Above average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Rest Haven Nursing Home during CMS and state inspections, most recent first.
Failure to notify the physician of repeated refusals of ordered weekly weights. A resident with chronic hepatitis C, morbid obesity, and GAD had a weekly wt order with instructions to notify the MD if refused, but the MAR showed multiple refusals and there was no documentation that the MD was informed. The ADON confirmed staff failed to notify the MD of the repeated refusals, despite the resident being cognitively intact and the care plan calling for notification if the resident continuously declined weights.
PASARR was not updated for a resident after a new qualifying diagnosis was added to the chart. The resident had COPD, anxiety, depression, alcoholic polyneuropathy, HTN, PVD, and later paranoid schizophrenia; the MDS showed the resident was cognitively intact. The facility’s most recent PASARR was completed before admission, and the ADON confirmed no new PASARR had been completed after the qualifying diagnosis was discovered.
Failure to hold warfarin after elevated INR: A resident with Parkinson’s disease and chronic anticoagulant use had a supratherapeutic INR, but an order was misinterpreted and the resident received 7 mg of Coumadin instead of having it held. The ADON later documented that the nurse entered the order incorrectly, did not document the elevated INR or physician communication, and a STAT INR remained elevated.
The facility failed to develop comprehensive care plans for four residents, affecting their care. A resident with multiple diagnoses lacked a care plan addressing falls, behaviors, and medication use. Another resident on antipsychotic medication had no care plan for target behaviors or interventions. A third resident's care plan did not address antipsychotic medication use. Lastly, a resident admitted to hospice services had no hospice care plan. Staff confirmed these deficiencies.
A facility failed to complete a discharge assessment for a resident discharged to home. The resident, with multiple diagnoses including respiratory failure and B-cell lymphocytic leukemia, was discharged without the required MDS assessment. This oversight was confirmed by the DON.
Failure to Notify Physician of Repeated Weekly Weight Refusals
Penalty
Summary
The facility failed to notify the physician of repeated refusals of ordered weekly weights for Resident #4, despite the physician order and the resident’s plan of care requiring notification if the resident refused to be weighed. Resident #4 was admitted on 06/30/25 with diagnoses including chronic hepatitis C, morbid obesity, and generalized anxiety disorder, and the most recent MDS showed the resident was cognitively intact. The care plan was revised to include interventions to obtain and monitor diagnostic work as ordered and to notify the physician if the resident continuously declined weight measurements. A physician order dated 08/25/25 directed weekly weights every Monday on night shift and instructed staff to notify the physician if the resident refused to be weighed. The MAR showed repeated refusals of the weekly weight from 09/29/25 through 05/25/26, but progress notes contained no documentation that the physician had been notified of these refusals. During interview, the Assistant Director of Nursing confirmed the resident had a weekly weight order and that staff failed to notify the physician of multiple documented refusals. The facility’s Medication Administration policy directed staff to report and document refusals.
PASARR Not Updated After New Qualifying Diagnosis
Penalty
Summary
The facility failed to ensure that PASARR was completed and updated after a resident received a new qualifying diagnosis. Resident #6 was admitted with diagnoses including COPD, anxiety, depression, alcoholic polyneuropathy, hypertension, and peripheral vascular disease, and later had paranoid schizophrenia added to the medical record. Review of the quarterly MDS 3.0 assessment showed the resident was cognitively intact. The most recent PASARR documentation provided by the facility had been completed before admission, and there was no further documentation reflecting the addition of the new diagnosis. An interview with the Assistant DON confirmed that a new PASARR had not been completed after the qualifying diagnosis was identified.
Failure to Hold Warfarin After Elevated INR
Penalty
Summary
The facility failed to follow a physician’s order to hold Coumadin for a resident after an INR result showed the resident was supratherapeutic. Resident #20 was admitted with diagnoses including Parkinson’s disease, long-term anticoagulant use, alcohol dependence in remission, major depressive disorder, and generalized weakness, and was cognitively intact. The resident’s care plan included chronic embolism and thrombosis related to mitral valve insufficiency and repair, with medications to be administered as ordered. Laboratory review showed an INR of 3.7, above the therapeutic range of 2.0 to 3.0, yet a physician order was entered for warfarin sodium 7 mg daily for two days, and the resident received the 7 mg dose. A progress note later documented that the physician clarified the Coumadin order as holding the medication for two days, then resuming at 6 mg daily with a repeat INR the following week. The note also stated the nurse misinterpreted the order and entered it incorrectly as an increased dose instead of holding it, resulting in the resident receiving 7 mg despite the elevated INR. A STAT INR afterward was 3.8. The facility’s ADON stated the nurse misunderstood the order, failed to document the elevated INR or communication with the physician, and did not question the order despite the INR level. The facility policy required medications to be administered as ordered and required immediate notification of the practitioner for INR results, documentation of communication and resident condition, and implementation of new orders.
Deficient Care Plans for Residents
Penalty
Summary
The facility failed to develop comprehensive care plans for four residents, affecting their ability to receive appropriate care. Resident #118, who was admitted with multiple diagnoses including COPD, vascular dementia, and major depressive disorder, had a care plan that lacked goals and interventions for falls, behaviors, and the use of psychotropic medications. Despite being cognitively impaired and dependent on staff for daily activities, the care plan did not address the resident's risk for falls or aggressive behaviors, nor did it include interventions for the use of antipsychotic and antidepressant medications. Interviews with staff confirmed the absence of necessary elements in the care plan. Resident #01, diagnosed with adult failure to thrive and major depressive disorder, was receiving antipsychotic medication. However, the care plan did not include target behaviors or interventions related to the medication use. Similarly, Resident #11, who had major depressive disorder and dementia with behavioral disturbances, was on antipsychotic medication without a corresponding care plan addressing the medication's use, target behaviors, or interventions. The Director of Nursing confirmed these deficiencies in the care plans for both residents. Resident #08, with severe cognitive impairment and multiple diagnoses including Alzheimer's disease and chronic kidney disease, was admitted to hospice services. However, the care plan did not include any information regarding hospice services, despite a physician's order for hospice admission. The Director of Nursing confirmed the absence of a hospice care plan for this resident. These deficiencies highlight the facility's failure to provide comprehensive and individualized care plans for residents, impacting their overall care and well-being.
Failure to Complete Discharge Assessment
Penalty
Summary
The facility failed to complete a discharge assessment for a resident who was discharged to home. The resident, who had been admitted with multiple diagnoses including respiratory failure, dysphagia, depression, anemia, B-cell lymphocytic leukemia, adult failure to thrive, protein-calorie malnutrition, polyosteoarthritis, and malignant neoplasm, was discharged on 03/29/24. Despite the resident having no cognitive impairments as per the Minimum Data Set (MDS) assessment dated 02/02/24, the facility did not complete the required discharge MDS assessment following the discharge. This deficiency was confirmed during an interview with the Director of Nursing on 06/18/24.
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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 Mcdermott
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Ayden Healthcare Of Rosemount Pavilion | 5 mi | ★★★★★ | 3 | 0 |
| Edgewood Manor Of Lucasville Ii | 5.7 mi | ★★★★★ | 1 | 0 |
| Edgewood Manor Of Lucasville I | 6.2 mi | ★★★★★ | 9 | 0 |
| Hill View Skilled Nursing And Rehabilitation Cente | 7.1 mi | ★★★★★ | 1 | 0 |
| Portsmouth Health And Rehab | 7.8 mi | ★★★★★ | 1 | 0 |
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