Above average — CMS composite of the measures below.
The next survey window likely opens around November 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 Vancrest Of Payne during CMS and state inspections, most recent first.
Failure to Report Injury of Unknown Origin: A resident with severe cognitive impairment developed a bruise and swelling to the hand with discoloration to the shoulder, and neither the resident nor spouse could explain the injury. Staff, including an LPN and the DON, confirmed the cause was unknown, but no SRI was submitted to the SSA before surveyor identification despite facility policy requiring immediate reporting of injuries of unknown source.
Incomplete Assessment of Newly Identified Coccyx Skin Breakdown: A resident with cognitive impairment, bladder incontinence, and diabetes had a superficial open area on the coccyx treated with triad paste, but the area was not thoroughly assessed when first identified. The record showed no wound description or measurements until wound care evaluated it several days later, and the DON confirmed the wound was identified before a complete assessment was documented.
Untimely bed hold notices were sent for four residents after hospital or ER transfers instead of at transfer or within 24 hours. One resident had AFib, MDD, hydronephrosis with renal/ureteral obstruction, anxiety, and CHF; another had severe cognitive impairment with fractures, dementia, anxiety, and CHF; a third had severe cognitive impairment with HF, angioneurotic edema, depression, anxiety, constipation, insomnia, a left shoulder joint, and HTN; and a fourth was cognitively intact with CAD, CVA, DM2, HTN, and HF. The DON/Administrator confirmed the notices were mailed by certified letter after the transfers.
A resident with a new onset of seizure disorder was not administered prescribed seizure medications upon returning to the facility, leading to significant medication errors. The resident experienced seizure-like activity and a prolonged seizure episode. The facility failed to notify the physician about the unavailability of medications, and the Director of Nursing confirmed the medications were not administered timely.
Failure to Report Injury of Unknown Origin
Penalty
Summary
The facility failed to report an allegation of injury of unknown origin for one resident who was reviewed for abuse. Resident #35 had diagnoses including Alzheimer's disease with early onset, age related osteoporosis without current pathological fracture, anxiety disorder, circadian rhythm sleep disorder, and dementia in other diseases classified elsewhere moderate with anxiety. The resident's MDS assessment dated 11/07/25 showed severe cognitive impairment, continence of bowel and bladder, and need for supervision with toileting and showering, along with set-up/clean-up assistance for dressing and footwear. A nursing progress note documented that the resident had a bruise to the left hand measuring about 5 cm and left shoulder discoloration measuring about 3 cm by 2.5 cm. Observation later that morning showed the left hand was swollen and purple. The resident and spouse could not explain what happened, and staff interviews confirmed the injury was unknown in origin. The DON verified the cause of the left hand and shoulder injury was unknown and stated no SRI had been completed for an injury of unknown origin at the time it was identified. Facility records showed no SRI had been submitted to the SSA before surveyor identification, despite the facility policy requiring immediate reporting of injuries of unknown source.
Incomplete Assessment of Newly Identified Coccyx Skin Breakdown
Penalty
Summary
Provide appropriate pressure ulcer care and prevent new ulcers from developing was not met when the facility failed to ensure a newly identified skin impairment on Resident #24’s coccyx was thoroughly evaluated and assessed. Resident #24 was admitted with diagnoses including urinary tract infection, atherosclerotic heart disease, cognitive communication deficit, major depressive disorder, essential hypertension, hyperlipidemia, primary osteoarthritis, hypotension, and type 2 diabetes mellitus without complications. The MDS dated 09/15/25 showed the resident was moderately cognitively impaired, dependent for toileting, and always incontinent of bladder. The care plan dated 04/16/25 included abrasions and pressure ulcers. Physician orders from 08/14/25 through 08/18/25 directed staff to apply triad paste to the coccyx area every shift for a superficial open area, but the medical record did not show an assessment of the coccyx area with a wound description or measurements until wound care assessed it on 08/18/25. The TAR from 08/14/25 through 08/18/25 verified the triad treatment was applied as ordered. During interview on 09/30/25 at 3:00 P.M., the DON confirmed the coccyx wound was not thoroughly assessed when identified and acknowledged that, based on the documentation, it was identified on 08/14/25 and not assessed until 08/18/25. The facility policy titled Pressure Ulcer Risk Assessment and Management, dated 10/25/16, stated that areas of skin breakdown should be communicated to the wound care nurse/designee for follow-up and measurements, including width, length, and depth, obtained.
Untimely Bed Hold Notices
Penalty
Summary
The facility failed to ensure bed hold notices were provided timely for four residents who were transferred to the hospital or ER. The facility policy titled, Bed-Holds and Returns, stated residents or representatives were to receive written notice about bed hold policies at least twice, including at the time of transfer or, if the transfer was an emergency, within 24 hours. Review of records and staff interviews showed the notices were instead mailed after the transfers, ranging from one day to four days later. For one resident, who had diagnoses including atrial fibrillation, major depressive disorder, hydronephrosis with renal and ureteral calculus obstruction, anxiety disorder, and CHF, the resident was transferred to the ER for blood in the stool and the bed hold letter was mailed after the transfer. A later transfer to the hospital also resulted in the bed hold notice being sent two days after transfer. The Administrator stated the notices were sent by certified mail and confirmed they were not provided until after the resident had been admitted to the hospital, adding that she believed they did not have to be provided unless the resident was admitted. For another resident with severe cognitive impairment and diagnoses including an upper left humerus fracture, right femur fracture, dementia, anxiety, and CHF, the bed hold notice was mailed one day after transfer on two separate occasions. A third resident with severe cognitive impairment and diagnoses including heart failure, angioneurotic edema, depression, anxiety, constipation, insomnia, a left artificial shoulder joint, and hypertension had the bed hold notice mailed four days after transfer. A fourth resident, who was cognitively intact and had diagnoses including atherosclerotic heart disease, cerebral infarction, type 2 diabetes, hypertension, and heart failure, also had the bed hold notice mailed four days after transfer. The Administrator verified these notices were not provided until after the residents were transferred to the hospital.
Failure to Administer Seizure Medications
Penalty
Summary
The facility failed to administer seizure medications to a resident who was admitted with a new onset of seizure disorder, resulting in significant medication errors. The resident, who was cognitively intact and required supervision for daily activities, was admitted with diagnoses including unspecified convulsions and Parkinson's disease. Upon returning from the hospital, the resident had new orders for Keppra and Vimpat, which were not administered as required. The medical record review revealed that the pharmacy was informed of the medication orders, but there was no indication that the medications were ordered as stat. The Medication Administration Record showed that Keppra and Vimpat were not administered on the day of the resident's return. Additionally, there was no documentation that the physician was notified about the non-administration of these medications. The resident experienced seizure-like activity during supper, and the following morning, a prolonged seizure episode occurred, during which the resident was unresponsive. Interviews with facility staff revealed that the resident arrived without a report from the transferring hospital, and some medications were unavailable. The Director of Nursing confirmed that the medications were not administered timely, and the Certified Nurse Practitioner was not contacted about the unavailability of the medications. The facility borrowed Keppra liquid from another resident to administer to the affected resident. The deficiency was investigated under a complaint number.
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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 Payne
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Gardens Of Paulding The | 7.5 mi | ★★★★★ | 9 | 0 |
| Adams Heritage | 11 mi | ★★★★★ | 1 | 0 |
| Vancrest Of Hicksville | 14.5 mi | ★★★★★ | 0 | 0 |
| Majestic Care Of New Haven | 15.5 mi | ★★★★★ | 15 | 0 |
| Golden Years Homestead | 16.2 mi | ★★★★★ | 7 | 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.