Below average — CMS composite of the measures below.
The next survey window likely opens around September 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 24th Place during CMS and state inspections, most recent first.
A nurse failed to follow a physician's order by administering double the prescribed amount of enteral nutrition via PEG tube to a resident with a history of dysphagia and esophagitis. This led to the resident experiencing coughing, vomiting, and aspiration, and subsequently being diagnosed with pneumonia after a hospital evaluation.
A resident with a PEG tube was administered twice the prescribed amount of enteral nutrition by an RN, contrary to physician orders. The resident subsequently experienced vomiting, aspiration, and was sent to the ER, where pneumonia was later confirmed. The DON verified that the RN did not adhere to the prescribed feeding protocol.
A facility failed to provide ordered oxygen to one resident who was found unresponsive with the O2 tubing unplugged and later pronounced deceased in the facility. Staff stated the resident had been on continuous oxygen, but the tubing was disconnected when found. The facility also had another resident receiving O2 without a physician order, despite diagnoses of respiratory failure with hypoxia and a care plan directing oxygen as ordered.
Failure to document and initiate fall interventions after recurrent falls. A resident with intact cognition, a BIMS of 15, and walker use had multiple falls, including a fall while trying to close a curtain that caused a scalp hematoma and later a fall while trying to reach the walker that resulted in a left distal femur fracture. Staff stated fall interventions should be implemented after each fall, but no interventions were documented after the curtain-related fall, and the CNO could not locate a Five Why analysis after subsequent falls.
A facility failed to ensure that State agency complaint contact information was visible to residents. During observation, the complaint information posted at the entrance was covered, and the resident council said they could not see it and had wanted to contact the State agency a month earlier but could not. The administrator acknowledged the information was not visible.
Survey results were not readily accessible to residents, family members, and legal representatives. The entrance board stated the current survey and prior 3 years of survey results were available at the screening desk, but the surveyor could not locate them there. A resident council group said the results were at the nurses' station, and the administrator later produced a binder from inside the nurses station, noting residents were not allowed inside and that the results should have been on the counter for access. The binder also did not include the 2024 annual recertification survey.
Failure to Invite Residents and Representatives to Care Plan Meetings: The facility did not document inviting two residents or their reps to quarterly care plan meetings. Both residents had intact cognition with BIMS scores of 15, and their care plans included significant diagnoses such as acute respiratory failure with hypoxia, blindness, and ESRD. The MDS coordinator could not locate invitation documentation, the SS director said invites were mailed but copies were not kept, and one resident stated they were never invited and had never attended a care plan meeting.
Missed insulin doses were documented for a resident with type II DM after physician orders directed daily insulin glargine at two different unit doses. MAR review showed multiple blank entries for both doses across August and September, and an LPN confirmed the insulin was not given on those days.
Mechanical soft portion sizes were not followed during meal service. Surveyors observed a #16 scoop of grounded chicken being served to residents, while the menu directed staff to use a #8 scoop. The cook stated the wrong serving size was used, and the dietary manager said portion sizes were followed to prevent weight loss and ensure residents were full.
Failure to Follow EBP During Catheter and Perineal Care: A CNA did not wear a gown during catheter and perineal care for a resident on EBP, despite a posted sign directing gown and glove use. The CNA used gloves during care, cleaned the catheter, groin, and anal area, handled a fecal smear, placed a new brief and pad, emptied the catheter bag, and did not consistently change gloves when moving between dirty and clean tasks.
A common area used for resident activities was found cluttered with items such as concrete bags, a hospital bed, a broken recliner, a wheelchair with a bed grab bar, a cane, and a walker, all of which blocked access to a puzzle activity and created trip hazards. Facility staff, including the DON and administrator, confirmed the area was accessible to residents and did not meet safety or homelike environment standards.
A CNA in the facility was reported to have verbally and physically mistreated two residents. One resident stated that the CNA took away their urinal and was rough during care, while another resident confirmed witnessing this behavior. A third resident reported being addressed disrespectfully by the CNA. The DON confirmed these actions as verbal abuse, highlighting a failure to protect residents from abuse as per the facility's policy.
A resident's purse containing a wallet was stolen from their safe while they were showering. The resident, who was cognitively intact and diagnosed with MS, had removed the key to the lock box during the shower. A CNA, aware of the key's location, took it and stole the purse. The theft was discovered when staff attempted to retrieve the purse, and the police confirmed the CNA's involvement through a charge made at a gas station.
The facility failed to serve meals in a timely manner and frequency, with meals being served outside the 14-hour window between dinner and breakfast. Short staffing in the kitchen was cited as the reason for the delays, and observations confirmed that meal times were not adhered to.
The facility failed to inform residents that signing the binding arbitration agreement was voluntary and not a condition for admission or continued care. This was confirmed through record reviews and interviews, revealing that all residents had signed agreements without this crucial information.
The facility failed to accurately code resident assessments for two residents, leading to discrepancies in the documentation of pressure ulcers. One resident's assessment incorrectly indicated no pressure ulcers, while another's assessment inaccurately documented a stage 4 pressure ulcer.
The facility failed to provide adequate supervision and proper transferring techniques for two residents. One resident with Parkinson's Disease was left unsupervised, leading to a near-fall incident. Another resident with Rheumatoid Arthritis was improperly transferred by staff without using a gait belt, contrary to the facility's policy and the resident's care plan.
The facility failed to ensure a physician's order was in place for a resident's catheter. The resident was observed with a catheter, but no order was found in the medical records. The DON confirmed the absence of the order, and the CNO stated that facility policy requires a physician's order before providing catheter care.
The facility failed to store and label food items according to professional standards. An LPN identified undated and unlabeled rolls, biscuits, and chicken patties in the freezer, which should have been dated and labeled according to the facility's Food Storage policy. The DON identified 67 residents in the facility.
A facility failed to document the required transfer information for a resident hospitalized with heart failure and COPD. Despite policies requiring a transfer form and DNR order to accompany the resident, there was no documentation that these were provided. The resident was transferred to the emergency room after showing symptoms of distress, but the RN did not document the provision of medical information to emergency services.
Failure to Follow Physician's Order for Enteral Feeding Resulting in Aspiration
Penalty
Summary
A deficiency occurred when a nurse failed to follow a physician's order for enteral feeding for a resident with a PEG tube. The physician's order specified that the resident should receive 237 ml of Osmolite 1.5 Cal via PEG tube every four hours, with a flush of 60 ml of water before and after feeding. However, the nurse administered two containers of the formula instead of one during a feeding. This deviation from the prescribed order was confirmed by both the nurse and the Director of Nursing. The resident subsequently developed symptoms including coughing, vomiting, and aspiration, which were reported to the physician. Following the incident, the resident was sent to the emergency room for possible fluid overload and aspiration. Medical documentation indicated that the resident was diagnosed with left basilar pneumonia following a chest x-ray. The resident had a history of esophagitis, dysphagia, and traumatic hemorrhage of the cerebrum, and was cognitively intact at the time of the incident. The facility's policy required verification of physician orders for tube feedings and prompt reporting of complications, but these procedures were not followed in this case.
Failure to Follow Enteral Feeding Orders Leads to Aspiration and Hospitalization
Penalty
Summary
A registered nurse (RN) failed to follow physician's orders regarding enteral feeding for a resident with a PEG tube. The resident, who had diagnoses including esophagitis, dysphagia, and traumatic hemorrhage of the cerebrum, had a physician's order for 237 ml of Osmolite 1.5 Cal to be administered via PEG tube every four hours, with a flush of 60 ml water before and after each feeding. Despite documented training on tube feeding, the RN administered two bottles of formula instead of the ordered one bottle during a morning feeding. Following the overfeeding, the resident began coughing and vomiting, eventually aspirating on the formula. The RN notified the physician, who advised holding the next feeding and monitoring the resident. The resident was later sent to the emergency room for possible fluid overload and aspiration. A subsequent chest x-ray confirmed left basilar pneumonia. The Director of Nursing confirmed that the RN did not follow the physician's order, resulting in the adverse event.
Failure to Provide Ordered Oxygen and Missing Oxygen Order
Penalty
Summary
The facility failed to provide safe and appropriate respiratory care when Resident #77, who had diagnoses including acute respiratory distress and chronic obstructive pulmonary obstruction, was ordered to receive oxygen at 2 liters per nasal cannula continuously. The resident’s care plan directed staff to give oxygen therapy as ordered by the physician, and the admission assessment noted the resident required substantial to maximum assistance with repositioning and transfers and required oxygen. A health status note documented that the resident was found in the room with the oxygen unhooked, cold, blue, and without a carotid pulse or respirations, and CPR was started until the ambulance service arrived. Resident #77 was later pronounced deceased in the facility. CNA #3 stated the resident was pale, with open and dried eyes, and that the oxygen hose was unplugged from the machine. The CNA also stated there had been no in-service after the resident was found unresponsive and pronounced deceased. An LPN stated the resident was found unresponsive, CPR was initiated, and the ambulance service took over when they arrived. The corporate nurse consultant stated staff were to chart once per shift that residents were on oxygen, document oxygen saturation, and check tubing placement and oxygen liters at least every shift. The facility also failed to have a physician’s order for oxygen for another resident who was observed on 3 liters of oxygen via nasal cannula. That resident had diagnoses including acute respiratory failure with hypoxia and hypoxemia, and the care plan directed staff to provide oxygen as ordered. The resident stated they had been on oxygen for more than three months, and an LPN confirmed the resident was on oxygen but did not have a physician’s order for its use. The corporate nurse consultant stated residents needed a physician’s order for oxygen use.
Failure to Document and Initiate Fall Interventions After Recurrent Falls
Penalty
Summary
The facility failed to ensure fall interventions were initiated to prevent reoccurring falls for one resident who had multiple falls. Resident #10 had a non-injury fall on 03/07/25 and again on 03/17/25, with a fall risk assessment on 03/17/25 showing a moderate fall risk score of 9. After a 03/19/25 fall, the resident was found with a 5 cm x 5 cm scalp hematoma, neurological checks were started, and the resident stated [gender withheld] was trying to close the curtain and lost [gender withheld] balance. The fall risk assessment completed that day showed a moderate fall risk score of 13, but there were no documented interventions to prevent falls or injuries related to that fall. Resident #10’s assessments showed intact cognition with a BIMS of 15 and independence with bed mobility, transfer, and walking at least 150 feet, with use of a walker. The resident later had an additional fall on 04/04/25 when [gender withheld] was trying to get back to [gender withheld] walker, which was in the bathroom, and was found on the floor beside the roommate’s bed and electric wheelchair with left hip and leg pain and visible shortening of the left leg. The resident was sent to the emergency room and the operative report showed a left distal femur supracondylar fracture. A later incident report showed another non-injury fall when the resident slid off the wheelchair. During interview, staff stated fall interventions were to encourage call light use and keep the wheelchair in reach, but the LPN and CNO could not locate documentation of interventions after the 03/19/25 fall or a Five Why analysis after the 03/17/25 and 04/19/25 falls.
State Agency Complaint Contact Information Not Visible to Residents
Penalty
Summary
The facility failed to ensure that contact information for filing a complaint with the State agency was available to residents in a format they could see and use. During observation of the information board with the administrator and surveyor, the complaint contact information posted by the facility entrance was not visible to residents. During interview, the resident council group stated the State agency complaint information was covered and not visible, and they reported they had wanted to contact the State agency a month earlier but could not. The administrator acknowledged that the contact information on the form was not visible to residents. The administrator identified that 74 residents resided in the facility.
Survey Results Not Readily Accessible
Penalty
Summary
The facility failed to ensure that the most recent state survey results were readily accessible to residents, family members, and legal representatives. On 09/26/25 at 1:39 p.m., the information board at the facility entrance indicated that the current survey and the past three years of state survey results were available at the screening desk, but the surveyor was unable to locate the past survey results there. At 2:34 p.m., the resident council group stated that the past survey results were located at the nurses' station. At 4:13 p.m., the administrator provided the past survey results binder from inside the nurses station and stated residents were not allowed to enter the nurses station, while also stating the results should be on the nurses station counter for resident access. At 4:23 p.m., the administrator stated the binder did not contain the results of the 2024 annual recertification survey.
Failure to Invite Residents and Representatives to Care Plan Meetings
Penalty
Summary
The facility failed to ensure residents and their representatives were invited to care plan meetings for 2 of 18 sampled residents whose care plans were reviewed. The facility policy stated the resident should be informed of the right to participate in treatment and given advance notice of care planning conferences, and if participation was not practicable, the medical record should document the reason and the steps taken to include the resident or representative. The resident council group stated on 09/26/25 that the facility did not invite residents or their representatives to care plan meetings. Resident #31 had an annual assessment dated 08/28/25 showing intact cognition with a BIMS of 15, and a care plan revised 08/28/25 listing diagnoses including acute respiratory failure with hypoxia and hypoxemia. Review of the care plan from January 2025 through October 2025 showed three quarters of care plan review, but there was no documentation that the resident or representatives were invited to those meetings. Three resident representatives stated they had not been invited and had not attended care plan meetings for Resident #31. Resident #4 had a quarterly assessment dated 09/11/25 showing intact cognition with a BIMS of 15, and a care plan revised 09/17/25 listing diagnoses including right eye blindness, left eye blindness, and end stage renal disease. Review of the care plan from January 2025 through October 2025 showed three quarters of care plan review, with no documentation that the resident or representatives were invited. The MDS coordinator could not locate documentation of invitations for either resident, the social services director stated invites were mailed to families but copies were not kept, and Resident #4 stated they were not invited and had never attended a care plan meeting at the facility.
Missed Insulin Doses Documented on MAR
Penalty
Summary
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist was not met when the facility failed to ensure insulin was administered per physician's orders for one resident with type II diabetes mellitus. Physician orders dated 01/23/25 directed insulin glargine 69 units once daily and insulin glargine 72 units once daily. Review of the MAR showed multiple missed doses of both insulin glargine orders across August and September 2025, including missed administrations of the 69-unit dose on 08/09/25, 08/10/25, 08/13/25, 09/02/25, and 09/05/25, and missed administrations of the 72-unit dose on 08/19/25 and 09/20/25. The facility's insulin administration policy stated to document the resident's blood glucose before intervention and note blood sugar after each administration. On 10/02/25, an LPN stated that a blank on the MAR meant the medication was not given and confirmed the resident did not receive insulin on the listed days.
Mechanical Soft Portion Size Not Followed
Penalty
Summary
The facility failed to follow the menu for mechanical soft portion size during a meal service observed by surveyors. A Diet Type Report dated 09/29/25 showed that six residents received a mechanical soft diet. During observation on 09/29/25, surveyors saw a #16 scoop, equivalent to 2 ounces, on the grounded mechanical soft chicken pan, and one #16 scoop of grounded chicken was placed on each of two residents' plates. The facility's PREPARATION OF FOODS policy stated that measured utensils are used to serve proportions as described on the menu, and the 2025 Week 3 Day 16 menu directed staff to use a #8 scoop, equivalent to 4 ounces, for the grounded crunchy chicken ranch. Cook #1 stated they had reviewed the serving sizes in the extended menu book before meal service but later acknowledged they used the wrong serving size for the mechanical soft chicken and should have used the #8 scoop. The dietary manager stated portion sizes were followed to prevent weight loss and ensure residents were full.
Failure to Follow EBP During Catheter and Perineal Care
Penalty
Summary
The facility failed to ensure enhanced barrier precautions (EBP) and appropriate glove use were followed during catheter and perineal care for one sampled resident with a urinary catheter. On 10/01/25, an EBP sign was observed posted by the resident’s door with instructions to wear a gown and gloves, and PPE supplies, including gowns, were available in a storage drawer by the door. During care, CNA #1 donned gloves, told the resident they would be performing catheter care, adjusted the bed, and then donned new gloves to clean the catheter and groin area. CNA #1 later washed hands, donned new gloves, and retrieved a new brief and pad, then rolled the resident to the left side and cleaned the anal area, where a fecal smear was present on the brief and anal area. With the same gloves, CNA #1 placed the new brief and pad, discarded the dirty brief and pad in a plastic bag, adjusted the resident in bed, put the resident’s shorts back on, and then emptied the catheter bag before washing hands. CNA #1 did not wear a gown during the resident’s care. The resident’s record showed diagnoses including other specified disorders of bladder, benign prostatic hyperplasia without lower urinary tract symptoms, and cerebral palsy, and an order for catheter care every shift and as needed.
Obstructed Common Area Creates Unsafe, Non-Homelike Environment
Penalty
Summary
The facility failed to maintain a safe, clean, comfortable, and homelike environment in one of three common areas observed, specifically at the North end of hall one. Observations revealed that the pathway to a resident puzzle activity was obstructed by various items, including two bags of dry sack concrete, a hospital bed without sheets, a broken recliner, a wheelchair with an empty bucket and a bed grab bar balanced across its arms, an unattended walking cane, and a red walker. These items created trip and fall hazards and blocked resident access to the ongoing puzzle activity. The facility's own policy requires a clean, sanitary, and orderly environment, but this standard was not met in the observed area. Interviews with the maintenance supervisor, DON, and administrator confirmed that the area was accessible to residents and acknowledged that the clutter and stored items posed a fall risk and did not facilitate a safe, homelike environment. All three staff members agreed that the pathway was not clear for residents and that the area did not meet the facility's standards for safety and comfort. The administrator noted that staff had been instructed not to store items in the area, but the practice continued.
Failure to Protect Residents from Abuse by CNA
Penalty
Summary
The facility failed to protect residents from abuse, as evidenced by the actions of a Certified Nurse Aide (CNA #5) towards two residents. Resident #1 reported that CNA #5 took away their urinal, claiming it would spill on the bed, and was rough when changing and cleaning them, which was perceived as abusive. Additionally, Resident #1's roommate, Resident #2, corroborated this account, stating they witnessed CNA #5's mistreatment. Resident #3 also reported verbal abuse, stating that CNA #5 addressed them disrespectfully by their last name only, despite being told it was hurtful. The Director of Nursing (DON) reviewed the allegations and confirmed that the actions of CNA #5 should have been classified as verbal abuse. The DON expressed concerns about the aide's insensitivity and the inappropriate manner in which they spoke to Resident #1 and restricted their use of the urinal. The facility's policy on abuse prevention, revised in April 2021, emphasizes residents' rights to be free from abuse, neglect, and exploitation, yet these incidents indicate a failure to uphold these standards for the residents involved.
Failure to Protect Resident's Belongings from Misappropriation
Penalty
Summary
The facility failed to protect a resident's belongings from misappropriation, resulting in the theft of a purse containing a wallet from a resident's safe. The resident, who was cognitively intact and diagnosed with multiple sclerosis, reported that their credit card was stolen from a lock box in their closet while they were in the shower. The resident had kept the key to the box on a necklace, which they removed during showers. A CNA, who was aware of where the resident placed the key, entered the room during the shower and took the key, leading to the theft. The incident was discovered when the activities staff was instructed to retrieve the purse from the lock box, and it was found missing. The administrator was alerted, and the police were notified. The resident identified a charge made to their account at a nearby gas station, and a photo obtained from the gas station confirmed the CNA's involvement in the theft. The facility's failure to secure the resident's belongings and prevent unauthorized access by staff led to the misappropriation of the resident's property.
Failure to Serve Meals in a Timely Manner
Penalty
Summary
The facility failed to ensure meals were served in a timely manner and frequency for four meal services and for one resident. The documented meal times were not adhered to, resulting in meals being served outside the 14-hour window between dinner and breakfast. Specifically, breakfast was served late on multiple occasions, and lunch was served late to one resident. The cook acknowledged that meals were delayed due to short staffing in the kitchen. Observations confirmed that breakfast and lunch trays were served later than the posted meal times, and no breakfast tray was served on one occasion. The Social Services Director confirmed that meals should be served at the posted times.
Failure to Inform Residents of Voluntary Arbitration Agreement
Penalty
Summary
The facility failed to provide residents with a binding arbitration agreement that informed them or their representatives of their right not to sign the agreement as a condition of admission or continued care. This deficiency was identified through record reviews and interviews. Specifically, the medical records of three residents documented signed arbitration agreements that did not state that admission to the facility could occur without entering into the arbitration agreement. The Director of Nursing (DON) confirmed that all 67 residents in the facility had signed such agreements. The Administrator acknowledged that the facility's arbitration agreement did not explicitly state that signing was voluntary and would not affect admission.
Inaccurate Resident Assessments
Penalty
Summary
The facility failed to ensure resident assessments were accurately coded for two residents. Resident #17, who had diagnoses including an open left ankle wound and cerebral palsy, had an Annual RAI assessment that incorrectly documented no pressure ulcers on question M0100A, despite a stage 3 pressure ulcer being present on question M0300C1. The MDS Coordinator later confirmed that question M0100A was answered incorrectly. Resident #51, diagnosed with Rheumatoid Arthritis, had a Quarterly RAI assessment that inaccurately documented a stage 4 pressure ulcer. A Pressure Ulcer Skin Conditions form and a Nurses Admission Assessment both indicated a sacral pressure wound without staging and as unstageable, respectively. The MDS Coordinator admitted uncertainty about why a stage 4 was documented and clarified that the wound was a stage 3 after consulting with the wound care nurse. An LPN also confirmed that the staging information was not accurate for the readmission date. The CNO stated that the facility's policy is to follow the RAI manual and ensure assessments are accurately completed.
Failure to Ensure Adequate Supervision and Proper Transferring Techniques
Penalty
Summary
The facility failed to ensure adequate supervision and proper transferring techniques for two residents, leading to potential accident hazards. Resident #7, diagnosed with Parkinson's Disease, was observed standing independently from a wheelchair, which then rolled back as the resident attempted to sit back down. This incident occurred despite the facility's policy on managing falls and fall risks, which mandates additional or different interventions if falls recur. The Director of Nursing (DON) acknowledged that Resident #7 should have been monitored to prevent such an incident. Resident #51, diagnosed with Rheumatoid Arthritis, was subjected to improper transferring techniques by the staff. The facility's Controlled Lift Policy mandates the use of a gait belt for resident handling, except in specific cases. However, CNA #1 and CNA #2 were observed lifting Resident #51 without using a gait belt, instead using their arms and the back of the resident's pants to transfer them. This method was contrary to the facility's policy and the resident's care plan, which required one or two staff members for transfers. The DON confirmed that a gait belt should be used for transfers without a lift and that a mechanical lift or two-person assist would be necessary if the resident could not bear weight.
Lack of Physician Order for Catheter Use
Penalty
Summary
The facility failed to ensure a physician's order was in place for the use of a catheter for one resident reviewed for catheter use. During an observation, the resident was noted to have a catheter, but a subsequent review of the Order Summary Report revealed no physician order for the catheter. The Director of Nursing (DON) confirmed that nurses are responsible for entering physician orders into the medical records and acknowledged the absence of an order for the catheter. The Chief Nursing Officer (CNO) stated that the facility's policy requires an appropriate diagnosis and a physician's order, including catheter size and change schedule, to be entered into the system before providing catheter care.
Failure to Properly Store and Label Food Items
Penalty
Summary
The facility failed to store and label food items according to professional standards for food safety. During an observation on 05/07/24 at 11:06 a.m., food items were found in the freezer undated and unlabeled. At 11:07 a.m., an LPN identified the unlabeled and undated food items as rolls, biscuits, and chicken patties. At 11:08 a.m., the LPN stated that these items should be dated and labeled. The facility's undated Food Storage policy states that all foods should be covered, labeled, and dated, and routinely monitored to ensure they are consumed by their safe use dates, frozen where applicable, or discarded. The Director of Nursing (DON) identified that 67 residents resided in the facility.
Failure to Document Transfer Information for Hospitalized Resident
Penalty
Summary
The facility failed to document the required information regarding a transfer in a resident's medical record, specifically for a resident who was hospitalized. The facility's policy mandates that a transfer form, including advanced directive information, special instructions, and any other necessary documentation, should accompany the resident to ensure a safe transition of care. Additionally, the policy requires that a photocopy of the Do Not Resuscitate (DNR) order be provided to the personnel transporting the resident to the hospital. However, in this case, there was no documentation that the resident's DNR form, advanced directive, face sheet, and orders were sent with the resident during the transfer. The resident involved had diagnoses of heart failure and COPD and had a physician order for DNR. On the day of the incident, the resident was noted to be clammy, cool to touch, confused, unsteady, and complained of numbness and abdominal pain, with a blood pressure reading of 94/78. Following a doctor's assessment, the resident was ordered to be sent to the emergency room. Although the RN stated that they provided the emergency medical services with the resident's medical information, they admitted to not documenting it. The Director of Nursing confirmed that there was no documentation that the necessary information was sent with the resident.
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Illustrative
What surveyors actually found near you
We read the 172 citations issued within 25 miles in the last 12 months — including the 6 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
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Norman
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Ignite Medical Resort Norman, Llc | 1.6 mi | ★★★★★ | 0 | 0 |
| Grace Skilled And Nursing Therapy Norman | 1.9 mi | ★★★★★ | 3 | 0 |
| Medical Park West Rehabilitation & Skilled Care | 2 mi | ★★★★★ | 1 | 0 |
| Holiday Heights Healthcare | 2.5 mi | ★★★★★ | 0 | 0 |
| Noble Health Care Center | 6.3 mi | ★★★★★ | 2 | 0 |
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