Above 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 Tieszen Memorial Home during CMS and state inspections, most recent first.
The facility failed to implement its grievance policy, leaving residents' concerns unresolved. A resident was unsure how to file a grievance about his bed removal request, while another faced long meal wait times, worsening her pain. Residents were unaware of grievance procedures, and concerns were often verbalized without follow-up. The grievance coordinator lacked a tracking system, and the administrator viewed grievances as serious issues, expecting other concerns to be handled verbally.
The facility failed to ensure proper infection control practices, including the cleaning of shared safety slings, implementation of Enhanced Barrier Precautions for a resident with an open wound, and monitoring of expired hygiene products. Shared slings were not disinfected between uses, a resident with a stage II pressure ulcer was not placed on EBP, and expired hand sanitizers and personal care items were found throughout the facility.
A resident with declining cognitive function continued to use a power wheelchair unsafely, leading to multiple incidents. Despite staff concerns and policy requirements for reassessment, the resident was not reevaluated by therapy, and no physician's order was obtained for the wheelchair use.
A resident requiring continuous oxygen therapy had their oxygen equipment inadequately maintained, with dusty concentrator filters and nasal cannulas not changed weekly as required. The resident's TAR lacked documentation for equipment changes, and the DON confirmed the oversight, acknowledging the resident's equipment maintenance might have been missed.
Failure to Implement Grievance Policy
Penalty
Summary
The facility failed to effectively implement and follow their grievance policy for three sampled residents, leading to unresolved concerns. Residents were not informed about how to file grievances, and there was a lack of documentation regarding grievances, including the date received, summary of the grievance, steps taken to investigate, and resolution. Resident 19 expressed frustration over his unresolved request to have his bed removed to make room for his wheelchair, and he was unsure how to file a grievance. Resident 24 reported long wait times for meals, which exacerbated her back pain and numbness in her legs, and despite raising this issue at a resident council meeting, no improvements were made. Interviews with residents during a group meeting revealed that they were unaware of how to file grievances and that their concerns were often expressed verbally to department staff without follow-up. The activities coordinator confirmed that resident concerns about food and wait times were frequently discussed at council meetings, but these concerns were not documented in the minutes, nor was there assistance provided to residents in filing grievances. The social services coordinator, who was the grievance coordinator, acknowledged the lack of a specific form for grievances and the absence of a documented tracking system for resident concerns, which were often addressed verbally. The administrator considered grievances to be serious issues related to abuse, neglect, or mistreatment, while other concerns were expected to be handled immediately through a verbal process. The facility's grievance policy outlined a procedure for addressing grievances, but there was no clear distinction between concerns and grievances, and the contact information for the State Ombudsman was incorrect. The facility's failure to document and follow up on grievances, as well as the lack of a clear process for residents to file grievances, contributed to the deficiency.
Infection Control Deficiencies in LTC Facility
Penalty
Summary
The provider failed to ensure proper infection control practices for the cleaning of shared safety slings used with a sit-to-stand lift. Observations revealed that the slings were shared among multiple residents without being properly disinfected between uses. Nursing Assistant D confirmed that the slings were only washed when visibly soiled and sanitized once a day, contrary to the facility's policy that required disinfecting wipes to be used between each use. This practice was observed with residents 4 and 19, and it was noted that the slings were shared by three or four other residents on the second floor. The provider also failed to implement Enhanced Barrier Precautions (EBP) for a resident with an open wound. Resident 20, who had a stage II pressure ulcer, was not placed on EBP despite having open skin areas. Interviews with the RN/skin nurse and the RN/infection control nurse revealed a lack of consistent criteria for initiating EBP, with the infection control nurse indicating that a resident with a stage II pressure ulcer should have been on EBP. The facility's policy required EBP for residents with chronic wounds or indwelling medical devices, but this was not communicated or implemented for resident 20. Additionally, the facility did not ensure that alcohol-based hand sanitizers (ABHS) and other hygiene products were not expired. Observations showed multiple expired ABHS dispensers throughout the facility, and interviews revealed a lack of responsibility and oversight in checking expiration dates. The maintenance department was responsible for refilling and checking the expiration dates, but expired products were still in use. Furthermore, shared personal care items in the shower and whirlpool rooms were not labeled, and many were expired, posing a risk of cross-contamination among residents.
Failure to Reassess Resident's Power Wheelchair Use Leads to Safety Concerns
Penalty
Summary
The provider failed to adequately assess, reassess, and monitor a resident's changes in cognition and safety awareness, which led to multiple incidents involving the unsafe operation of a power wheelchair. The resident, who was initially evaluated and deemed safe to operate the power wheelchair in June 2023, demonstrated a decline in cognitive function as indicated by a decrease in the BIMS score from 13 in July 2024 to 9 in October 2024. Despite this decline, the resident continued to use the power wheelchair without a physician's order or a reassessment by occupational therapy. Several incidents were observed where the resident operated the power wheelchair unsafely, including bumping into another resident's chair, hitting a couch, and getting too close to staff and other residents. Progress notes documented the resident's behavior of following a floor cleaning machine too closely, resulting in the wheelchair getting hooked on the machine. Staff expressed concerns about the resident's safety and reported these incidents to the director of nursing, but no reassessment was conducted. The facility's policy required a physician's order for the use of electric transportation devices and mandated reassessment by therapy if unsafe operation was observed. However, the resident's unsafe behavior was not communicated to the therapy department, and no reassessment was performed. This lack of communication and failure to follow policy contributed to the deficiency in ensuring the resident's safety while using the power wheelchair.
Failure to Maintain Oxygen Equipment for Resident
Penalty
Summary
The provider failed to ensure proper maintenance and replacement of oxygen equipment for a resident who required continuous oxygen therapy. Observations revealed that the oxygen concentrator filter was visibly dusty, and the nasal cannula tubing was not labeled or dated, indicating it had not been changed weekly as required. The resident, who was moderately cognitively impaired, used four separate oxygen concentrators located throughout the facility, but there was no documentation in the treatment administration record (TAR) to indicate when the nasal cannulas were last changed. Interviews with the Director of Nursing (DON) confirmed that the resident was the only one using these concentrators and that the nasal cannulas should have been changed weekly and documented by the night shift nurse. However, the resident's TAR did not include orders to change the nasal cannulas or specify the locations of the concentrators. The DON acknowledged that the resident's equipment maintenance might have been overlooked. The facility's oxygen administration policy required weekly changes of oxygen masks, nasal cannulas, and equipment storage bags, which was not adhered to in this case.
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 37 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 Marion
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Oakview Terrace | 10.4 mi | ★★★★★ | 0 | 0 |
| Good Samaritan Society Canistota | 12 mi | ★★★★★ | 11 | 0 |
| Diamond Care Center | 15.3 mi | ★★★★★ | 13 | 0 |
| Pioneer Memorial Nursing Home | 19.5 mi | ★★★★★ | 0 | 0 |
| Menno-olivet Care Center | 20.6 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 July 2026) and official state health department websites.