Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Ardmore Center For Rehabilitation And Healthcare during CMS and state inspections, most recent first.
A resident with multiple medical conditions and cognitive impairment was burned in the mouth after being fed steaming hot oatmeal by an aide whose certification had expired and who was not authorized to provide direct care. The incident resulted in visible blisters, and staff interviews revealed gaps in training, orientation, and clarity regarding the roles of aides in training and hospitality aides.
A facility failed to thoroughly investigate an abuse allegation involving a resident with dementia. A CNA was reported to have been rough with the resident, who was found scared and crying. The facility did not conduct required interviews or safe surveys, and the DON admitted to not following the abuse policy. The CNA was suspended, but the lack of documentation and interviews indicates a failure to protect residents during the investigation.
A facility failed to notify a physician and a resident's representative after the resident experienced falls, one of which resulted in a laceration. The facility's policy required timely notification, but documentation showed delays in informing the relevant parties. The Corporate Nurse Consultant confirmed the lack of timely notification.
A resident with Alzheimer's and psychosis experienced an unwitnessed fall, resulting in a laceration. The facility failed to initiate neurological checks immediately, as required, and the resident was not assessed until later. The Corporate Nurse Consultant confirmed the checks should have started at the time of the fall, highlighting a deficiency in monitoring and assessment procedures.
Resident Burned by Hot Oatmeal Served by Unqualified Aide
Penalty
Summary
A resident with diagnoses including encephalopathy, COPD, atrial fibrillation, protein-calorie malnutrition, dysphagia, and adult failure to thrive, who was assessed as moderately cognitively impaired and required supervision with eating, was served oatmeal at a temperature that caused injury. The resident was observed eating independently with set-up supervision in the dining room. An incident occurred when an aide, whose certification had expired and who was reportedly in training as a hospitality aide, fed the resident oatmeal that was visibly steaming. Another CNA witnessed the event and attempted to intervene, but the resident had already ingested the hot food, resulting in the resident making a crying noise and showing visible pain. Subsequent assessment by nursing staff revealed two white blisters on the roof of the resident's mouth, consistent with a burn from hot food. Documentation indicated that the incident was reported to the physician and the resident's family, and an incident report was submitted to the state health department. The aide responsible for feeding the resident was identified as having worked at the facility for only a short period, was not fully certified, and was supposed to be in a non-direct care role according to facility policy and staff interviews. Interviews with staff revealed inconsistencies in training and orientation, with some aides reporting they had not received in-service training on hot foods and liquids and had not undergone a formal orientation period. There was also confusion among staff regarding the roles and responsibilities of hospitality aides and aides in training, with some staff stating that such aides should not provide direct care or feed residents. The dietary manager was unaware of the incident and stated that food is typically checked for temperature before leaving the kitchen.
Failure to Investigate Abuse Allegation Thoroughly
Penalty
Summary
The facility failed to ensure a thorough investigation of an abuse allegation involving a resident with dementia, adult failure to thrive, and heart failure. The incident involved a CNA who was reported to have been rough with the resident while assisting them with dressing. The resident was found scared and crying, expressing a desire not to be assisted by the CNA in question. Despite the seriousness of the allegation, the facility did not conduct interviews or collect statements from witnesses, staff, or other residents as required by their abuse policy. Additionally, the facility did not perform safe surveys to assess if other residents were at risk or harmed. The Director of Nursing (DON) acknowledged the failure to follow the abuse policy, admitting that no safe surveys or statements were completed. The incident was reported to the OSDH, and the CNA involved was suspended immediately. However, the lack of documentation and interviews indicates a failure to protect residents during the investigation process, as outlined in the facility's Abuse Prevention Program policy. The deficiency highlights a significant lapse in the facility's response to abuse allegations, leaving other residents potentially vulnerable.
Failure to Notify Physician and Resident's Representative After Falls
Penalty
Summary
The facility failed to ensure timely notification of a physician and the resident's representative following a change in the resident's condition. This deficiency was identified for one of three sampled residents reviewed for notification. The facility's policy on assessing falls, dated November 23, 2020, required notifying the resident's attending physician and family in an appropriate time frame after a fall. However, documentation revealed that the resident's representative was not notified after a witnessed fall on June 25, 2024, where the resident slid down a wall and went to the ground without injury. Further, on July 2, 2024, the resident appeared to have fallen while going to the restroom, resulting in a small laceration to the upper left brow area. The incident was not witnessed by staff, and there was no documentation of notification to the physician and the resident's representative until after the oncoming nurse received the report. The Corporate Nurse Consultant confirmed the lack of documentation for notifying the resident's representative regarding the incident on June 25, 2024, and acknowledged that notifications should have occurred at the time of the fall.
Failure to Monitor Resident After Unwitnessed Fall
Penalty
Summary
The facility failed to assess and monitor a resident after an unwitnessed fall, which was identified during a review of records and interviews. The resident, who had diagnoses including Alzheimer's disease and psychosis, was documented to have severely impaired cognition and required supervision or assistance with transfers. An incident note recorded that the resident appeared to have fallen while going to the restroom, resulting in a small laceration to the brow area. However, there was no documentation that neurological checks were initiated at the time of the fall, as required. The incident note later corrected the location of the laceration, and a health status note indicated that the resident was not assessed until the oncoming nurse received the report. Neurological checks were not started until 7:36 a.m., despite the requirement for immediate initiation following the fall. The Corporate Nurse Consultant confirmed that the checks should have begun at the time of the fall and outlined the frequency of checks that should have been conducted. The lack of immediate assessment and monitoring after the fall constitutes the deficiency identified in the report.
What surveyors are citing around you — mapped
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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 6 citations issued within 25 miles in the last 12 months — 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 Ardmore
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Southbrook Healthcare, Inc | 1 mi | ★★★★★ | 0 | 0 |
| Woodview Home, Inc. | 1.3 mi | ★★★★★ | 2 | 0 |
| Elmbrook Home | 2.1 mi | ★★★★★ | 4 | 0 |
| Lake Country Nursing Center | 15.3 mi | — | 0 | 0 |
| Wilson Nursing Center | 17 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 July 2026) and official state health department websites.