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 Springview Manor during CMS and state inspections, most recent first.
A resident with multiple medical conditions, including digestive issues, reported that food was sometimes cold and unpalatable. Observations showed that while food left the kitchen at appropriate temperatures, it arrived lukewarm by the time it was served, with some items below the required 135°F. Staff and policy confirmed the expectation for hot food service, but the deficiency was observed in practice.
Surveyors observed the kitchen steamer leaking water onto the floor on multiple occasions, creating large puddles. The issue was confirmed by the Director of Food Service and another staff member, and the facility's maintenance policy required regular inspection and upkeep of equipment. The ongoing leakage was not addressed, potentially affecting all 56 residents.
Strong urine odors were observed in multiple hallways and a common area, with confirmation from the Director of Environmental Services that two male residents urinate on the carpet rather than using the restroom. Routine cleaning practices, including monthly carpet cleaning and daily chair wiping, were in place, but odors persisted throughout the affected areas.
Three residents with significant medical needs and fall risks did not have call lights within reach or functioning as required by their care plans and facility policy. In two cases, call lights were placed out of reach and not visible, and in another, a non-working call light was not replaced, leaving the resident to use a bell for assistance. An LPN and the Director of Plant Operations confirmed these deficiencies during the survey.
A resident with end stage renal disease and multiple comorbidities did not have vital signs documented after returning from dialysis on several occasions, and required dialysis communication forms were not completed by the dialysis center, resulting in missing information such as pre- and post-dialysis weights. The facility's policy and physician orders required this monitoring and communication, but these were not followed or documented as required.
Surveyors found that a resident was left with a cup of medications at the bedside without staff supervision and without a documented self-administration assessment. Additionally, an LPN and the DON confirmed that an insulin pen and eye drops on a med cart were not labeled or dated as required by facility policy.
A CNA did not perform hand hygiene before or between delivering meal trays to two residents, including handling personal items and food coverings, and this was confirmed by both the CNA and a culinary staff member. Facility policy requires hand hygiene before and after resident contact and meal service.
Failure to Serve Food at Safe and Appetizing Temperatures
Penalty
Summary
The facility failed to ensure that food was served at a palatable and warm temperature, as required by policy. During an interview, a cognitively intact resident with multiple medical diagnoses, including digestive system issues and concerns regarding food and fluid intake, reported that food was sometimes cold and did not always taste good. Observations of the tray line and test tray process revealed that while food temperatures were initially within acceptable ranges when leaving the kitchen, by the time the food was served on the 100 Hall, temperatures had dropped. Specifically, the smoked sausage and brussel sprouts were found to be lukewarm, with temperatures below the desired threshold for hot food service. Staff interviews confirmed that the expectation was for hot foods to be delivered at or above 135 degrees Fahrenheit. Policy reviews indicated that food should be served as soon as possible after preparation and held at a minimum of 135 degrees Fahrenheit. Despite these guidelines, the observed food temperatures upon service did not consistently meet these standards, and the food was not always palatable or at an appetizing temperature for residents.
Failure to Maintain Kitchen Steamer in Safe Operating Condition
Penalty
Summary
The facility failed to maintain the kitchen steamer in a safe operating condition, as evidenced by multiple observations of the unit leaking water onto the floor over several consecutive days. On three separate occasions, surveyors observed the steamer leaking and forming large puddles on the kitchen floor. These observations were confirmed in interviews with the Director of Food Service and another staff member, both of whom acknowledged the ongoing leakage. Review of the facility's Preventative Maintenance Procedures policy indicated that each piece of equipment should have its own inspection schedule and procedures to prevent equipment failure, but the steamer continued to leak without being repaired or removed from service. At the time of the survey, the facility census was 56, indicating that all residents had the potential to be affected by the unsafe condition of the kitchen equipment.
Pervasive Urine Odors in Hallways and Common Areas
Penalty
Summary
Surveyors observed strong urine odors in the 200 and 300 halls, as well as the legacy hall, on multiple days. The Director of Environmental Services confirmed the presence of these odors and attributed the smell in the legacy hall to two male residents who urinate on the carpet instead of using the restroom. The facility's cleaning practices include monthly commercial carpet cleaning, daily wiping of dining chairs, and cleaning of cloth upholstery couches when housekeeping is notified. Despite these routines, pervasive urine odors were present in hallways and common areas, affecting the environment for all residents, staff, and the public.
Failure to Ensure Call Lights Were Accessible and Functional for Residents
Penalty
Summary
The facility failed to ensure that call lights were within reach or functioning for three residents, as required by their care plans and facility policy. One resident with chronic obstructive pulmonary disease, acute kidney failure, and mild cognitive impairment was observed lying in bed with the call light placed on the far back corner of the nightstand, covered by a curtain and not within reach or sight. Another resident with spinal stenosis, heart failure, and a history of falls was observed sitting in a recliner with the call light placed on the footboard of the bed, hanging down between the mattress and footboard, also out of reach and sight. In both cases, the care plans specified that call lights should be kept within reach due to the residents' fall risks and physical limitations. An LPN confirmed that the call lights were not accessible to these residents at the time of observation. A third resident, who had diabetes with polyneuropathy, a recent amputation, and required assistance with multiple activities of daily living, was found to have a non-functioning call light. The resident reported that the call light had not worked for about a week and was given a bell to ring for help instead. Observations confirmed that the call light did not activate the indicator outside the door when pressed. The Director of Plant Operations later verified that the call light cord connected to the new system was not provided to the resident and was found lying on the floor out of reach. The facility's policy required staff to ensure call lights were plugged in and within reach, which was not followed in these instances.
Failure to Document Dialysis Assessments and Ensure Communication
Penalty
Summary
The facility failed to ensure that required assessments and documentation were completed for a resident receiving dialysis services. Specifically, there was no documentation of vital signs being obtained after the resident returned from dialysis on multiple occasions, as verified by the Director of Nursing. Additionally, dialysis communication forms sent to the dialysis center were not completed by the center, with missing information such as pre- and post-dialysis weights. The facility's own policy required ongoing monitoring and communication with the dialysis provider, including obtaining reports on the resident's tolerance to the procedure, vital signs, and any necessary follow-up information. The resident involved had a history of end stage renal disease, dependence on dialysis, Parkinson's disease, and other significant medical conditions. Physician orders and care plans specified the need for monitoring, including daily checks for infection at the dialysis port, fluid restrictions, and communication with the dialysis center. Despite these orders and contractual obligations between the facility and the dialysis provider, there was a lack of documented collaboration and communication, as well as incomplete monitoring and documentation of the resident's condition before and after dialysis sessions.
Failure to Secure and Properly Label Medications
Penalty
Summary
Surveyors identified that medications were left unattended at a resident's bedside, contrary to facility policy and professional standards. Specifically, a cognitively intact resident with multiple chronic conditions, including rheumatoid arthritis, osteoporosis, and cardiomegaly, was observed with a cup containing seven pills, identified as vitamins, on her over-bed table without nursing staff present. The resident stated she was in the process of taking the medications after breakfast when the surveyor entered. There was no documentation of a self-administration assessment for this resident, and the facility's policy requires residents to be observed after medication administration to ensure ingestion. Additionally, during a review of medication storage, surveyors found a Lantus Solostar insulin pen and a bottle of lubricating eye drops on a medication cart that were not labeled or dated as required. The LPN confirmed the lack of labeling and dating, and the DON later discarded the insulin pen, unable to determine its intended resident. Facility policy mandates that certain medications, once opened, must be dated to ensure potency and safety, but this was not followed in the observed instances.
Failure to Perform Hand Hygiene During Meal Tray Delivery
Penalty
Summary
Certified Nursing Assistant (CNA) #71 failed to perform hand hygiene while delivering meal trays to residents. Specifically, CNA #71 was observed carrying a lunch tray into a resident's room, handling personal items on the bedside tray, removing food coverings, and adjusting the tray without performing hand hygiene before or after these actions. The CNA then exited the room, took a cup of lemonade from one tray, entered another resident's room, placed the cup on the next tray, removed its lid, and again did not perform hand hygiene between rooms. Both CNA #71 and Culinary Support #205 confirmed during interview that no hand hygiene was completed before or between passing meal trays. Facility policy requires hand hygiene before and after direct resident contact and before/after preparing or serving meals and drinks.
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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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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
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 mi | ★★★★★ | 0 | 0 |
| Carecore At Lima | 1.8 mi | ★★★★★ | 2 | 0 |
| Springs Of Lima The | 2.3 mi | ★★★★★ | 0 | 0 |
| Liberty Retirement Community Of Lima Inc | 2.6 mi | ★★★★★ | 24 | 1 |
| Shawnee Manor | 2.6 mi | ★★★★★ | 1 | 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.