Below average — CMS composite of the measures below.
A standard survey is most likely before around October 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 Sedgewood Manor Health Care Center during CMS and state inspections, most recent first.
Staff failed to ensure call lights were within reach for several residents, including one with severe cognitive impairment and multiple medical conditions, resulting in call lights being found on the floor or otherwise inaccessible. Some staff acknowledged the issue but did not correct it, and one resident reported being left wet after urinating due to lack of timely assistance.
Surveyors found multiple improperly labeled and expired food items in the main kitchen and in a resident nourishment refrigerator, including baked goods, cereal, frozen items, buttermilk, and a bottle of Nutren 1.5 past its use-by date. The FA, DON, and DM stated staff were expected to label, date, and discard expired foods, but the DM acknowledged that expired foods had not been consistently removed in recent weeks and that some items should have been taken out.
Failure to immediately report an allegation of abuse: A resident with dx including DM2, schizoaffective disorder, CKD, anxiety, and muscle weakness, and with a BIMS of 11/15, told staff that a nurse had sprayed aerosol/air freshener in her eyes. An LPN heard the statement but did not report it, believing the resident was saying odd things, and the Activities Director said the resident never reported anything to her. The DON and FA stated allegations of abuse must be reported immediately to the abuse coordinator/FA.
A resident with CVA-related hemiplegia, morbid obesity, and moderate cognitive impairment was dependent on staff for ADLs, including bathing and personal hygiene, but staff failed to provide consistent showering and nail care. The resident was observed with long fingernails containing dirt and debris, reported repeated requests for nail cleaning, and said she was not receiving showers as scheduled, with bed baths occurring instead. The shower log showed limited documentation, and staff interviews confirmed the resident needed assistance and that nail care and showers were expected to be provided and documented.
A resident with intact cognition and multiple diagnoses, including DM and depression, was not provided an ongoing resident-centered activities program consistent with her preferences and care plan. She reported that staff did not consistently escort her to activities and that some activities had not been provided for several days. Surveyors observed scheduled activities with no residents present at times, and the AD stated attendance was not being documented and could not produce a participation record for the resident.
Failure to Follow Oxygen Tubing and Cannula Change Orders: The facility did not follow physician orders for changing and dating oxygen tubing, nasal cannulas, and related respiratory equipment for three residents receiving oxygen therapy. Observations and record review showed missing labels and dates on oxygen concentrators and tubing, an uncovered nebulizer mask, and one resident’s tubing and cannula had not been changed despite the resident stating staff had never told her they were going to change it. Staff interviews showed confusion and missed task completion, while the DON stated nursing staff were responsible for ensuring the items were properly labeled.
Failure to complete annual CNA performance evaluations was identified for 3 of 5 CNAs reviewed. HR initially reported that the reviews for multiple CNAs were not done, then later said some had been completed after the surveyor requested the records. HR acknowledged the evaluations should have been completed, and a CNA stated she had not received a formal evaluation in over a year, though she did receive verbal feedback from the DON.
Daily Nursing Hours sheets were not visibly posted each day in an area readily accessible to residents, staff, and visitors. The sheets were kept by the DON office or nurses' station rather than in the front of the building, and surveyors observed outdated sheets posted in a hallway. The DON was also observed gathering and writing sheets when surveyors requested records for Quarter 1, and she stated some sheets were missing.
Medication omission error due to unavailable ordered medications. An LPN preparing medications for a resident found that two active orders, Calcitriol and Sensipar, were not available in the facility and were not administered as ordered. The resident was a dialysis patient with renal disease, and the DON and ADON confirmed the orders were active but the medications had not yet been delivered by the pharmacy; the LPN was new to the facility and unfamiliar with the resident's regimen.
Failure to provide special eating equipment and utensils was identified for a resident with anxiety, dementia, and dysphagia who had severe cognitive impairment. The resident's care plan and order specified a 2-handled cup with lid at meals, but an observation found the cup missing from the breakfast tray, and staff reported they had not seen or served the resident with that type of cup.
The facility failed to maintain the required RN coverage for at least eight consecutive hours a day, seven days a week, over a seven-month period. This deficiency was due to the absence of RNs on weekends, as confirmed by the DON and FA. The DON works weekdays and is on call during weekends, but does not physically come in unless necessary. Efforts to hire additional RNs for weekend coverage have been unsuccessful.
The facility failed to discard expired food items in the kitchen, as observed with multiple bags of expired hamburger buns, some moldy. The Certified Dietary Manager was unaware of expiration dates, and despite the Kitchen Manager's daily checks, expired bread was found in the hallway. This indicates a lapse in following the facility's food storage policy.
The facility failed to implement and monitor an effective Antibiotic Stewardship Program, as they could not produce necessary documentation despite multiple requests. The DON and FA were unable to locate records, with the ADON responsible for maintaining them being on vacation. The facility relies on pharmacy input and electronic records, but lacks an organized system for stewardship. At the time, only one resident had a recent infection, with no current infections reported.
The facility failed to ensure that all CNAs completed the required 12 hours of training per employment year, with 7 out of 14 CNAs not meeting this requirement. The transition from paper-based to electronic training documentation led to gaps in record-keeping. Interviews with the DON and FA revealed a lack of oversight and documentation, with the FA unaware of the training deficiencies.
A resident's environment was not kept free from potential accident hazards when an LPN left medication unattended at the bedside, contrary to facility policy. The resident, who sometimes refused medication, did not have a self-administration order. The DON confirmed that medications should not be left at the bedside.
The facility failed to maintain an effective pest control program, resulting in multiple observations of flies in the common area, kitchen, and resident rooms. Service Inspection Reports noted unsealed cracks, gaps in doors, and standing water, which were not addressed. Interviews with staff and a resident confirmed the persistent issue, with the Kitchen Manager and Administrator acknowledging the problem but not implementing effective measures.
Call Lights Not Accessible to Residents
Penalty
Summary
Facility staff failed to ensure that call lights were within reach for five residents in rooms reviewed for call light placement. Observations revealed that call lights were found on the floor at the foot or head of the bed, or otherwise unreachable, for multiple residents. One resident, who had severe cognitive impairment and diagnoses including muscle weakness, sequelae of cerebral infarction, dementia, and hypertension, was observed lying in bed with the call light on the floor and reported being left wet after urinating on herself, stating that staff took the call light away and were slow to respond to her needs. Other residents' call lights were similarly found out of reach during the same observation period. Interviews with staff indicated that some were aware of the call lights being on the floor but did not take action to make them accessible to the residents. A CNA in training acknowledged the issue but did not correct it, and another CNA stated that the cognitively impaired resident often pulled her call light out of the wall. The facility's policy requires that call lights be within reach and accessible in resident rooms, bathrooms, and bathing areas, but this was not followed for the residents observed.
Improper Food Labeling and Expired Food Storage
Penalty
Summary
The facility failed to properly label and discard expired food items in the main kitchen and in one resident nourishment refrigerator. During an initial walkthrough of the main kitchen on 07/27/25, surveyors observed multiple food items that were either expired, improperly labeled, or missing required dates, including dinner rolls and hamburger buns in original packaging with labels dated after the items’ dates, opened cereal and grits without complete labeling, several frozen items in bags with dates or no labels, and three half-gallon containers of buttermilk with a use-by date of 7/22 and labels dated 06/24. In the resident refrigerator behind the nurses’ station, surveyors observed one bottle of Nutren 1.5 with a use-by date of 06/09/25 during an observation on 07/28/25. During interviews, the FA and DON stated that dietary staff were expected to properly label and date food items and discard items past their use-by date. The DM stated she had overseen dietary duties and housekeeping, described limited staffing, and said inventory and labeling checks were done on Mondays and Thursdays, with daily staff meetings intended to ensure expired foods were discarded; however, she admitted this had not been consistently done in recent weeks. She also identified several of the observed items as foods that should have been removed, including cinnamon rolls dated 03/05/25 and half of a ham that was not properly labeled. The dietary area lacked sufficient storage space to keep items in original boxes, and the DM stated the facility used FIFO for inventory management.
Failure to Immediately Report Allegation of Abuse
Penalty
Summary
The facility failed to ensure that an allegation of abuse was immediately reported to the abuse coordinator for 1 of 3 residents reviewed for abuse, Resident 31. R31’s record showed diagnoses including type 2 diabetes mellitus, schizoaffective disorder, chronic kidney disease, anxiety disorder, and muscle weakness, and her quarterly MDS showed a BIMS score of 11 out of 15, indicating moderate cognitive impairment. In a progress note, R31 stated that a few days earlier “some girl sprayed air freshener in my face,” and she was offered a cool wet cloth for her eyes. During an interview, R31 stated that a nurse had allegedly sprayed aerosol in her eyes a couple of weeks earlier and that she had reported it to the Activities Director, but no one had spoken with her about it. During interviews, the Activities Director stated R31 had never reported anything to her, while the LPN who spoke with R31 said she did not act on the statement because she thought R31 was saying “weird things” in the morning. The LPN acknowledged she should have immediately called the DON and that she did not report the allegation. The DON stated staff should notify her and/or the FA of any allegation of abuse and that the FA is the abuse coordinator. The FA stated he was not aware of the allegation until the surveyor reported it and later stated staff should report any allegations of abuse to him or their immediate supervisor immediately.
Failure to Provide ADL Assistance, Including Showers and Nail Care
Penalty
Summary
The facility failed to provide assistance with ADLs for a resident who was dependent on staff for personal hygiene and showering/bathing. The resident had diagnoses including cerebral infarction due to thrombosis of the right middle cerebral artery, morbid obesity, hemiplegia and hemiparesis affecting the left non-dominant side, and unsteadiness on feet. The resident’s MDS showed a BIMS score of 9 out of 15, indicating moderate cognitive impairment, and documented dependence on staff for personal hygiene and bathing with no refusals of care during the look-back period. During observation, the resident’s fingernails were long with dried dirt and brown matter underneath, and food crumbs were noted on the resident’s face and gown. The resident stated that due to left-side impairment, she needed help with personal hygiene, had repeatedly asked staff to clean her nails, and had not received nail care. She also stated that she was not receiving showers as often as she should and could not remember the last time she had an actual shower, although she acknowledged receiving bed baths. The resident reported that she had voiced concerns to the DON and discussed the issue with her spouse. Review of the shower log showed only three documented showers or bed baths over several months, and the ADON confirmed those entries. The DON stated the resident was dependent with all ADLs and that CNAs were responsible for trimming resident nails during AM care or showers if requested. The spouse reported that the resident told him she was not receiving showers on scheduled shower days and that he had observed bed baths instead of showers. CNA2, the resident’s assigned CNA, confirmed the resident’s nails needed to be cleaned and cut and stated the resident had been asking for several days, but she had informed the nurse because she did not feel comfortable cutting them herself. The FA stated that personal hygiene, including showers and nail care, should be provided on scheduled days and as needed, and that if it is not documented, it is not done.
Failure to Provide Resident-Centered Activities and Document Participation
Penalty
Summary
The facility failed to provide an ongoing resident-centered activities program designed to meet resident interests, hobbies, and cultural preferences for one resident reviewed for activities. The resident, R35, was admitted with diagnoses including type 2 diabetes mellitus, unspecified dementia, major depressive disorder, and episodes of syncope and collapse. Her quarterly MDS dated 07/04/25 showed a BIMS score of 15 out of 15, indicating she was cognitively intact, and her care plan stated she should be encouraged to attend out-of-room activities that meet her emotional, intellectual, physical, and social needs. The care plan also noted that she was the resident council president, enjoyed spending time with peers and staff, and liked sitting outside on the front porch. The activities record showed that R35 identified several preferences, including doing things with groups of people, doing favorite activities, going outside for fresh air, listening to music, reading, keeping up with the news, and participating in religious services or practices. The activities department note stated she was informed of daily activities of interest by staff and attended activities such as bingo and social events at times or sat on the front porch. However, during observation on 07/27/25, no activities were seen occurring during the scheduled worship service time. On 07/28/25, five residents were observed participating in group exercises in the main dining room, but R35 was not present. During interview, R35 stated she was dependent on staff for transfers and most ADLs, received an activity calendar at the beginning of each month, but activities had not been provided for the past couple of days and she was unsure why. She also stated staff had told her they would return to escort her to activities but did not follow through, and she would like to participate more if staff came and got her. The Activities Director stated she and CNAs were responsible for assisting dependent residents who chose to participate, but she had not been documenting attendance and could not produce a participation record for R35. She also stated church services were supposed to be held on Sundays, but she had not heard from the reverend in some time and was unsure whether services continued. The Facility Administrator stated staff were expected to assist residents to scheduled activities, activities should be conducted as outlined in the schedule, residents should be notified if an activity was canceled, and documentation was expected.
Failure to Follow Oxygen Tubing and Cannula Change Orders
Penalty
Summary
The facility failed to follow physician orders for changing oxygen tubing and nasal cannulas for 3 of 3 residents reviewed for respiratory care. The undated facility policy titled Oxygen Administration stated oxygen tubing and mask/cannula are to be changed weekly and as needed if soiled or contaminated. The deficiency was identified during observations, interviews, and record review involving residents receiving oxygen therapy and other respiratory treatments. R7 had diagnoses including COPD, chronic respiratory failure, generalized anxiety disorder, and muscle weakness, and her MDS indicated she received continuous oxygen therapy with a BIMS score of 15 out of 15. Her orders included changing oxygen concentrator tubing and water bottle weekly on Sunday and as needed, and changing the oxygen filter weekly. Her TAR showed a blank/unsigned space for 07/27/25 indicating the tubing and nasal cannula were not changed. During observations on 07/27/25 and 07/28/25, R7 was wearing oxygen via nasal cannula with no label showing when the tubing and cannula had been changed. R7 stated the tubing had not been changed and that she had brought it from home, and she said staff had never told her they were going to change it. An LPN later stated he must have missed changing R7's tubing and nasal cannula, while the DON stated the tubing came from the hospital and that R7 was refusing to change it. R32 had diagnoses including hypoxemia, COPD, and anxiety disorder, with a BIMS score of 8 out of 15. His orders included keeping nebulizer mask/tubing covered when not in use and changing oxygen concentrator tubing and water bottle weekly on Sunday and as needed. His care plan also directed weekly changes of nebulizer mask and tubing and weekly changes of oxygen concentrator tubing and H2O bottle. During observations on 07/27/25, 07/28/25, and 07/29/25, his oxygen concentrator and tubing had no labels or dates, and his nebulizer face mask was exposed on the nightstand without a covering. R42 had diagnoses including acute respiratory failure with hypoxia, generalized anxiety disorder, muscle spasm, and traumatic brain injury. His orders required weekly changing and dating of oxygen concentrator tubing and H2O bottle and weekly cleansing of the oxygen filter. During observations on 07/27/25 and 07/28/25, R42 was using oxygen nasal cannula and there were no dates or labels on the tubing or oxygen concentrator. Staff interviews confirmed uncertainty about whether the tubing and concentrators were supposed to be dated, and the DON stated the tubing and concentrators should be labeled and changed every Sunday night, that nursing staff were responsible for ensuring the items were properly labeled, and that she had not checked behind the staff member assigned to label them.
Failure to Complete Annual CNA Performance Evaluations
Penalty
Summary
The facility failed to provide yearly performance evaluations for 3 of 5 CNAs reviewed: CNA3, CNA4, and CNA5. Review of CNA3’s employee record showed a hire date of 04/20/23 and a last performance review dated 05/10/24; her 2025 performance review had not been completed as of 07/28/25. CNA4’s employee record showed a hire date of 02/24/16 and a last performance review dated 02/28/24; when the surveyor initially requested her file on 07/28/25, HR stated her 2025 review was not yet completed, although later that day HR said it had been completed and rated her Good in all areas. CNA5’s employee record showed a hire date of 04/25/24; HR initially stated her 2025 review was not yet completed, then later said it had been completed. During interviews on 07/28/25, HR stated, “I should have had them done. I need to have them (the supervisors) get them done,” and regarding CNA5 said, “We are going to have to pro-rate her. I am going to give them the form to do.” In a later interview, HR stated, “I want to show you they now have CNA5’s review done.” The Regional Consultant initially stated that yearly reviews for CNA staff were not in the regulations and said he had never had a performance evaluation in his 26 years of doing this; later he stated he found the regulation about performance reviews and did not know it was a regulation. During a phone interview, CNA5 stated she had not had an evaluation that year and it had been over a year since her last one, although she did receive verbal feedback from the DON.
Daily Nursing Hours Sheets Not Posted Where Readily Visible
Penalty
Summary
The facility failed to visibly post the Daily Nursing Hours sheets on a daily basis where residents, staff, and visitors could visibly access them. During an observation on 07/27/25 at 9:59 AM, the Daily Nursing Hours sheets were posted in one of two resident hallways outside the DON office, which was located within the facility and was not readily accessible to visitors as they entered the facility. The sheet that was visible was dated 07/24/25, and a Daily Nursing Hours sheet dated 07/21/25 was posted underneath it. During interviews, the Regional Consultant stated the facility did not post the Daily Nursing Hours sheets in the front of the building and had always posted them at the nurses' station, and he acknowledged that visitors would not actually see them unless they went to that area. The DON confirmed the sheets were only posted by her office and nowhere else in the building. On 07/29/25, when the surveyor requested Daily Nursing Hours sheets for 01/01/25 through 03/31/25, the DON was observed writing the sheets in the business office and stated she was not writing the Quarter 1 sheets, only gathering them together. When questioned about an unfinished sheet dated 03/12/25, she stated some were missing, and the surveyor instructed her not to write up the missing ones before she provided a stack of sheets from 01/01/25 through 03/11/25.
Medication omission error due to unavailable ordered medications
Penalty
Summary
The facility failed to keep the medication error rate below 5 percent during medication administration, with an observed error rate of 8 percent based on 2 of 25 opportunities for error. During a medication pass observation, an LPN was preparing to administer medications to a resident who had active physician orders for Calcitriol oral capsule 0.25 mcg once daily at 9:00 AM for renal disease and Sensipar (Cinacalcet HCl) oral tablet 30 mg once daily at 9:00 AM for renal disease. At the time of the observation, the LPN confirmed that neither medication was available in the facility, and the medications were not administered as ordered, resulting in an omission error due to unavailability. The LPN stated she was new to the facility, had only been employed for a few days, and was not yet familiar with the resident or the medication regimen. She reported she was unaware that the resident had run out of Sensipar and Calcitriol and did not know how long it would take for the pharmacy to replenish them. The DON and ADON later stated the resident was admitted after hospitalization, had a dialysis schedule on Tuesdays, Thursdays, and Saturdays, and that Calcitriol and Sensipar were intended to continue after discharge. They also stated they believed certain medications should not be given until the nephrologist evaluated the resident, but no documentation was provided to support that claim, and both confirmed the medications had active orders but had not been administered because they had not yet been delivered by the pharmacy.
Failure to Provide Ordered Adaptive Drinking Cup
Penalty
Summary
Provide special eating equipment and utensils for residents who need them and appropriate assistance was not met for one of two residents reviewed for food. R22, who was admitted with diagnoses including anxiety, dementia, and dysphagia, had a quarterly MDS showing a BIMS score of 4 out of 15, indicating severe cognitive deficit. Her care plan stated that she needed a cup with two handles and a lid with each meal, and an order for that cup had been entered on 07/31/24. However, during an observation on 07/29/25 at 8:50 AM, a 2-handled cup with lid was not present on R22's breakfast tray. During interview, R22 stated she had never had a special cup and did not know what was being referenced. The Dietary Manager stated that if an order is received, the cup is placed on the resident's tray when it is set up and explained that a two-handled cup is used for adaptive purposes to help a resident grasp the cup and remain independent with dining. CNA 2 stated she had never noticed a 2-handle cup on R22's tray and had never served her anything in that type of cup. The DON confirmed that R22 had an order for a 2-handled cup with lid and showed the order to the surveyor.
Failure to Maintain RN Coverage on Weekends
Penalty
Summary
The facility failed to ensure the presence of a Registered Nurse (RN) for at least eight consecutive hours a day, seven days a week, as required by their policy. This deficiency was observed over a period of seven consecutive months, from January 2024 through July 2024, during weekends. The nursing schedule and timecard reports revealed multiple instances where no RN was on site for the required hours, affecting the provision of registered nursing assessments and services to all 32 residents in the facility. Interviews with the Director of Nursing (DON) and the Facility Administrator (FA) confirmed the absence of RNs on weekends. The DON stated that she and another RN, who works on a PRN basis, are the only registered nurses in the building. The DON works Monday through Friday and is on call during weekends, but does not physically come in unless there is an emergency. The facility does not use agency staff, and no waivers were obtained for this staffing issue. The FA acknowledged the staffing challenge and mentioned efforts to hire RNs for weekends, but no candidates have accepted the job offers.
Expired Food Items Not Discarded in Kitchen
Penalty
Summary
The facility failed to adhere to its food storage policy by not discarding expired food items in the kitchen area. Observations revealed multiple bags of hamburger buns with expired dates, some of which were moldy. The facility's policy mandates that stock must be rotated with each new order to ensure freshness and quality, but this was not followed. The Certified Dietary Manager (CDM) admitted that the kitchen staff is responsible for removing outdated bread, yet was unaware of the expiration dates of the items. Additionally, the Kitchen Manager stated that she ensures items are dated and placed correctly when opened, and checks daily for expiration dates. Despite these procedures, expired bread was found on a cart in the hallway between kitchen entrances. This indicates a lapse in the supervision and execution of the facility's food storage policy, leading to the presence of expired and potentially unsafe food items in the kitchen area.
Failure to Implement and Monitor Antibiotic Stewardship Program
Penalty
Summary
The facility failed to develop, implement, and monitor an effective Antibiotic Stewardship Program, as evidenced by the inability to produce documentation related to the program. Despite multiple requests from surveyors over several days, the facility's administrative staff, including the Director of Nursing (DON) and the Facility Administrator (FA), were unable to locate the necessary documentation. The DON indicated that the Assistant Director of Nursing (ADON), who also serves as the Infection Control Preventionist, was responsible for maintaining the program's records but was on vacation at the time of the survey. The DON mentioned that the facility uses a Line Listing to track infections and treatments, but could not provide documentation for the past 12 months. The FA stated that the facility relies on pharmacy input and the electronic medical record system to track antibiotic use, with trends addressed in quarterly QAPI meetings. However, the lack of accessible documentation and an organized system for antibiotic stewardship was evident. The FA acknowledged the expectation to have a documented and organized system to prevent and treat infections, but neither he nor the regional consultant could locate the stewardship book. At the time of the survey, there was only one resident with a recent infection, who had completed antibiotic treatment, and no current infections were reported.
Deficiency in CNA Training Compliance
Penalty
Summary
The facility failed to ensure that all Certified Nursing Assistants (CNAs) completed the required 12 hours of training per employment year, as mandated by their policy. A review of the facility's training records revealed that 7 out of 14 CNAs did not meet this requirement. The training records showed varying deficiencies in training hours, with some CNAs having completed as little as 2 hours. The facility's policy on competency evaluation requires that staff knowledge and skills be assessed through a training program, with competency forms maintained in the Director of Nursing's office before being filed in the employee's personnel file. Interviews with the Director of Nursing (DON) and the Facility Administrator (FA) highlighted issues with the transition from paper-based training documentation to an electronic system (Relias) in mid-2023. The DON acknowledged the lack of documentation for training conducted on paper and expressed the need for a better tracking method. The FA was unaware of the training deficiencies and emphasized the responsibility of the Assistant Director of Nursing (ADON) and Human Resources (HR) in ensuring compliance with training requirements. Both the DON and FA expressed expectations for timely completion of training but admitted to gaps in oversight and documentation.
Medication Left Unattended at Resident's Bedside
Penalty
Summary
The facility failed to ensure the environment was free from potential accident hazards for a resident, identified as R23, by leaving medications at the bedside. The facility's policy on medication administration and storage requires that medications be administered by licensed nurses or authorized staff and that they remain under direct observation or locked away. However, during an observation, a medication pill was found in a cup on R23's bedside table, which the resident identified as a stool softener. The resident stated that nurses often left the medication in her room per her choice, despite not having a self-administration order. Further investigation revealed that an LPN left the medication at the bedside because the resident sometimes refused to take it during administration. The LPN admitted to leaving the medication unattended, which was against the facility's policy. The Director of Nursing confirmed that the expectation was for nurses to check their orders and not leave medications at the bedside. The resident's care plan indicated that R23 was slow and noncompliant with taking medication, sometimes spitting out or hiding pills, and required supervision during medication administration.
Failure to Maintain Effective Pest Control Program
Penalty
Summary
The facility failed to maintain an effective pest control program, as evidenced by multiple observations of flies in various areas of the facility. The facility's policy on pest control, which aims to eradicate and contain common household pests, was not effectively implemented. Service Inspection Reports from June 2024 highlighted several open conditions that could facilitate pest entry, including unsealed cracks and crevices, gaps in doors, and standing water under kitchen equipment. These conditions were not addressed, leading to the presence of flies in the common area, kitchen, and resident rooms over several days. Interviews with staff and residents further confirmed the persistent issue with flies. A resident expressed frustration with the ongoing presence of flies, indicating a lack of effective action from the facility. The Kitchen Manager acknowledged the frequent presence of flies in the kitchen and mentioned that the Administrator occasionally arranges for spraying. The Facility Administrator admitted that flies have been a significant problem, particularly due to the heat, and stated that the issue would be discussed in the next Quality Assurance and Performance Improvement meeting. However, these actions were not sufficient to prevent the deficiency observed by the surveyors.
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Illustrative
What surveyors actually found near you
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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.
Illustrative
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Illustrative
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Nursing homes near Hopkins
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Life Care Center Of Columbia | 8.2 mi | ★★★★★ | 0 | 0 |
| Wildewood Downs | 8.9 mi | ★★★★★ | 2 | 0 |
| Midlands Health & Rehabilitation Center | 9.7 mi | ★★★★★ | 7 | 0 |
| White Oak Manor - Columbia | 9.9 mi | ★★★★★ | 2 | 0 |
| Forest Acres Post Acute | 9.9 mi | ★★★★★ | 0 | 0 |
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