Above average — CMS composite of the measures below.
A standard survey is most likely before around October 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 Springs Of Lima The during CMS and state inspections, most recent first.
An LPN was observed with pre-prepared medication cups for three residents, contrary to facility policy requiring medications to be administered immediately after preparation. The residents had various medical conditions, including cognitive impairments and chronic illnesses.
A facility failed to initiate a care plan for a resident with a respiratory infection. The resident, admitted with rhabdomyolysis and pulmonary fibrosis, had bilateral opacities on a chest x-ray indicating a possible infectious process. Despite an order for Zithromax, no care plan with measurable objectives was initiated. This deficiency was confirmed during an interview with a Regional Nurse.
A facility failed to provide necessary care and treatment for a resident's colostomy. The resident was admitted with a colostomy, but there were no physician orders for its care until over a month later. Orders were eventually initiated to manage the colostomy, including instructions to burp and empty the colostomy bag and apply stoma powder as needed. There was no documentation of colostomy care until these orders were in place, as confirmed by a Regional Nurse.
A resident was left with a medication cup on their bedside table without supervision, leading to an error where they were administered a discontinued medication. The LPN left the medications for the resident to take with breakfast, but the resident dropped them, and they were placed back into the cup by another staff member. The facility's policy requires observation to ensure medications are ingested, which was not followed.
Improper Medication Preparation and Administration
Penalty
Summary
The facility failed to ensure that medications were not prepared prior to administration, affecting three residents. Resident #03, who was cognitively intact, required assistance with daily activities due to medical conditions such as anemia, morbid obesity, and diabetes mellitus. Resident #04, with severe cognitive impairment, needed moderate assistance with daily activities and had medical diagnoses including Alzheimer's disease and atrial fibrillation. Resident #13, also cognitively intact, required substantial assistance and had conditions like chronic respiratory failure and spina bifida. During an observation, an LPN was found with three medication pill cups labeled for these residents on top of a medication cart. The LPN confirmed that the medications were prepared in advance at the nurse's station and intended to be administered in the residents' rooms. This practice was against the facility's policy, which mandates that medications should be administered at the time they are prepared and not pre-poured in advance or for more than one resident at a time.
Failure to Initiate Care Plan for Respiratory Infection
Penalty
Summary
The facility failed to initiate a care plan to address the care and services for a resident with a respiratory infection. The resident, who was admitted with diagnoses including rhabdomyolysis and pulmonary fibrosis, was found to have bilateral opacities on a chest x-ray, suggesting a multifocal infectious process. Despite receiving an order for the antibiotic Zithromax, there was no care plan initiated to include care and services with measurable objectives for the treatment of the resident's respiratory infection. This deficiency was confirmed during an interview with the Regional Nurse and was discovered during the investigation of a complaint.
Failure to Provide Colostomy Care
Penalty
Summary
The facility failed to provide appropriate care and treatment for a resident's colostomy, affecting one resident who required such services. The resident was admitted with a diagnosis that included attention to a colostomy, but the admission physician orders did not include care instructions for the colostomy. It was not until over a month later that orders were initiated to manage the colostomy, which included instructions to burp and empty the colostomy bag and wafer every three days and as needed. Additionally, an order was given to apply Adapt stoma powder as needed when changing the colostomy bag. There was no evidence of colostomy care or treatment documented in the medical record until these orders were initiated. An interview with the Regional Nurse confirmed the absence of orders and documentation for colostomy care until the specified date.
Medication Administration Deficiency
Penalty
Summary
The facility failed to ensure that medications were administered and taken by a resident as ordered, leading to a deficiency. Resident #13, who was admitted with diagnoses including acute kidney failure, syncope, orthostatic hypotension, congestive heart failure, and anemia, was observed with a medication cup filled with medications on their bedside table without any staff present. The resident confirmed that the nurse had left the medications for them to take with breakfast, but they had accidentally dropped the medications on the floor, and the person who brought the breakfast tray had placed them back into the cup. Further investigation revealed that the Licensed Practical Nurse (LPN) #200 had administered 11 tablets to Resident #13, including a medication, gabapentin, that had been discontinued two days prior. The facility's policy on medication administration requires that medications be administered according to the prescriber's written orders and that residents be observed to ensure the dose is completely ingested. The Regional Nurse confirmed the error in administering the discontinued medication. This deficiency was discovered during the investigation of a complaint.
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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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Nursing homes near Lima
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lima Convalescent Home | 1.4 mi | ★★★★★ | 0 | 0 |
| Liberty Retirement Community Of Lima Inc | 2.2 mi | ★★★★★ | 24 | 1 |
| Springview Manor | 2.3 mi | ★★★★★ | 0 | 0 |
| Shawnee Manor | 2.7 mi | ★★★★★ | 1 | 0 |
| Carecore At Lima | 4.1 mi | ★★★★★ | 2 | 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.