Below average — CMS composite of the measures below.
A standard survey is most likely before 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 Calera Manor during CMS and state inspections, most recent first.
Two residents with severe cognitive impairment were prescribed antipsychotic medications for dementia-related behaviors, despite facility policy requiring these drugs only for specific indicated conditions. Staff interviews revealed misunderstandings about appropriate indications for antipsychotic use, and there was no evidence of psychotic symptoms such as hallucinations or delusions in the affected residents. Additionally, staff were not instructed to monitor for such symptoms.
A resident experienced a significant weight loss over a one-month period, which was documented by staff and noted by the dietitian, who made nutritional recommendations. However, there was no evidence that the physician was notified of this change, and the dietitian's recommendations were not signed by the physician. Staff interviews revealed uncertainty about who was responsible for notifying the physician, and the DON confirmed that no notification had occurred.
A resident with intact cognition reported an allegation of physical abuse to facility staff. While the physician, the resident's legal representative, and adult protective services were notified, there was no documentation that local law enforcement was contacted as required by facility policy. The DON confirmed the absence of such documentation.
Unnecessary Use of Antipsychotic Medications for Dementia Diagnoses
Penalty
Summary
The facility failed to ensure that residents did not receive unnecessary antipsychotic medications for the diagnosis of dementia. Two residents with severely impaired cognition, as indicated by a BIMS score of 3, were prescribed antipsychotic medications (Seroquel and Risperdal) specifically for dementia with mood disturbance or agitation. Facility policy stated that antipsychotic medications should only be used when necessary to treat specific conditions for which they are indicated and effective. However, prescription orders for both residents listed dementia as the indication for use, and there was no documentation of psychotic symptoms such as hallucinations or delusions. Interviews with facility staff, including the ADON, MDS coordinator, and DON, revealed a misunderstanding regarding the appropriate use of antipsychotic medications, with some staff believing these medications could be used for dementia with behaviors. The DON acknowledged that antipsychotic medications were not FDA-approved for treating dementia and suggested the orders may have been clerical errors. Additionally, an LPN reported that no one had instructed them to monitor for psychotic symptoms in one of the residents receiving antipsychotic medication, and they had not observed hallucinations or delusions in that resident.
Failure to Notify Physician of Significant Weight Loss
Penalty
Summary
The facility failed to notify the physician of a significant weight loss for one resident, as required by both facility policy and the resident's care plan. The resident experienced a weight decrease from 126.1 pounds to 109.4 pounds within a month, which was documented in the vital sign records and noted by the dietitian, who recommended nutritional interventions. However, there was no documentation that the physician was informed of this significant change, and the dietitian's recommendation form was not signed by the physician. Interviews with staff revealed confusion regarding responsibility for physician notification, and the Director of Nursing confirmed that no contact had been made with the physician regarding the resident's weight loss.
Failure to Notify Law Enforcement of Alleged Physical Abuse
Penalty
Summary
The facility failed to report an allegation of physical abuse involving a resident with intact cognition, as indicated by a BIMS score of 15, to local law enforcement. According to the facility's policy, all alleged abuse must be reported to the appropriate state agency and local law enforcement if it involves a reportable crime against a resident. Documentation showed that after the resident reported the alleged physical abuse, notifications were made to the physician, the resident's legal representative, and adult protective services, but there was no evidence that local law enforcement had been contacted. The Director of Nursing confirmed that no documentation could be found to show law enforcement was notified regarding this allegation.
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What surveyors actually found near you
We read the 99 citations issued within 25 miles in the last 12 months — including the 3 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.
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Calera
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Southern Pointe Living Center | 3.9 mi | ★★★★★ | 4 | 0 |
| The King's Daughters & Sons Nursing Home | 9.3 mi | ★★★★★ | 0 | 0 |
| The Homestead Of Denison | 9.5 mi | ★★★★★ | 9 | 0 |
| The Terrace At Denison | 9.7 mi | ★★★★★ | 23 | 0 |
| Woodlands Place Rehabilitation Suites | 11 mi | ★★★★★ | 14 | 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.