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 July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Emmanuel Center For Nursing during CMS and state inspections, most recent first.
The facility failed to provide adequate nursing staff in the Hospice Specialty Unit, resulting in periods where only one LPN or nurse aide was present to care for ten residents, most of whom required two-person assistance for transfers, feeding, and mobility. During staff breaks and absences, residents were left unsupervised, alarms went unanswered, and high-acuity care needs were unmet. Facility leadership confirmed that staffing assignments did not account for resident acuity, leading to insufficient care and supervision.
The facility failed to maintain sanitary food storage and service practices, increasing the risk of food-borne illness. Observations revealed unsanitary conditions in the dietary department, including improperly stored food and debris on equipment. Additionally, nutritional supplements in medication rooms were not labeled with thaw or use-by dates, as required by manufacturer instructions. Staff confirmed these deficiencies, and the NHA acknowledged the need for compliance with sanitary standards.
Residents in the facility experienced significant delays in receiving care after ringing their call bells, with staff often turning off the call lights without providing immediate assistance. This issue was reported by multiple residents, including those who are cognitively intact, and was exacerbated by the use of agency staff unfamiliar with the residents. The delays led to frustration and embarrassment among residents, impacting their dignity and quality of life.
The facility failed to maintain resident dignity during meal service and medication administration. A resident requiring assistance was left with her meal for 14 minutes without help, while another resident was served late, resulting in an undignified dining experience. Additionally, a resident received a topical medication in a public dining area, compromising privacy and dignity.
The facility failed to assess, document, and care for loop recorder implants for two residents, leading to inadequate care plans and potential risks. Despite having loop recorders, the devices were not documented in the residents' care plans or physician orders, and the implant sites were not assessed. This oversight was confirmed by interviews with the Nursing Home Administrator and DON.
A facility failed to provide appropriate bladder training for a resident with hydrocephalus, who was cognitively intact and required assistance for toileting. Despite the facility's policy on individualized treatment for incontinence, no bladder training or toileting schedule was attempted, resulting in 76 instances of urinary incontinence over a month. The DON confirmed the lack of implementation of a bladder training program.
The facility failed to provide prescribed oxygen therapy for a resident with respiratory failure and congestive heart failure, as their oxygen tank was found empty. Additionally, another resident's oxygen tubing was improperly stored on the floor. The DON confirmed the lack of documentation for hourly monitoring of oxygen equipment.
A resident with a spinal cord disease and a Foley catheter was given ceftriaxone despite not meeting criteria for a urinary tract infection. The resident's urine culture showed resistance to ceftriaxone, yet two doses were administered. The facility lacked documented evidence for the clinical rationale, as confirmed by the IP and DON.
The facility failed to coordinate hospice services for two residents with terminal illnesses, resulting in deficiencies in their comprehensive care plans. One resident with end-stage dementia and another with end-stage Parkinson's disease did not receive coordinated care between the facility and hospice agency, as confirmed by the NHA.
An LPN failed to follow infection control protocols while administering medications to a resident. The LPN used bare hands to handle pills and did not perform hand hygiene or wear gloves, even after pills spilled onto the medication cart. The Director of Nursing confirmed the breach in infection control measures.
The facility did not provide a resident or their representative with written information about the bed hold policy upon hospital transfer. A review of records and staff interviews confirmed the lack of documentation for this requirement.
Inadequate Staffing in Hospice Specialty Unit
Penalty
Summary
The facility failed to provide sufficient and appropriately deployed nursing staff to meet the needs of all residents in the designated Hospice Specialty Unit. Observations revealed that the unit was staffed with only one LPN and one nurse aide for ten residents, many of whom required high levels of care, including assistance with feeding, transfers, and mobility. During periods when the nurse aide was on break, the LPN was left alone to supervise and care for all residents, resulting in unsupervised common areas and delayed responses to call bells and alarms. On multiple occasions, residents identified as fall risks were observed attempting to stand unassisted while staff were occupied elsewhere. Interviews with staff confirmed that there was no system in place to provide relief coverage during staff breaks, leaving the unit understaffed and residents unsupervised. Staff reported that the acuity of the residents, including the need for two-person assistance for transfers and feeding, was not adequately considered in staffing assignments. There were instances when both staff members were required to assist a single resident, leaving other residents unattended and alarms unanswered. Additionally, there were times when only one staff member was present on the unit, and on one occasion, no LPN was assigned, requiring staff from another unit to cover both areas. The Director of Nursing and the Nursing Home Administrator acknowledged that staffing levels did not account for the high acuity of the hospice residents and were insufficient to meet their needs. Staff also reported that inadequate staffing during critical periods, such as when a resident was actively dying, prevented them from providing necessary emotional support to families, as they were occupied with routine care and responding to call bells. The facility's failure to ensure adequate staffing directly impacted the quality and timeliness of care, supervision, and services provided to the hospice residents.
Food Storage and Sanitation Deficiencies
Penalty
Summary
The facility failed to maintain acceptable practices for the storage and service of food, which increased the risk of food-borne illness. During an inspection of the dietary department, several unsanitary practices were observed. These included garbage cans with red splatter located near the tray line, a garbage can without a lid under a sink, and clean pitcher lids stored next to dirty cleaning rags. Additionally, uncovered Danish pastries were stored next to a bottle of cleaning solution and a staff member's personal drink. The bulk sugar and flour containers had visible debris, and the ice machine's tubing was dusty. The ice scoop was cracked, posing a contamination hazard. The ventilation hood over the cooking equipment was greasy, and the bulletin board and shelving had visible debris. In the dry food storage room, pasta was not securely sealed, and a case of bananas was stored improperly. In the medication rooms on the 100-Hall and 200-Hall, nutritional shakes and juice drinks were found without thaw dates or use-by dates, contrary to manufacturer instructions. Interviews with staff confirmed that all supplements should be labeled and dated as per manufacturer recommendations. The Nursing Home Administrator acknowledged that the dietary department is expected to meet sanitary standards to prevent contamination and foodborne illness, and that all nutritional supplements must be properly labeled and stored.
Delayed Response to Resident Call Bells
Penalty
Summary
The facility failed to provide timely responses to residents' requests for assistance, impacting their quality of life and dignity. Residents reported long wait times after ringing their call bells, with staff initially responding to turn off the call bell lights but delaying the provision of care. This issue was highlighted in Resident Council meeting minutes from October, November, and December 2024, where residents expressed concerns about insufficient staff to assist them, particularly after meals in the dining room. Resident 19, who is cognitively intact with a BIMS score of 15, reported waiting 20 minutes for care after ringing her call bell. She adapted to using the bathroom when staff were available due to the delays. Resident 21, also cognitively intact, experienced wait times of up to an hour when staffing was low, which occurred a few times a week. Both residents noted that the use of agency staff exacerbated the delays, as these staff members were less familiar with the residents. During a group interview, five out of six residents expressed frustration with the long wait times for care. Resident 12 reported waiting up to an hour and a half, especially when agency staff were present. Resident 5 experienced embarrassment due to soiling herself while waiting for assistance. Resident 42 faced delays in being escorted back to her room after meals, often waiting in the hallway for 20 to 30 minutes. The Nursing Home Administrator and Director of Nursing acknowledged the importance of treating residents with dignity but could not explain the untimely responses to residents' needs.
Failure to Maintain Resident Dignity During Meal and Medication Administration
Penalty
Summary
The facility failed to maintain the dignity of residents during meal service and medication administration. Resident 26, who was severely cognitively impaired and required total assistance for feeding, was left with her meal in front of her for 14 minutes without staff assistance, while her tablemate, Resident 44, was served and began eating. Similarly, Resident 58 was served her meal 13 minutes after her tablemate, Resident 57, had already started eating, resulting in an undignified dining experience. Additionally, Resident 31, who had diagnoses including generalized osteoarthritis and neuralgia, was administered Bio freeze gel to her left foot in the common area of the dining room during lunch service. This procedure was conducted publicly, without privacy, and at an inappropriate time, compromising the resident's dignity. The facility's policy on dignity and quality of life was not adhered to, as confirmed by the Nursing Home Administrator and Director of Nursing.
Failure to Document and Care for Loop Recorder Implants
Penalty
Summary
The facility failed to provide nursing services consistent with professional standards of practice by not thoroughly assessing, obtaining physician orders, and developing and implementing a person-centered comprehensive care plan for two residents. Resident 41, who was admitted with diagnoses including hypertension and cerebral infarction, had a loop recorder implant that was not documented in the admission assessment, physician orders, or care plan. Despite the potential for heart rhythm complications, the facility did not identify or include the care for the resident's implanted loop recorder in the current plan of care. Similarly, Resident 43, admitted with diagnoses including cerebral infarction and the presence of a cardiac and vascular implant, had a loop recorder implant that was not documented in the IDT care conference summary or physician orders. The facility also failed to assess the loop recorder implant site after the procedure. The care plan for Resident 43 did not identify the presence of or care for the loop recorder, despite the potential for complications with heart and circulation. Interviews with the Nursing Home Administrator and Director of Nursing confirmed the facility's failure to assess and document the presence of the loop recorders, obtain appropriate physician orders, and include the devices in the residents' care plans. This oversight placed the residents at risk for undetected complications and inadequate care.
Failure to Implement Bladder Training for Resident
Penalty
Summary
The facility failed to provide appropriate treatment and services to restore normal bladder function for a resident, identified as Resident 21, who was admitted with a diagnosis of hydrocephalus. The facility's policy on Bowel and Bladder Management requires that residents with bowel or bladder incontinence receive individualized treatment to maintain normal elimination function. However, a review of the resident's clinical records and interviews with staff revealed that no trial of toileting or bladder training was attempted for Resident 21, despite the resident being cognitively intact and requiring substantial assistance for transferring to the toilet. The care plan for Resident 21 identified the potential for complications with bowel and bladder but only included interventions for incontinence care and observation of symptoms. The urinary incontinence tracking showed that the resident was incontinent of urine on 76 occasions over a one-month period. During an interview, the Director of Nursing confirmed that the facility did not implement a bladder training or individualized toileting schedule for Resident 21, acknowledging the facility's responsibility to provide appropriate treatment and services to restore normal bladder function.
Deficiencies in Respiratory Care and Equipment Storage
Penalty
Summary
The facility failed to consistently provide respiratory care and supplemental oxygen as ordered by the physician for one resident and did not store respiratory equipment in a sanitary manner for another resident. Specifically, Resident 2, who was admitted with diagnoses including respiratory failure with hypoxia and congestive heart failure, had a physician's order for continuous oxygen at 3 liters/min via nasal cannula. However, during an observation, it was found that the oxygen tank on the back of Resident 2's wheelchair was empty, indicating a failure to provide the prescribed oxygen therapy. This was confirmed by a licensed practical nurse. Additionally, during a facility tour, it was observed that the oxygen tubing and nasal cannula in Resident 41's room were lying on the floor, not stored in a sanitary manner. This improper storage was confirmed by a licensed practical nurse. The Director of Nursing acknowledged the facility's inability to provide documented evidence that oxygen tanks and concentrators were monitored hourly and recorded as required by the facility's policy, further confirming the deficiencies in respiratory care and equipment storage.
Unnecessary Antibiotic Administration to a Resident
Penalty
Summary
The facility failed to ensure that a resident's drug regimen was free from unnecessary antibiotic drugs. Resident 19, who was admitted with a diagnosis of unspecified disease of the spinal cord and had a Foley catheter due to neuromuscular dysfunction of the bladder, was administered ceftriaxone, an antibiotic, despite not meeting the criteria for a urinary tract infection. The clinical records showed no symptoms of a urinary tract infection, such as fever, chills, or mental changes, from October 1 to October 2, 2024. A urine culture on October 2, 2024, revealed the presence of Escherichia coli, which was resistant to ceftriaxone. Despite the resistance, Resident 19 received two doses of ceftriaxone on October 3 and October 4, 2024. The McGeer Criteria checklist indicated that the resident did not meet the criteria for antibiotic use. Interviews with the Infection Preventionist and the Director of Nursing confirmed that the resident did not have symptoms justifying the antibiotic treatment and that the facility failed to provide documented evidence for the clinical rationale behind administering ceftriaxone.
Failure to Coordinate Hospice Services for Residents
Penalty
Summary
The facility failed to coordinate hospice services effectively for two residents, leading to deficiencies in their comprehensive person-centered plans of care. Resident 34, who was admitted with end-stage dementia, required hospice care to manage symptoms such as severe cognitive decline, mobility issues, and increased anxiety. Despite the resident's need for hospice services to ensure comfort and quality of life, the facility did not demonstrate coordination with the hospice agency to meet the resident's daily care needs and specific requirements related to their terminal diagnosis. This lack of coordination was confirmed by the Nursing Home Administrator on the day of the resident's passing. Similarly, Resident 47, admitted with end-stage Parkinson's disease, also required hospice care to maintain comfort due to severe motor symptoms and cognitive issues. The resident's plan of care included hospice services and interventions to observe and optimize end-of-life needs. However, the facility again failed to demonstrate coordination and integration of services between the interdisciplinary team and the hospice agency. This deficiency was confirmed by the Nursing Home Administrator during the survey, indicating a systemic issue in coordinating hospice care for residents in need.
Infection Control Breach During Medication Administration
Penalty
Summary
The facility failed to ensure proper infection control techniques were followed during medication administration to a resident on the 200 Hall nursing unit. An LPN was observed administering morning medications without performing hand hygiene or wearing gloves. The LPN used her bare hand to block pills from a bottle, touched the pills, and placed them into the resident's medication cup. After knocking over the medication cup, the LPN picked up the spilled pills from the medication cart with an ungloved hand and placed them back into the cup without performing hand hygiene. The medications were then administered to the resident. The Director of Nursing confirmed the failure to follow proper infection control measures.
Failure to Provide Bed Hold Policy Information
Penalty
Summary
The facility failed to provide a resident or their representative with written information regarding the facility's bed hold policy upon the resident's transfer to a hospital. This deficiency was identified during a review of clinical records and staff interviews, which revealed that Resident 10 was transferred to the hospital on December 5, 2024, and returned to the facility on an unspecified date. However, there was no documented evidence that the facility provided the resident or their representative with the necessary written information about the bed hold policy at the time of transfer. An interview with the Nursing Home Administrator confirmed the absence of such documentation.
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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 Danville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Grandview Nursing And Rehabilitation | 0.5 mi | — | 25 | 1 |
| Gardens At Millville, The | 10.7 mi | ★★★★★ | 11 | 0 |
| Sunset Ridge Rehabilitation And Nursing Center | 10.9 mi | ★★★★★ | 13 | 0 |
| Nottingham Village | 11.4 mi | ★★★★★ | 8 | 0 |
| Gardens At Orangeville, The | 12 mi | ★★★★★ | 10 | 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.