Above 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 Sanctuary At Ohio Valley during CMS and state inspections, most recent first.
A facility failed to update the PASRR documentation for a resident after a new diagnosis of unspecified psychosis was added. Despite the resident having multiple diagnoses, including cerebral infarction and diabetes mellitus type II, the PASRR was not revised to reflect the new condition. An interview with the ADON confirmed the oversight.
A resident with chronic respiratory issues was receiving oxygen therapy at four liters per minute via nasal cannula without a physician's order, contrary to the facility's policy. The resident's plan of care required continuous oxygen application, but a review of physician orders showed no such order was in place. Interviews confirmed the absence of a physician's order for the oxygen therapy being administered.
A facility failed to ensure a resident requiring dialysis had necessary physician orders for treatment and care. The resident, with chronic kidney disease and other conditions, lacked documentation for dialysis treatment, facility contact information, and care of the dialysis port. Despite receiving dialysis thrice weekly, the plan of care omitted dialysis details. The Unit Manager confirmed the absence of required orders, which were only added after the deficiency was noted.
The facility failed to assess and plan for PTSD in two residents, leading to a lack of care plans addressing the causes and triggers of PTSD. Both residents had active PTSD diagnoses, but no assessments were completed to identify potential triggers or interventions to minimize re-traumatization.
The facility failed to provide two residents with appropriate low blood sugar parameters and instructions for insulin administration. Both residents, with histories of diabetes and other health conditions, received insulin per sliding scale without specified low blood sugar parameters or instructions for low readings. Nursing progress notes lacked documentation of blood sugar results, and an LPN confirmed the absence of necessary orders. The facility's insulin administration policy did not address these parameters.
A facility failed to report an allegation of sexual abuse involving a resident with severe cognitive impairment to the state agency and did not implement its abuse policy. Despite internal reporting by an LPN to the DON, the incident was not documented in medical records, nor was the physician or family notified. The facility's policy requires reporting such incidents, but no report was filed, and the incident was not logged in the facility's records.
Inaccurate PASRR Documentation for a Resident
Penalty
Summary
The facility failed to ensure that the Pre-Admission Screening and Resident Review (PASRR) documents for a resident were accurate and reflective of the resident's current conditions and diagnoses. This deficiency was identified during a review of medical records and staff interviews. The resident in question was admitted with multiple diagnoses, including cerebral infarction, diabetes mellitus type II, and unspecified psychosis, among others. Although a new diagnosis of unspecified psychosis was added in April 2024, the facility did not complete a new PASRR to reflect this change. An interview with the Assistant Director of Nursing confirmed that a new PASRR should have been completed following the addition of the new diagnosis.
Lack of Physician's Order for Oxygen Therapy
Penalty
Summary
The facility failed to ensure that a resident, identified as Resident #59, had a physician's order for oxygen therapy, which is a necessary component of their respiratory care. Resident #59, who was admitted with chronic respiratory failure with hypoxia, chronic obstructive pulmonary disorder, chronic pulmonary embolism, and hypertension, was observed receiving oxygen therapy at four liters per minute via nasal cannula on multiple occasions. However, a review of the physician orders dated 03/25 revealed that there was no order for this oxygen therapy, despite the resident's plan of care indicating the need for continuous oxygen application via nasal cannula. Interviews with Resident #59 and Unit Manager #840 confirmed the resident was receiving oxygen therapy without a physician's order. The facility's policy on oxygen administration requires that oxygen be administered under a physician's order unless in an emergency, which was not the case here. This oversight in obtaining the necessary physician's order for oxygen therapy represents a deficiency in the facility's adherence to its own policies and procedures for providing safe and appropriate respiratory care.
Failure to Ensure Physician Orders for Dialysis
Penalty
Summary
The facility failed to ensure that a resident requiring dialysis had the necessary physician orders for dialysis treatment and care. The resident, who was admitted with acute kidney failure, chronic kidney disease stage five, hypertension, and congestive heart failure, did not have a physician order for dialysis treatment, nor was there any documentation of the dialysis facility or contact information. Additionally, there were no orders for the care and treatment of the dialysis port. The nursing progress notes lacked documentation of the resident's departure and return from dialysis treatments, and the Minimum Data Set did not indicate that the resident was receiving dialysis treatment. Interviews and reviews of facility communication sheets confirmed that the resident received dialysis treatment three times a week. However, the plan of care did not include information related to dialysis treatment. The Unit Manager confirmed the absence of orders for dialysis treatment, dialysis center information, or care of the dialysis site, and noted that the orders were only placed in the resident's medical record after the deficiency was identified. The facility's policy on hemodialysis required specific physician orders, which were not present in this case.
Failure to Assess and Plan for PTSD in Residents
Penalty
Summary
The facility failed to ensure that two residents with Post-Traumatic Stress Disorder (PTSD) were appropriately assessed to identify the causes of their PTSD and to minimize triggers and/or re-traumatization. Resident #23, who was admitted with multiple diagnoses including PTSD, was found to have intact cognition with a BIMS score of 15 out of 15. However, there was no care plan in place addressing the cause of PTSD, potential triggers, or interventions to reduce the risk of re-traumatization. An interview with the Social Services Director confirmed that no assessment had been completed for Resident #23 to identify the cause of PTSD or potential triggers. Similarly, Resident #70, who was admitted with several diagnoses including PTSD, was assessed to have moderate cognitive impairment with a BIMS score of 9. Like Resident #23, there was no care plan addressing the cause of PTSD, potential triggers, or interventions to reduce the risk of re-traumatization. The Social Services Director also confirmed that no assessment had been completed for Resident #70 to identify the cause of PTSD or potential triggers. These deficiencies affected two residents out of the facility's census of 79.
Lack of Low Blood Sugar Parameters for Insulin Administration
Penalty
Summary
The facility failed to ensure that two residents, Resident #22 and Resident #72, had appropriate low blood sugar parameters and directions for action when obtaining blood sugar levels with sliding scale insulin. Resident #22, who had a history of cerebrovascular disease, diabetes mellitus type two, schizoaffective disorder, hypothyroidism, and mood disorder, was receiving Novolog insulin per sliding scale without any specified low blood sugar parameters or instructions for low readings. The nursing progress notes for Resident #22 from January 1 to March 5 were silent on blood sugar results, and the plan of care did not include specific instructions for low blood sugar management. Similarly, Resident #72, diagnosed with rheumatic mitral stenosis, diabetes mellitus type two, shortness of breath, anxiety, depression, and dementia, was receiving Humalog insulin per sliding scale without low blood sugar parameters or instructions. The nursing progress notes for Resident #72 also lacked documentation of blood sugar results. Interviews with an LPN confirmed that both residents did not have orders specifying what constituted a low blood sugar reading or instructions on what actions to take. The facility's policy on the timely administration of insulin did not address parameters for low and high blood sugar or directions for care.
Failure to Report Allegation of Sexual Abuse
Penalty
Summary
The facility failed to report an allegation of sexual abuse involving a resident to the state agency and did not implement its abuse policy. The incident involved a resident with severe cognitive impairment due to Alzheimer's disease and other conditions, who required staff assistance for daily activities. Despite the allegation being reported internally by a Licensed Practical Nurse to the Director of Nursing, the facility did not document the incident in the resident's medical records, notify the physician or family, or report the incident to the state agency as required by their policy. The facility's policy mandates reporting any reasonable suspicion of a crime, including sexual abuse, to the state agency and law enforcement. However, the Director of Nursing confirmed that no such report was filed, and the incident was not logged in the facility's incident/accident records. The policy also lacked a clear definition of sexual abuse, which may have contributed to the oversight. This deficiency was identified during an investigation under a specific complaint number.
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Illustrative
What surveyors actually found near you
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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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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Ironton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Harbor Healthcare Of Ironton | 0.4 mi | ★★★★★ | 0 | 0 |
| Crystal Care Of Coal Grove | 0.9 mi | ★★★★★ | 13 | 0 |
| Woodland Oaks | 3 mi | ★★★★★ | 0 | 0 |
| Oakmont Manor | 3.1 mi | ★★★★★ | 0 | 0 |
| Kings Daughters Medical Center | 3.1 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.