Below average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at The Sanctuary At Tuttle Crossing during CMS and state inspections, most recent first.
Two residents with significant psychiatric and cognitive conditions were roommates when one cognitively intact resident physically struck or pushed the other severely cognitively impaired resident after accusing him of urinating on the toilet seat. Staff heard yelling and a loud noise, then found a resident on the floor partially outside the room, appearing fearful and confused, with a head injury and arm laceration, while the roommate stood over him yelling profanities and making threats. The aggressor admitted to staff and leadership that he had smacked or pushed the other resident, causing the fall. The injured resident was sent to the hospital, where imaging showed a falx SDH and acute traumatic C5–C6 fractures, and hospital records later documented cardiorespiratory arrest, acute hypoxic respiratory failure, suspected aspiration, dysphagia, advanced dementia, and acute traumatic fall-related injuries, culminating in the resident’s death. The facility failed to ensure the resident was free from abuse as required by its abuse, neglect, and exploitation policy.
The facility failed to timely report an allegation of abuse after a cognitively impaired resident with multiple psychiatric and neurologic diagnoses was found on the floor with a head injury while a roommate stood over him yelling and making threatening statements. An LPN notified the DON shortly after the incident, and the Administrator and DON were aware that the roommate had stated he smacked the resident, causing the fall. Despite this, the Administrator delayed reporting the allegation to the state until the following day, treating it initially as an unwitnessed fall, contrary to facility policy requiring immediate reporting of alleged abuse or events resulting in serious bodily injury.
Surveyors found that three residents with pressure ulcers did not receive timely or accurate wound care orders. In one case, a resident received the wrong treatment for 10 days due to staff confusion. Another resident had two conflicting wound care orders simultaneously, and a third resident experienced a delay in receiving any treatment orders after a wound assessment. The DON confirmed these lapses, which were not in accordance with facility policy requiring evidence-based wound care.
Surveyors found the kitchen had unsanitary conditions, including ice buildup with embedded food and hair in the freezer, mildew odor and black substance in the refrigerator, and dirt accumulation throughout. Food was served below the required holding temperature, with staff confirming the food was not hot enough. All residents received meals from this kitchen.
Staff failed to maintain the walk-in freezer at the required temperature, with repeated observations of temperatures above zero degrees Fahrenheit and significant ice buildup. Food items stored in the freezer, including meats and vegetables, were not kept at safe temperatures and continued to be served to residents. Staff interviews revealed a lack of knowledge about proper freezer standards, and facility records documented ongoing issues with the freezer's door seal and temperature control.
The facility did not ensure enhanced barrier precautions (EBP) were in place for several residents with chronic or open wounds. Multiple residents lacked EBP signage, care plan documentation, and readily available PPE outside their rooms. Staff confirmed the absence of EBP measures, and the DON acknowledged that EBP is necessary for residents with wounds, but these precautions were not implemented.
A resident with significant physical disabilities and no cognitive deficits was not provided with showers twice weekly or offered bed baths between scheduled showers, as required by facility policy. The resident also reported not receiving assistance with hair care. Documentation confirmed only four showers were given over several weeks, and staff interviews acknowledged the failure to meet established bathing protocols.
A resident with multiple medical conditions was not given a Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage (SNF-ABN) when therapy services were discontinued, even though skilled benefit days remained. The omission was confirmed by the Business Office Manager after review of the medical record.
A resident with quadriplegia and severe cognitive impairment did not receive therapy-recommended splinting devices due to the facility's failure to obtain physician orders and ensure application as directed. Despite therapy discharge summaries specifying the need for hand, knee, and ankle/foot splints, staff did not consistently offer or apply the devices, and the splints were found unused in the resident's room. Staff interviews confirmed the lack of orders and inconsistent communication between therapy and nursing regarding splinting schedules.
Staff failed to ensure that two residents who required mechanical lift transfers received assistance from two caregivers as required. In both cases, CNAs performed transfers alone using a Hoyer lift, contrary to facility policy and safety guidelines. The DON confirmed that single-staff transfers are not permitted, and the facility's safety guide specifies that two or more caregivers are needed for safe operation.
A resident with significant medical conditions requiring enteral nutrition did not receive several scheduled tube feedings as ordered by the physician due to a problem with the feeding pump. The resident, who was aware of her nutritional regimen, reported missing feedings and not being informed of the reason. The DON confirmed the missed feedings, and facility policy lacked specific guidance on following physician orders.
The facility did not ensure that a licensed pharmacist performed required monthly medication regimen reviews, including medical chart reviews, for two residents with complex medical and psychiatric conditions who were receiving multiple psychotropic and other medications. Pharmacy records and consultant pharmacist reports lacked documentation of these reviews for specific months, and the DON confirmed no additional documentation was available.
Surveyors identified significant medication errors, including a nurse administering insulin without priming the pen, missed doses of an antibiotic despite its availability, and multiple missed or improperly timed doses of an anticoagulant. These errors affected three residents and were confirmed through observation, record review, and staff interviews.
A resident who had agreed to receive dental services did not receive them in a timely manner because their signed consent was not properly filed, resulting in staff being unaware of the request and the resident not being scheduled for dental care.
A resident with multiple chronic conditions left the facility with his wife against medical advice, and staff failed to document the AMA discharge in the medical record as required by facility policy. The resident's wife signed the resident out only after being prompted, and interviews confirmed the lack of proper documentation.
A resident with multiple medical conditions and intact cognition was unable to activate the call light system in their room and bathroom despite repeated attempts. The malfunction was confirmed by both staff and direct observation, and the issue persisted over multiple checks. Facility policy requires immediate reporting and alternative solutions for call light failures, but the system remained nonfunctional during the survey.
The facility failed to maintain a clean and sanitary shower room, affecting several residents and potentially impacting others. Observations showed stained and loose flooring, with water bubbling from underneath, and missing tiles. Staff and residents reported that some residents refused to use the shower room due to its condition, describing it as filthy and smelly. The facility had started looking for contractors to address the issue but had no definite plans yet.
Resident-to-Resident Physical Abuse Resulting in Traumatic Injuries and Death
Penalty
Summary
The deficiency involves the facility’s failure to protect a resident from abuse by a roommate, resulting in actual physical harm. One resident (Resident #51), who had Parkinson’s disease, dementia with severe cognitive impairment, psychotic and mood disturbances, anxiety disorder, repeated falls, and major depressive disorder, shared a room with another resident (Resident #21) who had bipolar disorder, schizophrenia, hearing loss, dementia, psychotic and mood disturbances, and anxiety disorder, but was assessed as cognitively intact. Resident #51 used a walker and wheelchair and required setup assistance for some mobility tasks but was otherwise independent with certain bed mobility. The facility’s abuse policy defined abuse as the willful infliction of injury or intimidation with resulting physical harm, including resident-to-resident altercations. On the evening of the incident, staff heard Resident #51 yelling and a loud noise from the room shared by Residents #51 and #21. When staff entered, they found Resident #51 lying on the floor, with his head and torso outside the room and his legs inside, and Resident #21 standing over him, yelling profanities and making threatening statements such as, “touch me again and next time you won’t be able to stand back up,” and “I promise next time, you won’t get up.” Resident #51 appeared fearful and confused. A full body assessment revealed a raised, reddened area with a small amount of bleeding on the back of his head and a laceration on his right arm. The incident itself was unwitnessed by staff, but Resident #21 admitted to staff, the DON, and the Administrator that he had smacked or pushed Resident #51, causing him to fall, reportedly because he believed Resident #51 had urinated on the toilet seat. Resident #51 was sent to the hospital for evaluation following the incident. Hospital records documented that a CT scan of the head showed a small interhemispheric falx subdural hematoma, and imaging also revealed an acute traumatic fracture through bridging anterior osteophyte at C5–C6 extending through the body of C6, as well as an acute traumatic C6 vertebral body fracture. The hospital discharge diagnoses included cardiorespiratory arrest, acute hypoxic respiratory failure, suspected aspiration with significant oropharyngeal secretions, oropharyngeal dysphagia, advanced dementia, acute traumatic fall, acute traumatic C5–C6 osteophyte fracture, and acute traumatic C6 vertebral body fracture. Resident #51 later expired in the hospital. Law enforcement became involved after being contacted by Resident #51’s family and began collecting information about the incident between the two residents. The facility’s failure to ensure Resident #51 was free from abuse by another resident resulted in actual harm, including the documented head and cervical spine injuries.
Failure to Timely Report Allegation of Resident-to-Resident Abuse
Penalty
Summary
The deficiency involves the facility’s failure to timely report an allegation of abuse involving a resident with severe cognitive impairment. The resident, who had diagnoses including Parkinson’s disease, dementia, psychotic disturbance, mood disturbance, anxiety disorder, repeated falls, and major depressive disorder, was admitted on an unspecified date and had an MDS dated 12/02/25 showing severe cognitive impairment. On 12/12/25, staff heard the resident yelling and found him lying on the floor with his head and torso outside the room and his legs inside, while his roommate was present in the room, standing over him and yelling. A full body assessment documented a small amount of bleeding and a raised area on the scalp consistent with possible head impact, and the resident appeared fearful and confused during the assessment. EMS was contacted and the resident was transported to the hospital for evaluation of a head injury. Progress notes and the Facility Reported Incident (FRI) show that the event was identified as an allegation of physical abuse between the two residents, with staff reporting that the roommate was swearing loudly and threatening that if touched again, the resident would not be able to stand back up. The Administrator and DON confirmed they were notified of the incident on the night it occurred and were told that the roommate had stated he smacked the resident, causing him to fall. The Administrator confirmed that, during his interview, the roommate admitted to smacking the resident, but the Administrator reported the incident to the state the next day because he initially believed it was an unwitnessed fall, despite knowing of the admission of having smacked the resident. The facility’s Abuse, Neglect, and Exploitation policy required that all alleged violations involving abuse or resulting in serious bodily injury be reported immediately, but no later than two hours after the allegation is made. The delay in reporting this allegation of abuse constituted the cited deficiency.
Failure to Timely and Accurately Initiate Pressure Ulcer Treatment Orders
Penalty
Summary
The facility failed to ensure that pressure ulcer treatment orders were initiated, ordered, and implemented in a timely and accurate manner for three residents reviewed for pressure ulcer care. For one resident admitted with a stage 3 pressure ulcer, the facility did not initiate the wound physician's order for Hydrocolloid paste until 10 days after it was prescribed, instead providing only barrier cream during that period. The DON confirmed that both treatments were available in-house, but staff confusion regarding the correct product led to the delay in appropriate care. Another resident admitted with a stage 4 pressure ulcer had two overlapping and conflicting treatment orders for the same wound over a two-day period. The resident received orders for both a foam border dressing and Mesalt with gauze, resulting in a lack of clarity regarding which treatment should have been provided during that time. The DON verified the presence of these concurrent orders. A third resident with two stage 3 pressure ulcers did not have any treatment orders in place for two days following the wound physician's assessment and recommendation for Hydrocolloid paste. The DON confirmed that there was a gap between the wound assessment and the initiation of the appropriate treatment orders. Facility policy required evidence-based treatments in accordance with current standards of practice for all residents with pressure injuries, but this was not followed in these cases.
Unsanitary Kitchen Conditions and Improper Food Holding Temperatures
Penalty
Summary
Surveyors observed multiple failures in the facility's kitchen related to food storage, preparation, and sanitation. The freezer was found to be operating at temperatures above the recommended level, with built-up ice on the floor containing embedded pasta and a chunk of hair. The walk-in refrigerator emitted a strong mildew odor, had an unknown black substance along the walls, a pool of water accumulating around a lightbulb and dripping onto the floor, and dust buildup on the ceiling near the fan. Additional unsanitary conditions were noted, including a black substance behind the dishwashing sink, dirt buildup around the entrance door, black buildup behind and under the trash can, and dirt accumulation on floors and walls in corners and behind shelving. Staff interviews confirmed the lack of cleaning logs and acknowledged the unsanitary conditions. Further observations revealed that food tray temperatures at the end of one hall were below the required holding temperature, with chicken at 119°F, vegetables at 128°F, and stuffing at 137°F. When tasted, the food was warm but not hot, and staff confirmed that the food was not being held at or above the 135°F mark. All 49 residents in the facility received meals from this kitchen, indicating that the unsanitary conditions and improper food temperatures had the potential to affect the entire resident population.
Failure to Maintain Proper Freezer Temperatures for Food Storage
Penalty
Summary
The facility failed to store frozen foods at the appropriate temperatures to prevent spoilage, as evidenced by multiple observations of the walk-in freezer registering temperatures above the required standard. On several occasions, the freezer temperature was found to be between 7 and 20 degrees Fahrenheit, rather than at or below zero degrees Fahrenheit as required by facility policy. There was significant ice buildup on the internal thermometer, door frame, and floor, and a thick layer of frost was observed on the shelves and food items. Staff interviews confirmed the presence of these conditions and revealed a lack of knowledge regarding the correct freezer temperature. The freezer door seal was damaged, preventing the door from closing properly, which contributed to the temperature issues and ice accumulation. Review of facility records, including a sanitation audit and service logs, indicated that the problem with the freezer had been ongoing, with previous documentation of foods not being frozen solid and signs of freezer burn. The audit and service logs also noted the damaged gasket, kick plate, and frame, as well as the inability of the freezer to maintain proper temperatures. Despite these findings, food stored in the compromised freezer, such as chicken and vegetables, continued to be served to residents. The deficiency had the potential to affect all residents receiving food from the facility kitchen, except for one resident who did not eat food from the kitchen.
Failure to Implement Enhanced Barrier Precautions for Residents with Wounds
Penalty
Summary
The facility failed to implement and maintain enhanced barrier precautions (EBP) for residents with wounds, as required for infection prevention and control. Observations and record reviews revealed that multiple residents with chronic or open wounds did not have EBP signage or personal protective equipment (PPE) such as gowns and gloves available outside their rooms. In several cases, care plans and physician orders did not include EBP, and staff interviews confirmed the absence of these precautions. One resident with severe cognitive impairment and an unstageable pressure ulcer did not have EBP signage or PPE outside her room, and staff confirmed she was not under EBP. Another resident with a stage three pressure ulcer to the right heel also lacked a care plan for EBP, and there were no EBP orders or PPE available outside the room. A third resident with a stage four pressure ulcer of the sacral region similarly had no EBP care plan or orders, and staff confirmed the absence of EBP measures. Additionally, a resident with a left hip wound and a wound vacuum in place did not have EBP signage or PPE outside the room during multiple observations. Staff interviews indicated that PPE was stored at the nursing station rather than being immediately accessible near the resident's room. The Director of Nursing confirmed that EBP is necessary for residents with chronic wounds, but the required precautions were not in place for these residents.
Failure to Honor Resident Bathing Preferences and Facility Bathing Policy
Penalty
Summary
A deficiency was identified when a resident with diagnoses including cerebral infarction, acute respiratory failure with hypoxia, dysphasia, and bilateral paralysis, who had no cognitive deficits and required assistance for transfers and activities of daily living, was not provided with bathing opportunities in accordance with facility policy and her expressed preferences. The resident reported not receiving routine showers twice a week and not being offered bed baths between scheduled shower days. She also stated that staff would not assist with her hair care due to its length, requiring her to wait for her sister to visit for grooming. Review of the resident's medical record and facility documentation confirmed that only four showers were provided over a period of approximately three weeks, with no documentation available to verify additional showers or bed baths. Facility policy required that residents be offered showers at least twice weekly and bed baths daily, but this was not consistently documented or provided for the resident in question. Interviews with the DON and Regional Nurse confirmed the expectation for regular bathing and acknowledged the lack of compliance with facility protocols.
Failure to Provide SNF-ABN When Therapy Services Ended
Penalty
Summary
The facility failed to provide a Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage (SNF-ABN) to a resident when therapy services were discontinued, despite the resident still having skilled benefit days remaining. The resident, who had diagnoses including anemia, atrial fibrillation, and hypertension, was admitted on 01/22/25 and received therapy services that ended on 02/16/25 due to admission to hospice care. Medical record review showed no evidence that the required SNF-ABN was given at the time therapy services ended. This was confirmed during an interview with the Business Office Manager, who acknowledged that the notice should have been provided but was not.
Failure to Implement and Order Therapy-Recommended Splinting Devices
Penalty
Summary
The facility failed to provide appropriate care to maintain or improve range of motion for a resident with significant physical and cognitive impairments. The resident, who had diagnoses including anoxic brain damage, metabolic encephalopathy, quadriplegia, and severe cognitive impairment, was dependent on staff for all mobility and activities of daily living. Occupational and physical therapy discharge summaries recommended the use of multiple splinting devices, including resting hand splints, knee braces, and ankle/foot braces, with specific schedules for their application. However, review of the resident's medical record revealed there were no physician orders in place for any of the recommended splints or braces. Observations showed the resident was not wearing any splints during multiple checks, and the devices were found stored in a box on the floor in the resident's room. Staff interviews confirmed the absence of current orders for splints and indicated that the resident was not routinely offered the devices, despite therapy recommendations and the resident's willingness to use them if offered. Communication between therapy and nursing staff was verbal, and the process for obtaining physician orders and ensuring implementation of splinting schedules was not followed, particularly after the resident's multiple hospitalizations.
Failure to Provide Adequate Assistance During Mechanical Lift Transfers
Penalty
Summary
Staff failed to provide adequate assistance during mechanical lift transfers for two residents who required such assistance. In one instance, a Certified Nurse Aide (CNA) was observed transferring a resident from a wheelchair to a bed using a Hoyer lift without the required second staff member present. The CNA confirmed during an interview that she performed the transfer alone and acknowledged that two staff members were needed for the procedure. In another case, a different CNA was seen exiting a resident's room with a Hoyer lift, and no other staff were observed. This CNA also admitted to transferring the resident alone, stating she believed it was safe and permitted to do so. The Director of Nursing (DON) confirmed that facility policy does not allow single-staff Hoyer lift transfers. Additionally, a review of the Patient Lift Safety Guide indicated that most lifts require two or more caregivers to operate safely. These observations and interviews demonstrate that the facility did not ensure residents who required mechanical lift assistance were provided with adequate supervision and assistance to prevent accidents.
Failure to Follow Physician Orders for Tube Feedings
Penalty
Summary
A resident with diagnoses including cerebral infarction, acute respiratory failure with hypoxia, dysphasia, and bilateral paralysis was admitted to the facility and required nutritional tube feedings as ordered by a physician. The physician's order specified Nutren 2.0 complete liquid nutrition, to be administered as a 250 mL bolus five times daily. However, on one day, the resident did not receive the scheduled enteral feedings at 8:00 A.M., 11:00 A.M., and 12:00 P.M., only receiving feedings later in the day at 5:00 P.M. and 9:00 P.M. The resident, who had no cognitive deficits and was aware of her feeding regimen, reported missing two feedings and expressed frustration at not being informed about the reason for the missed feedings. The Director of Nursing confirmed that the missed feedings were due to a problem with the resident's tube feeding pump. Review of facility policy indicated a general commitment to providing nutritional care but did not include a specific policy on following physician's orders. The deficiency was identified through medical record review, resident and staff interviews, and policy review, and it was determined that the facility failed to ensure physician orders for tube feedings were followed for this resident.
Failure to Complete Monthly Pharmacist Medication Regimen Reviews
Penalty
Summary
The facility failed to ensure that a licensed pharmacist conducted monthly medication regimen reviews, including a review of the medical chart, for at least two residents. For one resident with diagnoses such as senile degeneration of the brain, major depressive disorder, anxiety disorder, hypertension, hyperlipidemia, hypothyroidism, and sleep apnea, there was no documentation of a pharmacist's review of the medication regimen for the month of February 2025. This resident was receiving antipsychotic, antidepressant, antianxiety, and opioid medications, yet pharmacy records and consultant pharmacist recommendations did not reflect a monthly review or any recommendations for that period. The DON confirmed that no additional documentation was available to indicate the review had occurred. Another resident, admitted with conditions including intracerebral hemorrhage, schizoaffective disorder, anxiety, and hypertension, and who was severely cognitively impaired, also did not have documented pharmacist reviews for June 2024 and February 2025. This resident was receiving daily antipsychotic and antidepressant medications. Review of pharmacy progress notes and consultant pharmacist reports did not show evidence of the required monthly reviews or recommendations for the specified months. The DON confirmed the absence of documentation for these reviews. Facility policy requires that each resident's drug regimen be reviewed at least monthly by a licensed pharmacist, including a review of the medical chart.
Significant Medication Administration Errors Identified
Penalty
Summary
The facility failed to ensure residents were free from significant medication errors, as evidenced by multiple incidents involving improper medication administration. In one instance, a registered nurse administered insulin to a resident with diabetes mellitus type II without priming the insulin pen, contrary to manufacturer instructions and the user guide, which state that priming is necessary to remove air and ensure accurate dosing. The nurse confirmed during an interview that she did not prime the pen and was unaware of the requirement. Additionally, two other residents experienced missed doses of critical medications. One resident did not receive two scheduled doses of the antibiotic Keflex, despite the medication being available in the facility's emergency medication box. Another resident missed several scheduled doses of the anticoagulant Xarelto, and the medication was not administered with meals as ordered. The Director of Nursing confirmed the missed doses and the timing issue with meal administration. These failures were identified through observation, medical record review, staff interviews, and policy review.
Failure to Provide Timely Dental Services Due to Misfiled Documentation
Penalty
Summary
A deficiency occurred when a resident who had agreed to receive dental services was not provided with those services in a timely manner. The resident, admitted with diagnoses including cerebral infarction, alcohol dependence, intellectual disabilities, and hypertension, had a care plan identifying the potential for oral health problems and interventions that included coordinating dental care. Documentation showed the resident was made aware of available ancillary services and had signed to receive dental care. However, the signed document was not properly filed in the resident's record. As a result, when the facility prepared for the dentist's visit, staff were unaware that the resident had elected to receive dental services. The resident reported not having seen a dentist since admission and had been requesting to do so. Staff interviews confirmed the oversight was due to the misfiled paperwork, which led to the resident not being scheduled for dental care as intended.
Failure to Document Against Medical Advice (AMA) Discharge
Penalty
Summary
The facility failed to ensure proper documentation in the medical record for a resident who was discharged against medical advice (AMA). Specifically, a resident with chronic heart failure, muscle weakness, and chronic kidney disease was admitted and later left the facility with his wife without following the established sign-out procedures. The nurse was not notified prior to the resident's departure, and the resident's wife only signed the resident out in the front desk book after being prompted by a nurse aide. The medical director and DON were notified of the situation, but there was no documentation in the resident's medical record regarding the AMA discharge. Interviews confirmed that the resident's wife took him home with no intention of returning, citing dissatisfaction with the care provided. The business office manager verified that the medical record lacked any documentation of the AMA discharge, and a review of facility policy indicated that such documentation should have been entered by nursing and social services staff. This deficiency affected one of three residents reviewed for discharges.
Nonfunctional Call Light System in Resident Room
Penalty
Summary
A deficiency was identified when a resident's call light system failed to function properly in both the bathroom and bathing area. The resident, who had intact cognition and multiple medical diagnoses including metabolic encephalopathy, generalized anxiety disorder, delusional disorder, obstructive sleep apnea, chronic pain, epilepsy, and obesity, was unable to activate the call light despite multiple attempts. Observations confirmed that the call light did not activate when pressed, and the issue persisted over multiple checks. A nurse passing medications was notified of the malfunction, and a subsequent attempt by an LPN also confirmed the call light was not working at the bedside. The facility's policy requires staff to report any problems with the call light system immediately and to provide alternative solutions until the issue is resolved. Despite this policy, the resident's call light system remained nonfunctional during the period of observation, and the deficiency was confirmed through interviews and direct observation. The issue affected one of two residents reviewed for call lights, with a facility census of 58.
Unsanitary Shower Room Conditions
Penalty
Summary
The facility failed to maintain a shower room in a clean and sanitary manner, affecting three residents and potentially impacting 34 others who used the shower room on the 200 hall. Observations revealed that the floor of the shower room had large black stained areas covering nearly the entire floor, with a loose area surrounding the center floor drain that caused water to bubble up when stepped on. Additionally, a small portion of tile was missing from the half wall dividing the two shower areas. Interviews with staff and residents confirmed the poor condition of the shower room. A State Tested Nurse Aide (STNA) and a Licensed Practical Nurse (LPN) both noted that some residents refused to use the shower room due to its condition. Residents expressed their dissatisfaction, describing the room as filthy and smelly, with some refusing to use it until repairs were made. The facility had begun seeking contractors for repairs but had not yet secured any definite plans.
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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.
Illustrative
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Dublin
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Friendship Village Of Dublin | 1 mi | ★★★★★ | 0 | 0 |
| Mayfair Village Nursing Care Center | 1.5 mi | ★★★★★ | 13 | 0 |
| Grand The | 1.6 mi | ★★★★★ | 2 | 0 |
| Dublin Post Acute | 1.9 mi | ★★★★★ | 34 | 0 |
| Trueman Pointe Care Center | 2.1 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 June 2026) and official state health department websites.