Below average — CMS composite of the measures below.
The next survey window likely opens around June 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Forest Acres Post Acute during CMS and state inspections, most recent first.
Failure to Maintain Effective Pest Control Program: Cockroaches were observed in multiple resident rooms and bathrooms, including around a toilet, on baseboards, and on the floor after a fall mat was moved. A resident with paraplegia reported seeing roaches since admission, including in the bed and on the face, while another resident shared a room with a third resident and reported roaches in the bathroom at night. Staff, including an LPN, CNA, Housekeeping Supervisor, and Maintenance Director, acknowledged the pest problem or prior reports of it, and the Administrator stated pests should not be in resident rooms.
The facility failed to refer two residents for Level II PASARR reevaluation after new mental health diagnoses were added. One resident had bipolar disorder, anxiety, delusional disorder, and depression, and the other had bipolar disorder, anxiety, and depression; both records showed active psychiatric diagnoses, but no evidence of referral to the state-designated authority. The SSD and Administrator acknowledged the PASARR updates were missed.
Failure to provide nail care for two residents was identified. One resident with diabetes and other conditions had long fingernails with debris and stated staff had not cleaned or trimmed them, while an LPN said she was unaware nail care was needed. Another resident with heart failure and dependence for personal hygiene had fingernails extending beyond the nailbed with debris, stated a desire for trimming, and a CNA observed the nails but did not offer care or report it; an LPN later confirmed several nails needed trimming.
A resident with dysphagia, severe cognitive impairment, and a feeding tube did not receive enteral formula as ordered, and the MAR lacked documentation of the amount infused each shift. Staff observed the tube feeding running at one point and not infusing at other times, and an LPN stated the feeding started late because she did not check the order at the start of her shift. The DON also observed that the tube feeding bottle was not labeled with the resident's name, date/time hung, or infusion rate.
Failure to Maintain Effective Pest Control Program
Penalty
Summary
The facility failed to maintain an effective pest control program, with cockroaches observed in multiple resident rooms and bathrooms. A facility policy titled "Pest Control" stated the facility shall maintain an effective pest control program. R7, admitted with paraplegia and intact cognition, reported cockroaches had been present in the room since admission, said they killed cockroaches daily, and stated they found cockroaches in the bed and on their face. During observation, a cockroach was seen on the baseboard near the air conditioning unit, and more than 10 cockroaches of various sizes were observed crawling near the baseboard and on the floor after a fall mat was moved. Staff including an LPN and CNA acknowledged the presence of cockroaches in the room, and the Administrator stated she was not aware of the issue and that pests should not be in residents' rooms. R13, who shared a room with R34, reported cockroaches in the room and bathroom, especially at night, and stated the family purchased bug spray and traps for the room. R13’s family member and therapy staff also acknowledged cockroaches in the room, and an LPN stated the issue had been reported to Maintenance. The Maintenance Director later stated a CNA had told him about cockroaches in R7 and R13’s room about a month earlier, and the Housekeeping Supervisor acknowledged roaches had been present in numerous rooms on the first floor, including those rooms. R34, admitted with end stage renal disease and intact cognition, was observed with two roaches crawling around the toilet, stated there had been multiple sightings of roaches in the bathroom and sleeping area, and said nursing staff had been made aware. On a later observation, multiple roaches scattered from a torn opening in the bathroom floor, while the Maintenance Director stated he was not aware of the roach sighting because no one had reported it to him.
Failure to Refer Residents for PASARR Reevaluation After New Mental Illness Diagnoses
Penalty
Summary
The facility failed to refer two residents to the appropriate state-designated authority for a Level II PASARR evaluation and determination after each resident received a new mental illness diagnosis during their stay. Facility policy required that when a Level I screen indicated a possible mental disorder, intellectual disability, or related disorder, the resident be referred for a Level II PASARR evaluation, and that social services be responsible for making the referral. The record review showed no evidence that either resident was referred when the new diagnoses were identified. One resident was admitted with a history that included bipolar disorder and generalized anxiety disorder, and later received diagnoses of delusional disorder and depression. The resident’s MDS showed active diagnoses of anxiety disorder, depression, bipolar disorder, and psychotic disorder, but the record contained no evidence of a PASARR referral after the new mental illness diagnoses were added. During interview, the SSD stated she began working at the facility later and acknowledged that the resident should have had another PASARR when the delusional disorder and depression diagnoses were made. The second resident was admitted with a history that included type 2 diabetes mellitus and later received diagnoses of bipolar disorder and anxiety disorder. The resident’s care plan and MDS reflected mental health diagnoses including major depressive disorder, bipolar disorder, anxiety, and depression, but the record contained no evidence of a PASARR referral after the bipolar disorder diagnosis was added. The SSD acknowledged the resident should have had another PASARR when bipolar disorder was diagnosed, and the Administrator stated the new diagnosis should have been added to the PASARR and resubmitted to the state but was missed.
Failure to Provide Nail Care
Penalty
Summary
The facility failed to provide nail care for two residents who were unable to manage their own activities of daily living. One resident had diagnoses including type 2 diabetes mellitus with hyperglycemia, muscle weakness, depression, lack of coordination, and weakness, and the admission MDS indicated substantial/maximal assistance was needed for personal hygiene. During multiple observations, the resident’s fingernails on the left hand were long with a brown substance underneath them, and the resident stated the nails had not been cleaned or trimmed and that staff had not offered to clean them. The assigned LPN stated she was unaware the resident needed nail care, while the DON stated a RN was expected to cut or trim the nails of a resident with diabetes and CNAs were expected to clean the nails as needed. The second resident was admitted with a diagnosis of heart failure and was dependent on staff for personal hygiene. The care plan identified the resident as at risk for ADL/mobility decline and needing assistance related to heart failure. During observations, the resident’s fingernails extended one quarter inch to one half inch beyond the nailbed and had debris underneath them, and the resident stated a desire to have the nails trimmed and that staff had been told. A CNA observed the nail length but did not offer nail care or report it to the nurse. An LPN later observed the nails and stated several fingernails needed trimming, and the DON stated staff were expected to offer nail care and document refusal if the resident declined.
Enteral Feeding Not Provided as Ordered and Tube Feeding Bottle Not Labeled
Penalty
Summary
The facility failed to provide Resident 89's enteral tube feeding formula as ordered and failed to label the tube feeding formula bottle with the resident's name, date, time, and infusion rate. Resident 89 was admitted with diagnoses including dysphagia and attention to gastrostomy, and the quarterly MDS indicated severe cognitive impairment, eating not attempted due to medical condition or safety concerns, and use of a feeding tube. The care plan directed staff to administer tube feeding formula, hydration, and flushes per order for the resident's feeding tube needs. The physician's order required Glucerna 1.5 via gastrostomy tube at 65 mL/hr every shift, starting at 8:00 PM and infusing daily until 1430 mL had been infused. Review of the MAR for 07/01/2026 through 07/31/2026 showed no documentation to indicate staff monitored the amount of tube feeding formula infused during each shift. During observations, the resident was seen with tube feeding infusing on one occasion and with no tube feeding infusing on two other occasions. An LPN stated the tube feeding did not infuse for two hours during her shift and said she started it late because she did not check the physician's orders when she began the shift. The DON also observed that the tube feeding bottle did not contain the resident's name, date and time hung, or infusion rate, and stated she expected that information to be recorded on the bottle.
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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 Columbia
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pruitthealth- Columbia | 0.2 mi | ★★★★★ | 0 | 0 |
| Midlands Health & Rehabilitation Center | 0.8 mi | ★★★★★ | 0 | 0 |
| White Oak Manor - Columbia | 1.3 mi | ★★★★★ | 2 | 0 |
| C M Tucker Jr Nursing Care Center Fewell And Stone | 1.3 mi | ★★★★★ | 1 | 1 |
| C M Tucker Jr Nursing Care Center Roddey Pavilio | 1.3 mi | ★★★★★ | 1 | 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 October 2026) and official state health department websites.