Below 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 June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Jan Frances Care Center during CMS and state inspections, most recent first.
The facility failed to protect residents from all forms of abuse and neglect, including physical, mental, and sexual abuse, as well as physical punishment, by any individual.
A staff member admitted to taking money from a resident with multiple medical conditions after being given the resident's debit card. The incident was not reported to the state health department as required by facility policy, with facility leadership assuming the ombudsman would handle reporting to APS.
A resident with a history of urinary tract issues and anxiety disorder experienced changes in medication orders and a significant change in condition, but there was no documentation that the emergency contact or physician were notified. An LPN confirmed that required notifications were not documented in the medical record.
A resident with a history of urinary tract infection, urinary calculi, painful urination, prostate cancer, and kidney failure had an order for a urinalysis following a transrectal ultrasound. The urinalysis was not obtained or documented, despite the resident's care plan noting a catheter and increased UTI risk. Facility nursing leadership could not locate any record of the test being completed.
An LPN did not change gloves or perform hand hygiene during catheter care for a resident with a history of urinary tract issues and increased risk for infection. After cleaning the catheter site and applying ointment, the LPN continued to handle the resident's personal items and environment without changing gloves, contrary to infection control protocols.
A resident with dementia, identified as an elopement risk, managed to leave the facility unsupervised by removing a window screen. The resident was later found at a nearby real estate office. The incident followed a room change due to plumbing issues, which may have influenced the resident's wandering behavior. Despite documented risks and previous wandering, the facility failed to provide adequate supervision to prevent the elopement.
The facility failed to provide hot water in the bathroom sinks of three residents, compromising their right to a comfortable environment. Despite residents reporting the issue, maintenance staff did not resolve it effectively. Observations showed water temperatures significantly lower than documented in maintenance logs, indicating a failure in the facility's maintenance program.
The facility failed to provide hot water for three residents, affecting their ability to perform personal hygiene tasks. One resident with encephalopathy and a pressure ulcer reported an inability to shave or wash hands due to low water temperature. Another resident with hemiplegia and cerebrovascular disease also reported no hot water. A third resident with COPD and chronic pain experienced a delay in receiving hot water. Maintenance staff confirmed that two water pumps were not functioning, impacting water temperature in certain rooms.
The facility did not maintain RN coverage for eight hours a day, seven days a week, as required. The staffing policy required a full-time RN to serve as the DON with daily coverage. However, reports showed no RN coverage on weekends from April to May 2024. The Regional Director confirmed the absence of a hired DON since March 2024, with the corporate RN covering only five days a week.
The facility did not have a licensed administrator, as required by policy. Since the previous administrator left, the Regional Director, who is not licensed, temporarily covered the role. A new staff member was hired to start administrator school, and paperwork was submitted to name an administrator who was only available for on-call questions and managed two other nursing homes.
The facility failed to maintain a clean environment, with dirty floors and overflowing trash observed in common areas and resident rooms. Two residents reported that their rooms were not cleaned often, and the Regional Director acknowledged the need for more training and supervision for housekeeping staff.
The facility failed to ensure residents received showers as scheduled for two residents. One resident with severe cognitive impairment missed multiple showers in February and March 2024, and a family member reported the issue. Another resident with vascular dementia also missed several scheduled showers, with a family member expressing concern. The Regional Director was unaware of the issue and could not provide documentation to prove the showers were given or refused.
Failure to Protect Residents from Abuse and Neglect
Penalty
Summary
A deficiency was identified regarding the facility's failure to protect each resident from all types of abuse, including physical, mental, sexual abuse, physical punishment, and neglect by any individual. The report documents that residents were not adequately safeguarded from these forms of mistreatment, indicating lapses in the facility's responsibility to ensure resident safety and well-being. No specific details about the residents involved, their medical history, or their condition at the time of the deficiency are provided in the report.
Failure to Report Misappropriation of Resident Property
Penalty
Summary
The facility failed to report an incident of misappropriation of property involving a resident who was cognitively intact and had multiple diagnoses, including Parkinson's disease, diabetes, COPD, anxiety, and depression. The resident had a care plan indicating manipulative or fabricated behaviors. A previous social services staff member took money from this resident on two occasions, with the staff member ultimately admitting to the misappropriation. The incident was discovered after the resident contacted the ombudsman, stating that the staff member had asked to borrow money and was given the resident's debit card. Although the facility's policy required all allegations of abuse, neglect, or exploitation to be reported to the appropriate state agency, the incident involving this resident was not reported to the state health department. The regional director of operations believed the ombudsman would report the incident to Adult Protective Services and did not submit a report to the state agency. The administrator at the time was not present during the incident and was unaware of how it was handled, confirming that only one resident was listed on the incident report despite two being affected.
Failure to Notify Emergency Contact and Physician of Medication Changes and Change in Condition
Penalty
Summary
The facility failed to notify a resident's emergency contact of changes in medication orders and did not inform both the physician and emergency contact of a significant change in the resident's condition. Specifically, the resident, who had a history of urinary tract issues and anxiety disorder, received new and adjusted medication orders for Ativan and pyridium over several days. There was no documentation that the emergency contact was notified of these medication changes. Additionally, when the resident exhibited a notable change in condition, including altered responsiveness, low blood pressure, vomiting, and unresponsiveness to questions, there was no documentation that the physician or emergency contact was notified. Interviews with an LPN confirmed that the notifications were not documented in the electronic medical record, despite facility protocol to notify the physician, DON, and family in such situations.
Failure to Obtain Ordered Urinalysis for Resident with UTI Risk
Penalty
Summary
The facility failed to obtain a urinalysis as ordered for a resident with a history of urinary tract infection, urinary calculi, painful urination, malignant neoplasm of the prostate, and kidney failure. An encounter note documented that a transrectal ultrasound of the prostate was performed and included an order to obtain a urinalysis to detect signs of urinary infection and blood. Despite this order, there was no documentation in the clinical record to show that the urinalysis was obtained. The resident's care plan indicated the presence of a catheter and an increased risk for urinary tract infections. When asked, facility nursing leadership was unable to locate any record of the urinalysis being completed.
Failure to Maintain Infection Control During Catheter Care
Penalty
Summary
During a survey, it was observed that an LPN performed catheter care for a resident without adhering to proper infection control practices. After cleaning the suprapubic catheter area and applying ointment, the LPN failed to change gloves or perform hand hygiene before proceeding to adjust the resident's covers, bedside table, television remote, and phone. The resident involved had a history of painful urination, urinary calculi, urinary tract infection, and anxiety disorder, and was identified in the care plan as being at increased risk for urinary tract infections. The LPN later acknowledged that gloves should have been changed after cleaning the tube.
Resident Elopement Due to Inadequate Supervision
Penalty
Summary
The facility failed to provide adequate supervision to prevent the elopement of a resident diagnosed with dementia, who was identified as being at risk for elopement. The resident's care plan and elopement risk evaluation both indicated a history of wandering and elopement risk due to their cognitive impairment and ambulation status. Despite these documented risks, the resident was able to remove a window screen and exit the facility without staff noticing, leading to their discovery at a nearby real estate office. The incident occurred after the resident had been moved to a different room due to plumbing issues, which may have contributed to their wandering behavior. Prior to the elopement, the resident had been observed wandering the halls and attempting to enter other residents' rooms, but was easily redirected by staff. The facility's failure to adequately monitor and supervise the resident, especially after the room change, resulted in the resident's unsupervised departure from the facility.
Failure to Provide Hot Water in Resident Bathrooms
Penalty
Summary
The facility failed to provide hot water in the bathroom sinks of three residents, compromising their right to a safe, clean, comfortable, and homelike environment. Observations and interviews revealed that the water in the sinks of these residents never warmed up, despite maintenance staff being aware of the issue. The water temperatures were recorded at significantly lower levels than the documented maintenance logs, which showed higher temperatures. This discrepancy indicates a failure in the facility's maintenance and preventive maintenance program, as outlined in their policy. Residents reported the lack of hot water to maintenance staff, but no effective action was taken to resolve the issue. The maintenance logs showed that the water temperatures were checked, but the actual temperatures observed by the surveyor were much lower, suggesting inaccuracies in the logs or a failure to address the problem. Additionally, resident council meeting minutes highlighted ongoing concerns about the maintenance staff's responsiveness and effectiveness, further indicating systemic issues in addressing maintenance-related complaints.
Failure to Provide Hot Water for Residents
Penalty
Summary
The facility failed to provide hot water for three of nine sampled residents, impacting their ability to perform personal hygiene tasks. Resident #7, with diagnoses including encephalopathy and a pressure ulcer, reported an inability to shave or wash hands due to the bathroom sink water temperature being 72.5 degrees Fahrenheit. Resident #8, with conditions such as hemiplegia and cerebrovascular disease, also reported no hot water, with a measured temperature of 73.4 degrees Fahrenheit. Resident #9, diagnosed with COPD and chronic pain, experienced a delay of ten minutes for hot water, with a temperature of 93 degrees Fahrenheit. Maintenance staff confirmed that two water pumps were not functioning, affecting the water temperature in certain rooms, and reported that replacement pumps had been ordered.
Failure to Ensure RN Coverage 7 Days a Week
Penalty
Summary
The facility failed to ensure registered nurse (RN) coverage for eight consecutive hours per day, seven days a week, as required. The staffing policy indicated that a full-time RN should be employed on the day shift, with coverage every day of the week, and serve as the facility's Director of Nursing (DON). However, clinical staff time detail reports from April 1, 2024, through May 21, 2024, revealed that there was no RN coverage in the facility on weekends. The Regional Director confirmed that the facility had not hired a DON since the previous one left in March 2024, and the corporate RN was temporarily fulfilling the role, working only five days a week, thus leaving the facility without RN coverage on weekends.
Facility Lacks Licensed Administrator
Penalty
Summary
The facility failed to have a licensed administrator, as required by their policy dated 07/01/11, which mandates a current, valid state nursing home administrator license. The Regional Director reported that since the previous administrator left in March 2024, no licensed administrator had been hired. Instead, the Regional Director, who is not a licensed administrator, was covering the role temporarily. A new office staff member was hired and planned to start administrator school in June. Additionally, the facility had submitted paperwork to name an administrator who was only available for on-call questions and was responsible for two other nursing homes.
Failure to Maintain Clean Environment
Penalty
Summary
The facility failed to ensure housekeeping services maintained a clean environment, as evidenced by observations and resident reports. Upon entrance to the facility, the lobby and hallway floors were observed to be dirty with brown sticky spots and dirt debris throughout. The lobby area also had a strong odor of urine, and no housekeeping staff were observed cleaning the facility at that time. Resident #2's room was observed to have brown sticky spots on the floor and trash around an overflowing trash can. Resident #2 reported that their room was not cleaned very often, and the floor was not swept and mopped daily. Similarly, Resident #1 reported that their room was not cleaned very often and was not aware of the last time it had been mopped. Both residents indicated that the floors in their rooms were dirty and not just old. The facility's Housekeeping Guideline manual and housekeeping checklist order outlined daily cleaning tasks, including sweeping, mopping, and emptying trash cans. However, these tasks were not being performed as required. The Regional Director acknowledged that the facility was dirty on the day of the survey and reported that three new housekeeping staff were being trained to address the cleanliness issues. The Regional Director also agreed that the housekeeping staff needed more training and supervision to maintain a clean environment.
Failure to Provide Scheduled Showers
Penalty
Summary
The facility failed to ensure residents received showers as scheduled for two residents reviewed for activities of daily living. Resident #3, who had diagnoses including non-traumatic brain dysfunction and metabolic encephalopathy, was documented as severely cognitively impaired and dependent on staff for bathing. The facility's records showed multiple missed showers for Resident #3 in February and March 2024. Additionally, a family member reported that Resident #3 did not receive showers three times a week as scheduled, and the resident's blankets had not been changed. The Regional Director confirmed that Resident #3 had not received the scheduled shower on the day of the survey, and a CNA reported that scheduled showers were not always completed due to short staffing of nurse aides. Resident #6, who had diagnoses including vascular dementia and non-traumatic brain dysfunction, was also affected. The facility's records showed multiple missed showers for Resident #6 in February and March 2024. A family member expressed concern that Resident #6 had not received showers as scheduled, receiving only one shower a week instead of the scheduled three. The Regional Director was not aware of any issues with showers being provided as scheduled and could not provide documentation to prove that the showers were given or refused by the resident.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
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 7 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
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Ada
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Ada Care Center | 0 mi | ★★★★★ | 0 | 0 |
| Ballard Nursing Center | 1.6 mi | ★★★★★ | 7 | 0 |
| Callaway Nursing Home | 25.7 mi | ★★★★★ | 1 | 0 |
| Heritage Village Nursing Home | 26 mi | ★★★★★ | 9 | 0 |
| Boyce Manor Nursing Home | 26 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Jan Frances Care Center.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release June 2026) and official state health department websites.