Above average — CMS composite of the measures below.
The next survey window likely opens around March 2027
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 Transitional Care Unit during CMS and state inspections, most recent first.
Surveyors determined that the facility did not comply with NFPA 101 and NFPA 72 requirements for fire alarm system maintenance when record review showed incomplete fire alarm inspection reports and no documentation of required semi-annual visual inspections of fire detection components. The Director of Maintenance confirmed that these six-month inspections had not been documented and reported being unaware of the requirement, creating a deficiency that had the potential to affect all four residents.
Dishwasher sanitizer testing was not aligned with manufacturer requirements. The kitchen dishwasher was observed using chemical sanitation with wash and rinse water temperatures at 120 degrees F, while the facility’s log documented chlorine at 100 ppm daily. The DM confirmed the test strips used by dietary staff did not measure the chlorine ppm as indicated by the manufacturer, even though the dishwasher placard and facility policy required checking temperatures and chlorine sanitizer levels.
Failure to notify the Ombudsman of planned discharges for two residents. One resident had wound dehiscence, OA of the spine, anxiety, morbid obesity, and PAD, and another had acute pancreatitis, depression, a pancreatic cyst, and obesity. The EMR showed no evidence that the Ombudsman was notified for either discharge, and the CM and Administrator confirmed the facility did not send discharge notifications when a discharge was planned.
A resident with surgical wounds to the left hand and wrist had incomplete wound documentation on admission, with no detailed description or measurements recorded, and no physician wound treatment orders were found in the EMR. Staff provided wound care with mupirocin, gauze, kerlix, and tape based on nursing report, while the RN could not locate the order and the CM confirmed the assessment lacked required wound detail.
Failure to Perform and Document Semi-Annual Fire Alarm System Inspections
Penalty
Summary
Surveyors found that the facility failed to maintain its fire alarm system components in accordance with NFPA 101 and NFPA 72 requirements. During record review, surveyors noted that fire alarm system inspection reports were incomplete and specifically that there were no records demonstrating that required semi-annual visual inspections of the fire detection components had been performed. This deficiency had the potential to affect all four residents in the facility. At the time of the review, the Director of Maintenance confirmed the absence of documentation for the six-month inspections and stated that he was unaware of the requirement to complete semi-annual inspections of the fire detection components.
Plan Of Correction
This plan of correction constitutes my written allegation of compliance for the deficiencies cited. However, submission of this Plan of Correction is not an admission that a deficiency exits or that one was cited correctly. This Plan of Correction is submitted to meet the requirements established by state and federal law. It is the policy that Transitional Care Unit follows Life Safety State/Federal regulations. It is policy that we hold a semi-annual fire visual inspection. The Transitional Care Unit held an inspection in February of 2026 and has another one scheduled with SecurCom for August of 2026. The Life Safety Surveyors spoke directly to SecurCom on the day of survey to ensure things were scheduled appropriately going forward. Securcom, Transitional Care Unit, and Life Safety Surveyors are on the same page and have scheduled according to regulation. Bill Bergman (President of Securcom, Inc) contacted Dustin Buell to discuss the requirements of the semi-annual inspection. On 5/1/25 a Purchase Order was issued to Securcom, Inc for them to complete the semi-annual inspection. On 5/1/26 a semi-annual fire alarm system Preventative maintenance work order was developed in our maintenance management software. This will automatically kick out every August 1st of every year as a reminder to have the semi-annual inspection completed. This administrator has put it in as a quarterly QAPI follow up to ensure compliance maintains
Dishwasher Sanitizer Testing Not Matched to Manufacturer Requirements
Penalty
Summary
The facility failed to ensure accurate dishwasher chemical sanitation to prevent foodborne illness. During observation of the kitchen dishwasher operation with the Dietary Manager, the dishwasher was using chemical sanitation, and the wash cycle water temperature and rinse cycle water temperature were both 120 degrees Fahrenheit. A placard on the dishwasher stated that wash and rinse water temperatures should be at a minimum of 120 degrees Fahrenheit and that 50 ppm chlorine was required for sanitation. Review of the dishwasher sanitation log from March 2026 through 04/13/26 showed chlorine was documented daily as 100 ppm. During interview, the Dietary Manager confirmed the chemical test strips used by dietary staff did not have a reading correlating to 100 ppm and verified that the test strips used to ensure adequate sanitation did not measure the chlorine ppm as indicated by the manufacturer. The manufacturer guidelines for the dishwasher stated to set sanitizer concentrations to 50 ppm and not exceed 100 ppm, and the facility policy required employees to check wash and rinse cycle temperatures and test the chlorine sanitizer ppm.
Failure to Notify Ombudsman of Planned Discharges
Penalty
Summary
The facility failed to provide discharge notification to the Ombudsman for two residents who were discharged from the facility. Resident #1 was admitted on 03/20/26 with diagnoses including wound dehiscence, osteoarthritis of the spine, anxiety, morbid obesity, and peripheral artery disease, and was discharged home with home health services on 04/04/26; the EMR showed no evidence that the Ombudsman was notified of the planned discharge. Resident #8 was admitted on 3/18/26 with diagnoses including acute pancreatitis, depression, pancreatic cyst, and obesity, and was discharged home on [DATE]; the EMR also showed no evidence that the Ombudsman was notified of the discharge. A Clinical Manager verified that the facility did not have evidence of Ombudsman notification for either resident, and the Administrator confirmed that when a discharge was planned, the facility did not send discharge notification to the Ombudsman.
Incomplete wound documentation and missing treatment orders
Penalty
Summary
The facility failed to ensure non-pressure ulcer wounds were thoroughly documented and failed to obtain physician treatment orders for a resident with surgical wounds to the left hand and left wrist. The resident was admitted with diagnoses including septic bacteremia, atrial fibrillation, hypertension, and hyperlipidemia, and the admission MDS indicated intact cognition with a BIMS score of 15. The admission assessment documented a small incision to the left hand and a small incision to the left wrist with sutures, but no further wound description was recorded, and the physician orders contained no wound treatment orders. During observation, the resident was seen with a bandage wrapped around the left wrist and stated she had an infection in the wrist that had been lanced and drained, with an outer wrist incision and stitches that had been removed by nursing staff. The RN stated the treatment being provided was mupirocin ointment covered with gauze, kerlix, and tape, but she could not locate a physician order in the EMR and was unsure where the treatment order came from, stating she learned it during nursing report. The CM confirmed there were no wound measurements or detailed descriptions for the left hand and wrist wounds on the admission assessment, and the facility policy required a thorough skin assessment on admission and treatment orders to be obtained and entered into the EMR.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 124 citations issued within 25 miles in the last 12 months — including the 2 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Saint Marys
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Vancrest Of St Mary's | 0.2 mi | ★★★★★ | 5 | 0 |
| Grande Lake Healthcare Center | 1.7 mi | ★★★★★ | 0 | 0 |
| Otterbein St Marys Retirement Community | 3.6 mi | ★★★★★ | 0 | 0 |
| Wapakoneta Manor | 9.1 mi | ★★★★★ | 0 | 0 |
| Gardens At Celina | 9.6 mi | ★★★★★ | 3 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Transitional Care Unit.
100% money-back within 48 hours.
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.