Further observations in House #1 revealed a sipper cup with an off-white liquid, believed to be a nutrition supplement, that was unlabeled and undated. The refrigerator also contained undated and opened containers of soup and potato salad. In House #3, a refrigerator contained undated chicken broth and apple juice, along with liquid at the bottom of the drawer. The pantry had an open tub of flour, a scoop inside a container of oatmeal, and an open bag of hamburger buns. Interviews with staff confirmed these findings, and the facility's policy required food items to be labeled and dated, with leftovers discarded after four days. This deficiency was investigated under Complaint Number OH00160297.
Facility Fails to Maintain Sanitary Environment in Multiple Houses
Penalty
Summary
The facility failed to maintain a clean and sanitary environment, as observed in multiple houses within the nursing home. In House #1, a kitchen cabinet under the sink was found with a collapsed floor and separated veneer, exposing drywall with a black and dark brown substance across its width. The Maintenance Director (MD) confirmed the presence of a musty odor and believed the cabinet's base collapsed due to excessive weight. The cabinet contained two plungers and a bottle of dish soap. In House #4, the cabinet under the kitchen sink revealed drywall with a light brown substance and pinpoint-sized spots of white, black, and gray. The MD peeled the brown substance, revealing discolored and peeling drywall beneath. Similar conditions were observed in House #3, where the drywall showed light brown discoloration with gray and black spots, indicating previous moisture exposure. In House #2, the cabinet under the sink had drywall with light brown discoloration and gray and black spots, along with pieces of drywall at the back of the cabinet. These observations were confirmed by the MD, indicating a failure to maintain a sanitary environment.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 598 citations issued within 25 miles in the last 12 months — including the 4 immediate-jeopardy cases — 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
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Monclova
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lakes Of Monclova Health Campus The | 1.1 mi | ★★★★★ | 14 | 0 |
| Addison Heights Health And Rehabilitation Center | 2 mi | ★★★★★ | 44 | 0 |
| Ridgewood Manor | 2.7 mi | ★★★★★ | 8 | 0 |
| Elizabeth Scott Community | 3.2 mi | ★★★★★ | 0 | 0 |
| Astoria Place Of Waterville | 4 mi | ★★★★★ | 31 | 1 |
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