Above average — CMS composite of the measures below.
The next survey window likely opens around April 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 Trueman Pointe Care Center during CMS and state inspections, most recent first.
Failure to Assess Bed and Chair Alarms as Restraints: Two residents with dementia, impaired cognition, and fall risk had PSA devices ordered for the bed and chair, but the record lacked restraint assessments showing the alarms were evaluated as restraints. Although restraint-enabler decision tree assessments were completed, they did not document the alarms as restraints, and the Administrator confirmed the facility had not completed the required restraint use assessments.
A resident with dementia, depression, psychosis, and severely impaired cognition received multiple PRN doses of lorazepam for anxiety/restlessness, but the record showed no documented non-pharmacological interventions before those administrations. The care plan directed staff to use PRN psychoactive meds only after non-drug measures were ineffective, and the DON confirmed no such interventions were provided before the doses reviewed.
Medication was improperly stored when a capsule identified as a resident’s gabapentin was found in a cup on the bedside table. The resident had orders for gabapentin for neuropathy, but no order for self-administration or for meds to be left at bedside. An LPN confirmed the resident had no such order, and the Administrator stated the facility did not have a policy for med storage or med administration.
Incomplete and inaccurate charting affected three residents. One resident had conflicting diabetes diagnoses across admission paperwork and provider notes, and the DON could not verify the correct diagnosis. Another resident had weekly skin checks marked complete on the TAR, but no nursing notes documented the findings. A third resident’s readmission skin assessment did not match nursing progress notes and hospital documentation showing a stage 3 heel pressure ulcer, sacral redness, and lower-leg wounds.
A resident with cognitive impairment and requiring substantial assistance fell from bed during a bed bath, resulting in a skin tear. The STNA rolled the resident to the side, leading to the fall. The incident was confirmed by the DON, indicating a lack of adequate supervision and assistance.
A resident with documented allergies to strawberries and pineapples was served crushed pineapple, despite clear indications on their meal ticket. Kitchen staff and a nurse failed to prevent this oversight, which was confirmed by a diet technician. The facility's policy requires accommodation of food allergies, which was not followed in this instance.
The facility failed to provide individualized activities for two residents with cognitive impairments, as observed during a survey. One resident preferred one-on-one and independent activities, but was only provided with the daily chronicle and TV. Another resident, with moderate cognitive impairment, also received similar activities despite having specific interests. The Activity Director confirmed the lack of tailored activities for cognitively and physically impaired residents, leading to a deficiency finding.
A facility failed to implement physician orders for a resident's pressure ulcer treatment, resulting in a deficiency. The resident, with multiple diagnoses and total care dependence, had a stage 3 pressure ulcer requiring daily dressing changes. Despite the Wound NP's order, the dressing change was not documented until several days later. An LPN confirmed the changes were done, but the facility lacked a wound care policy.
Failure to Assess Bed and Chair Alarms as Restraints
Penalty
Summary
The facility failed to ensure residents were assessed for the use of physical restraints for two residents reviewed for restraint use. Resident #23 had diagnoses including type 2 diabetes mellitus with diabetic chronic kidney disease, schizophrenia, unspecified dementia without behavioral disturbance, psychotic disturbance, mood disturbance and anxiety, and bipolar disorder. Her MDS showed severely impaired cognition and no upper or lower extremity impairments, with partial/moderate assistance needed for transfers and substantial/maximal assistance for ambulation. Her record included physician orders for a pressure sensor alarm to the chair and a sensor pad alarm to the bed, and her fall care plan identified her as at risk for falls with a history of falls, non-compliance, removing alarms, and impaired cognition. Although restraint-enabler decision tree assessments were completed, none documented that the bed or chair alarms were evaluated as restraints, and the record contained no restraint assessments for those alarms. Observations showed the resident in a wheelchair with alarms in place, and the Administrator confirmed the facility had not completed restraint use assessments for the bed and chair alarms. Resident #41 had diagnoses including type 2 diabetes mellitus with diabetic neuropathy, unspecified dementia with other behavioral disturbance, schizoaffective disorder, bipolar disorder, anxiety disorder, unspecified convulsions, and nicotine dependence. Her MDS showed moderate impaired cognition, no upper or lower extremity impairments, and supervision/touching assistance needed for transfers and ambulation; it also identified a chair and bed alarm. Her record included a physician order for a pressure sensor alarm to the chair and bed, and her fall care plan identified her as at risk for falls with dementia, impaired cognition, a history of falls, and non-compliance with interventions. Restraint-enabler decision tree assessments were present, but none indicated the sensor alarms were evaluated as restraints, and there was no documentation of restraint assessments for the bed and chair alarms. Observations showed the resident in a wheelchair with alarms in place, and the Administrator confirmed the facility had not completed restraint use assessments for those alarms.
Failure to Attempt Non-Drug Measures Before PRN Lorazepam
Penalty
Summary
The facility failed to attempt non-pharmacological interventions before administering as-needed psychotropic medication to Resident #10. Resident #10 was admitted on 02/25/26 with diagnoses including unspecified dementia with behavioral disturbance, depression, unspecified psychosis not due to a substance or known physiological condition, and metabolic encephalopathy. Her MDS assessment indicated severely impaired cognition, and her care plan identified her as at risk for adverse effects related to psychoactive medication use due to dementia with behaviors and depression, with interventions to use as-needed medications only after non-drug measures were ineffective. A physician order dated 03/19/26 prescribed lorazepam oral concentrate 0.25 ml every one hour as needed for anxiety/restlessness. Review of the MAR showed lorazepam was administered multiple times in March, April, and May 2026, including repeated doses on several dates. The record review found no documentation that non-pharmacological interventions were provided before the as-needed lorazepam doses on the listed dates. During interview, RN #216 stated there was usually supplementary documentation for non-pharmacological interventions, and the DON verified that no non-pharmacological interventions were provided before the as-needed lorazepam doses for the identified dates. The Administrator stated that behavior documentation and non-pharmacological interventions are documented by CNAs and not by the nurse administering the medication.
Medication Left at Bedside Without Order
Penalty
Summary
Medication storage was not maintained in accordance with accepted professional principles. Based on observation, staff interview, and medical record review, one capsule was found in a cup on Resident #61’s bedside table during an observation on 05/17/26 at 11:05 A.M. Resident #61 had an admission date of 03/05/24 and diagnoses including hemiplegia and hemiparesis following cerebral infarction affecting the left dominant side, unspecified convulsions, unspecified glaucoma, and chronic pain syndrome. The resident’s care plan identified risk for alteration in comfort related to chronic pain syndrome, arthritis, general pain, and chronic back pain, with interventions to administer medications as ordered. Review of the physician’s orders showed an order for gabapentin 400 mg by mouth every eight hours for neuropathy, and there were no orders allowing self-administration or medications to be left at the bedside. During interview, the LPN stated she did not administer the morning medication and indicated night shift nurses administer it, and she identified the capsule as appearing to be the resident’s gabapentin. The LPN also verified that Resident #61 did not have an order for self-administration or for medications to be left at bedside. The Administrator later stated the facility did not have a policy for medication storage or medication administration.
Incomplete and Inaccurate Medical Record Documentation
Penalty
Summary
The facility failed to ensure resident medical records were complete and accurate for three residents reviewed. For one resident admitted with diagnoses including diabetes and chronic kidney disease, the chart contained conflicting diabetes diagnoses across admission paperwork, pulmonology notes, physician and NP notes, and endocrinology documentation. The Director of Nursing was unable to verify whether type 1 or type 2 diabetes was correct, and the record showed both diagnoses remained active, with type 1 still listed as the primary diagnosis. For a second resident with a history of hemiplegia after cerebral infarction, chronic pain syndrome, and chronic kidney disease, the record showed a red area on the left leg that was later described as a bruise, then recategorized as an abrasion, and later documented as healed. Although weekly head-to-toe skin checks were ordered and were marked complete on the TAR, there were no corresponding nursing notes documenting the findings of those assessments. The DON confirmed the skin checks were completed on the TAR but not documented in the chart, despite the policy requiring weekly skin integrity assessments to be recorded in the medical record. For a third resident with chronic respiratory failure, diabetes with neuropathy, and chronic venous insufficiency, the readmission skin assessment documented no pressure or non-pressure ulcers, yet the same day nursing progress notes and hospital information described a stage 3 pressure ulcer on the right heel, sacral redness, and scabbed vascular ulcers to both lower legs. The readmission assessment also documented a mucosal membrane wound and no other skin concerns, which did not match the nursing progress notes. The LPN who completed the assessment confirmed she documented no skin issues on readmission, and the ADON confirmed the readmission skin assessment did not match the nursing progress notes.
Inadequate Assistance Leads to Resident Fall During Care
Penalty
Summary
The facility failed to ensure adequate assistance was provided to prevent a fall for a resident during care. The resident, who was readmitted with diagnoses including cerebral infarction, type II diabetes mellitus, aphasia, retention of urine, and encephalopathy, had cognitive impairment and required substantial to maximal assistance for turning. The resident's medical records indicated a need for extensive to total dependence on staff for bed mobility, requiring one to two staff members for assistance. During a bed bath, a State tested Nursing Assistant (STNA) rolled the resident to the right side to wash their back, resulting in the resident sliding out of bed and sustaining a one-centimeter skin tear to the left ear. The incident occurred at approximately 10:35 P.M., and the fall investigation confirmed that the resident had no previous falls. The Director of Nursing verified the incident, highlighting a deficiency in providing adequate supervision and assistance to prevent accidents during care.
Failure to Accommodate Resident's Dietary Allergies
Penalty
Summary
The facility failed to ensure that a resident's dietary preferences and allergies were respected, leading to a deficiency in care. Resident #34, who was admitted with diagnoses including respiratory failure, lymphedema, and heart disease, had documented allergies to strawberries and pineapples. Despite this, the resident was served crushed pineapple as part of their lunch meal on 09/17/24. The meal ticket for Resident #34 clearly indicated a dislike and allergy to pineapple, yet the kitchen staff placed pineapple on the resident's tray. Interviews and observations confirmed the oversight. Kitchen Staff #144 acknowledged the error, and Registered Nurse #163 confirmed the presence of pineapple on the tray despite the allergy being noted. The Diet Technician verified that the resident should not have been served pineapple and that tray tickets should be reviewed for allergies. The facility's policy mandates that food preferences and allergies be accommodated, yet this was not adhered to, resulting in the resident receiving food they were allergic to.
Failure to Provide Individualized Activities for Residents
Penalty
Summary
The facility failed to provide activities that met the needs of two residents, Resident #8 and Resident #56, as observed during a survey. Resident #8, who was admitted with severe cognitive impairment and other medical conditions, expressed a preference for one-on-one activities and independent activities in his room. Despite this, the activities provided were limited to the daily chronicle being delivered and the TV being on in his room. The Activity Director confirmed that there were no specific activities tailored for cognitively and physically impaired residents, and Resident #8 was not offered any items from the activity department. Resident #56, who had moderate cognitive impairment and other medical conditions, also preferred activities in his room and had specific interests such as sports and using electronic devices. However, the activities provided were similar to those for Resident #8, with the daily chronicle and TV being the primary activities. The Activity Director acknowledged that Resident #56 did not attend many group activities and could not participate in food-related activities due to dietary restrictions. Like Resident #8, there were no specific activities for cognitively and physically impaired residents. The deficiency was identified as the facility's failure to provide appropriate and individualized activities for these residents, which was confirmed through observations, record reviews, and staff interviews. The Activity Director verified that the activities were not tailored to the residents' needs and that the latest activities were scheduled only until 4:00 P.M. This deficiency was investigated under a specific complaint number, indicating non-compliance with regulatory requirements.
Failure to Implement Pressure Ulcer Treatment Orders
Penalty
Summary
The facility failed to implement physician orders for pressure ulcer treatment for a resident, leading to a deficiency. The resident, who was admitted with multiple diagnoses including spastic quadriplegic cerebral palsy and dependence on a ventilator, was assessed as cognitively intact but required total dependence on care. The resident's care plan included interventions for a pressure ulcer at the left gluteal fold, which was identified as a stage 3 ulcer on 04/17/24. The Wound Nurse Practitioner ordered a daily dressing change with a foam dressing to protect the ulcer, but this order was not entered into the resident's chart until 04/23/24, resulting in a lack of documented dressing changes from 04/17/24 to 04/22/24. An interview with the LPN responsible for wound care confirmed that the dressing changes were completed despite the absence of documentation in the resident's chart. The facility was unable to provide a policy on wound care for pressure ulcers, further highlighting the deficiency. This issue was investigated under specific complaint numbers, indicating non-compliance with the required standards for pressure ulcer care.
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 833 citations issued within 25 miles in the last 12 months — including the 5 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 Hilliard
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Darby Glenn Nursing And Rehabilitation Center | 1.2 mi | ★★★★★ | 4 | 0 |
| Norwich Springs Health Campus | 1.2 mi | ★★★★★ | 3 | 0 |
| Mill Run Care Center | 1.7 mi | ★★★★★ | 24 | 0 |
| Mayfair Village Nursing Care Center | 1.9 mi | ★★★★★ | 19 | 0 |
| The Sanctuary At Tuttle Crossing | 2.1 mi | ★★★★★ | 4 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Trueman Pointe Care Center.
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.