Average — CMS composite of the measures below.
A standard survey is most likely before 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 Family Care Center Of Kingston during CMS and state inspections, most recent first.
A resident with an indwelling urinary catheter was repeatedly observed with the catheter bag uncovered and visible from the bedside and doorway, contrary to facility policy requiring privacy covers. Staff interviews confirmed that catheter bags should be kept in privacy bags, but this was not done, resulting in a failure to uphold the resident's dignity.
The facility did not provide or document advance directive information for two residents, as required by policy. Review of records and staff interviews confirmed that these residents were not offered the opportunity to create an advance directive, and no such documentation was present in their medical records.
A resident with multiple diagnoses, including acute kidney failure, dementia, and heart failure, was admitted to hospice care, but the required significant change assessment was not completed within the mandated 14-day period. The MDS coordinator acknowledged the delay was due to an oversight.
The facility did not update care plans for two residents after significant changes in their conditions. One resident was admitted to hospice for dementia without this being reflected in the care plan, and another experienced a 14% weight loss over two months without corresponding care plan updates or interventions.
A resident with a surgical wound did not receive care in accordance with facility policies for enhanced barrier precautions and hand hygiene. An LPN provided wound care without posting required signage, did not wear a gown, and failed to perform hand hygiene before donning gloves or with each glove change. The DON and LPN both misinterpreted the policy regarding when enhanced barrier precautions should be used, leading to lapses in infection control practices.
Failure to Maintain Dignity by Not Covering Indwelling Catheter Bag
Penalty
Summary
The facility failed to maintain resident dignity for a resident with an indwelling urinary catheter by not ensuring the catheter bag was covered, as required by facility policy. On multiple occasions, the resident was observed in bed with the catheter bag hanging uncovered from the bedside, including times when the bag was in full view from the doorway. The facility's policy specifically prohibits demeaning practices and requires staff to help residents keep urinary catheter bags covered. Interviews with a CNA, an LPN, and the DON confirmed that catheter bags should be placed in privacy bags, but this was not done for the resident. The resident had diagnoses including cerebral infarction, chronic pain, urinary tract infection, and benign prostatic hyperplasia, and was assessed as having intact memory and independence in daily decision making.
Failure to Offer Advance Directive Information to Residents
Penalty
Summary
The facility failed to ensure that residents were offered the opportunity to create an advance directive, as required by its own policy. Record review and interviews revealed that two residents, out of a sample of three reviewed for advance directives, did not have documentation in their electronic health records indicating that advance directive information had been provided. The facility's policy states that upon admission, residents must be given written information about their rights regarding advance directives and that this information should be prominently displayed in the medical record. However, for these two residents, there was no evidence that such information was provided or documented, and the MDS coordinator confirmed that no advance directives were on file for them.
Failure to Complete Timely Significant Change Assessment After Hospice Admission
Penalty
Summary
The facility failed to complete a significant change assessment within the required timeframe for one resident who was admitted to hospice services. Record review showed that the resident had multiple diagnoses, including acute kidney failure, dementia, skin disorder, and was newly admitted to hospice for heart disease with heart failure. Although a significant change assessment was initiated, it remained incomplete beyond the 14-day requirement following the hospice admission. During an interview, the MDS coordinator confirmed that the assessment was not completed as required and attributed the delay to an oversight.
Failure to Update Care Plans for Significant Changes in Resident Status
Penalty
Summary
The facility failed to ensure that care plans were revised to reflect significant changes in the conditions of two residents. For one resident, a physician's order indicated admission to hospice care for dementia, but the care plan did not document the resident's hospice status, as confirmed by the MDS coordinator. For another resident, medical records showed a diagnosis of gastro-esophageal reflux disease and a 14% weight loss over two months, yet the care plan lacked documentation or interventions addressing the weight loss. The MDS coordinator acknowledged that the care plan had not been updated to reflect this change.
Failure to Implement Enhanced Barrier Precautions and Hand Hygiene During Wound Care
Penalty
Summary
The facility failed to implement its infection prevention and control program, specifically regarding enhanced barrier precautions and hand hygiene, for a resident with a wound. During wound care, an LPN did not post required signage for enhanced barrier precautions at the resident's door, did not wear a gown, and did not perform hand hygiene before donning gloves or with each glove change as required by facility policy. Supplies were gathered and placed on a barrier, but handwashing was omitted at key points during the procedure. The LPN stated that enhanced barrier precautions were not necessary for the resident's wound, believing it was not a chronic wound, and acknowledged not washing hands as required. The resident involved had diagnoses including altered mental status, morbid obesity, and a surgical wound requiring regular dressing changes per physician orders. Facility policies and posted signage required the use of gloves and gowns for wound care and specified hand hygiene before and after resident contact, before donning gloves, and after removing gloves. The DON initially stated that enhanced barrier precautions were only for chronic, unhealing wounds, but upon reviewing the policy, acknowledged that precautions should be used for any wound with an open healing area and dressing. The DON also confirmed that staff should perform hand hygiene when entering a resident's room and with each glove change.
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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 Kingston
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Brookside Nursing Center | 6.1 mi | ★★★★★ | 0 | 0 |
| Calera Manor | 12.8 mi | ★★★★★ | 0 | 0 |
| Southern Pointe Living Center | 16 mi | ★★★★★ | 4 | 0 |
| Blue River Healthcare, Inc | 16.4 mi | ★★★★★ | 0 | 0 |
| The King's Daughters & Sons Nursing Home | 17.2 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.