Above average — CMS composite of the measures below.
The next survey window likely opens around January 2027
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 Jameson Nursing And Rehab Center during CMS and state inspections, most recent first.
An LPN was observed with an opened Aplisol PPD vial in the A Hall med room refrigerator that had no open date, so staff could not determine the discard date. Facility policy and manufacturer guidance required proper dating and timely discard of opened medication vials.
A resident with Type 2 diabetes did not receive the prescribed medication, Janumet, due to its unavailability upon admission. The LPN noted the medication had not arrived from the pharmacy, resulting in the resident missing three doses. The Nursing Home Administrator and DON confirmed the failure to administer the medication as ordered.
The facility did not meet the required nurse aide (NA) to resident ratios on multiple occasions. On several days, the day shift was understaffed, with fewer NAs than required for the number of residents. Additionally, the evening shift on one day was also understaffed. The Nursing Home Administrator confirmed these staffing shortages.
The facility did not meet the required minimum nurse aide (NA) to resident ratio during the day shift for six days. For example, with a census of 69 residents, only 5.09 NAs worked when 6.90 were required. These shortages were confirmed by the Nursing Home Administrator and DON.
The facility did not meet the required LPN staffing ratios during a day shift, with only 2.23 LPNs available for 64 residents, instead of the required 2.56. This deficiency was confirmed by the Nursing Home Administrator.
A facility failed to transcribe and administer physician's orders for an anticoagulant medication and a dressing change for a resident with a fractured hip. The resident's records lacked evidence of Lovenox administration and dressing changes as ordered, which was confirmed by the Nursing Home Administrator and the Director of Nursing.
A resident with a non-weight bearing condition was improperly transferred by a single nurse aide, contrary to the care plan requiring two-person assistance. The aide called for help but did not receive assistance, resulting in the resident being lowered to the floor. The facility's investigation confirmed the neglect due to failure to follow the care plan.
Opened PPD Vial Lacked Required Date
Penalty
Summary
The facility failed to ensure that medications were properly dated when opened in one of two medication rooms reviewed, the A Hall medication room. Review of the facility policy on storage of medications showed that drug containers with missing, incomplete, improper, or incorrect labels are to be returned to the pharmacy, and that discontinued, outdated, or deteriorated drugs or biologicals are to be returned or destroyed. Manufacturer guidelines for Aplisol PPD stated that vials in use for more than 30 days should be discarded because of possible oxidation and degradation that may affect potency. During observation of the A Hall medication room refrigerator, an opened vial of Aplisol PPD was found without an open date, so staff could not determine the discard date. An LPN confirmed that the vial lacked an open date and that staff were unable to determine the discard date.
Failure to Administer Prescribed Medication
Penalty
Summary
The facility failed to administer a prescribed medication, Janumet, to a resident, identified as R227, according to the physician's orders. The resident, who was admitted with diagnoses including a right hip fracture, arthritis, anxiety disorder, and Type 2 diabetes, had a physician's order for Janumet 50/500 mg to be taken orally twice daily starting on the morning of February 19, 2025. However, during a medication administration observation on the same day, it was noted that the medication was not available, and the Licensed Practical Nurse (LPN) stated that the medication had not yet arrived from the pharmacy. There was no evidence of follow-up with the physician regarding the unavailability of the medication. The resident missed three doses of Janumet, including both doses on February 19 and the morning dose on February 20. This was confirmed during an interview with the Nursing Home Administrator and the Director of Nursing, who acknowledged the failure to administer the medication as ordered. The deficiency was noted under the regulations concerning medical records, pharmacy services, and nursing services.
Staffing Deficiency in Nurse Aide Ratios
Penalty
Summary
The facility failed to meet the required nurse aide (NA) to resident ratios on several occasions, as evidenced by a review of nursing staffing documents and staff interviews. Specifically, on three out of six days reviewed, the facility did not have the minimum of one NA per 10 residents during the day shift. On January 29, 2025, with a census of 69 residents, only 6.07 NAs worked when 6.90 were required. On February 2, 2025, with 68 residents, 6.07 NAs worked when 6.80 were required. On February 3, 2025, with 69 residents, only 4.89 NAs worked when 6.90 were required. Additionally, on February 3, 2025, during the evening shift, the facility had a census of 68 residents but only 4.63 NAs worked when 6.18 were required. The Nursing Home Administrator confirmed these staffing shortages during an interview on February 4, 2025.
Plan Of Correction
The Facility submits this Plan of Correction under procedures established by the Department of Health in order to comply with the Department's directive to change conditions which the Department alleges is deficient under State and/or Federal Long Term Care Regulations. This Plan of Correction should not be construed as either a waiver of the facility's right to appeal or challenge the accuracy or severity of the alleged deficiencies or an admission of past or ongoing violation of State or Federal regulatory requirements. 1. The facility cannot correct that the nurse aide staffing ratio was not met on 1/29/25, 2/2/25 and 2/3/25. There were no adverse effects to residents on the identified dates. 2. The scheduler will be re-educated regarding the state ratios by the Nursing Home Administrator/designee. 3. The Director of Nursing and RN Supervisors will be re-educated on staffing ratios by the Nursing Home Administrator/designee. 4. Twice a day staffing meetings will be held Monday through Friday to review the schedule with ratios. Nursing supervisors will monitor on weekends. If the facility is projected to not meet staffing ratios, the scheduler/or designee will call off duty facility staff and will utilize pick up bonuses. 5. The facility has developed a monthly recruitment and retention committee meeting. 6. Nurse Aide positions are actively posted in recruitment. 7. Nursing Home Administrator/designee will audit staffing daily for three weeks and monthly for three months to ensure staffing ratios are being met. 8. Admission intake will be reviewed in relationship to staffing. 9. Outcomes will be reported to the Quality Assurance Performance Improvement Committee for review and recommendations.
Nurse Aide Staffing Deficiency
Penalty
Summary
The facility failed to meet the required minimum nurse aide (NA) to resident ratio during the day shift for six out of 21 days reviewed. Specifically, on the dates of 12/22/24, 12/23/24, 12/24/24, 12/25/24, 12/28/24, and 12/29/24, the facility did not have enough NAs working to meet the regulatory requirement of one NA per 10 residents. For instance, on 12/22/24, with a census of 67 residents, only 5.90 NAs worked when 6.70 were required. Similarly, on 12/24/24, with a census of 69 residents, only 5.09 NAs worked when 6.90 were required. These shortages were confirmed by the Nursing Home Administrator and Director of Nursing during an interview on 12/30/24.
Plan Of Correction
The Facility submits this Plan of Correction under procedures established by the Department of Health in order to comply with the Department's directive to change conditions which the Department alleges is deficient under State and/or Federal Long Term Care Regulations. This Plan of Correction should not be construed as either a waiver of the facility's right to appeal or challenge the accuracy or severity of the alleged deficiencies or an admission of past or ongoing violation of State or Federal regulatory requirements. 1. The facility cannot correct that the Nurse Aide staffing ratio was not met on 12/22, 12/23, 12/24, 12/25, 12/28 and 12/29. 2. Weekend nursing supervisors and scheduler will be re-educated regarding the state ratios by the Director of Nursing/ designee. 3. Schedule with ratios are reviewed at our stand-up meeting. 4. Nursing supervisors will monitor on weekends. If the facility is projected to not meet staffing ratios the scheduler/or designee will call off duty facility staff, notify Director of Nursing and will utilize pick-up bonuses. 5. All nursing positions are actively posted in recruitment and are sponsored ads. 6. Facility will hold a recruitment/retention committee. 7. Facility will hold open interviews. 8. Call offs will continue to be monitored and disciplines will be issued, as appropriate. 9. Director of Nursing/designee will audit staffing daily for three weeks and monthly for three months to ensure staffing ratios are being met. 10. Outcomes will be reported to the Quality Assurance Performance Improvement Committee for review and recommendations. 11. Accepting new admissions will depend on staffing levels.
LPN Staffing Shortage on Day Shift
Penalty
Summary
The facility failed to meet the required staffing ratios for Licensed Practical Nurses (LPNs) during the day shift on December 7, 2024. According to the regulation effective July 1, 2023, the facility must have a minimum of one LPN per 25 residents during the day. On the specified date, the facility had a census of 64 residents, necessitating 2.56 LPNs, but only 2.23 LPNs were on duty. This staffing shortage was confirmed by the Nursing Home Administrator during an email correspondence interview on December 23, 2024.
Plan Of Correction
The Facility submits this Plan of Correction under procedures established by the Department of Health in order to comply with the Department's directive to change conditions which the Department alleges is deficient under State and/or Federal Long Term Care Regulations. This Plan of Correction should not be construed as either a waiver of the facility's right to appeal or challenge the accuracy or severity of the alleged deficiencies or an admission of past or ongoing violation of State or Federal regulatory requirements. 1. The facility cannot correct that the Licensed Practical Nursing staffing ratio was not met during one shift on 12/7/24. There were no adverse effects to residents on the identified date. 2. Weekend nursing supervisors and scheduler will be re-educated regarding the state ratios by the Director of Nursing/ designee. 3. Schedule with ratios are reviewed at our stand-up meeting. 4. Nursing supervisors will monitor on weekends. If the facility is projected to not meet staffing ratios, the scheduler/or designee will call off duty facility staff, notify Director of Nursing, and will utilize pick-up bonuses. 5. All nursing positions are actively posted in recruitment and are sponsored ads. 6. Facility will hold a recruitment/retention committee. 7. Call offs will continue to be monitored and disciplines will be issued, as appropriate. 8. Director of Nursing/designee will audit staffing daily for three weeks and monthly for three months to ensure staffing ratios are being met. 9. Outcomes will be reported to the Quality Assurance Performance Improvement Committee for review and recommendations. 10. Accepting new admissions will depend on staffing levels.
Failure to Transcribe and Administer Medication and Dressing Change Orders
Penalty
Summary
The facility failed to transcribe and administer physician's orders for an anticoagulant medication and a dressing change for a resident. The resident, who was admitted with diagnoses including anemia, atelectasis, and a fractured right hip, had a documented order from a hospital to receive Lovenox, an injectable anticoagulant, daily for 30 days. However, the facility's records, including the Medication Administration Record (MAR), lacked evidence that Lovenox was transcribed and administered on two specific dates. This oversight was confirmed by the Nursing Home Administrator during an interview. Additionally, the resident's clinical record included a hospital document indicating a daily dressing change for a surgical incision on the right hip. Despite this, the facility's records, including the Treatment Administration Record (TAR), did not show that the dressing change order was transcribed or executed. The Director of Nursing confirmed the failure to transcribe the dressing change order and the lack of evidence that the facility sought clarification from the primary care physician or surgeon to ensure proper care was provided.
Neglect Due to Improper Transfer of Resident
Penalty
Summary
The facility failed to ensure that a resident was free from neglect, as evidenced by an incident involving a resident who required extensive assistance with transfers due to a non-weight bearing condition. The resident, who had a history of a fracture of the head and neck of the left femur, atrial fibrillation, and heart failure, was incorrectly transferred by a single nurse aide after receiving a shower. Despite the care plan indicating that the resident required the assistance of two staff members for transfers, the nurse aide attempted to transfer the resident alone, resulting in the resident being lowered to the floor. The incident occurred when the nurse aide, after completing the shower, attempted to move the resident without the required assistance. The aide called for help multiple times but did not receive any response, leading to the resident being placed on the floor. The facility's investigation revealed that the nurse aide did not use the call bell for assistance and failed to follow the resident's care plan, which contributed to the neglect. The resident was found on the tile floor, but no harm or injury was reported.
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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 New Castle
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Edison Manor Nursing & Rehabilitation Center | 2.8 mi | ★★★★★ | 9 | 1 |
| Kadima Rehabilitation & Nursing At New Castle | 3 mi | ★★★★★ | 19 | 0 |
| Quality Life Services - New Castle | 4.3 mi | ★★★★★ | 2 | 0 |
| Haven Convalescent Home, Inc | 4.3 mi | ★★★★★ | 2 | 0 |
| Avalon Care Center | 4.4 mi | ★★★★★ | 3 | 0 |
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