Above average — CMS composite of the measures below.
The next survey window likely opens around November 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 Decatur County Healthcare during CMS and state inspections, most recent first.
Failure to document PRN oxygen administration and follow physician orders affected three residents. One resident with atrial fibrillation and another with COPD, dementia, and other diagnoses were observed receiving oxygen without TAR documentation, and one resident with COPD and heart failure was also observed on oxygen without documentation. In one case, an LPN confirmed the oxygen was being delivered above the ordered rate, and the DON stated PRN treatments should be signed out on the TAR.
Expired medications were found in the 400 Hall medication cart, including an opened vial of Lispro insulin past its discard date and a bottle of Folic Acid capsules past expiration. Facility policy required opened multidose vials to be dated and discarded per manufacturer guidance, and RN A and the DON both acknowledged that expired medication should not be stored on the cart.
The facility failed to maintain sanitary conditions for the ice machine, which was found with black, slimy residue and white residue on its surfaces. The ice machine had not been cleaned since 4/15/2024, contrary to the facility's policy requiring monthly cleaning. The Dietary Supervisor and Maintenance Director confirmed the unsanitary state and the cleaning schedule.
A facility failed to secure medications properly when two syringes filled with Heparin were found unattended in a resident's room. The resident, who was cognitively intact and receiving IV medications, had the syringes left on a chair next to their bed. Interviews with RN A and the DON confirmed that the medications should not have been left unattended, violating the facility's policy on medication storage.
A facility failed to ensure proper infection control practices during medication administration and handling of soiled materials. An RN did not perform hand hygiene between glove changes while administering medications to residents, and a CNA improperly handled a soiled brief by carrying it in her bare hand across the hallway. The DON confirmed the need for hand sanitization after glove removal and proper disposal of soiled briefs.
Failure to Document and Follow PRN Oxygen Orders
Penalty
Summary
The facility failed to document PRN oxygen administration and failed to follow physician orders for oxygen therapy for three residents reviewed for respiratory care. Facility policy required medications and oxygen therapy to be administered as ordered and documented when given, including the date, time, and results for PRN use. The report identified that staff did not document PRN oxygen administration on the TAR for Resident #28 on 12/8/2025 and 12/9/2025, even though the resident, who had diagnoses including atrial fibrillation, depression, anemia, and hyperlipidemia and was cognitively intact, was observed receiving oxygen at 2 L/min via nasal cannula in the room on both dates. For Resident #29, who had COPD, dementia, diabetes, morbid obesity, and muscle weakness and was moderately cognitively impaired, the physician ordered oxygen at 2 L/min via BNC as needed for SOB, but staff did not document PRN oxygen on the TAR on 12/8/2025 and 12/9/2025. The resident was observed receiving oxygen at 3 L/min and later at 2.5-3 L/min via BNC, and an LPN confirmed the oxygen should have been at 2 L/min. For Resident #45, who had COPD and heart failure and was severely cognitively impaired, the physician ordered oxygen at 2 L/min via BNC as needed, but staff did not document PRN oxygen on the TAR on 12/10/2025. The resident was observed receiving oxygen at 2 liters via BNC, and an LPN stated the oxygen was set at a little over 2 liters and that oxygen administration should be signed out on the TAR.
Expired Medications Found in Medication Cart
Penalty
Summary
The facility failed to ensure medications were properly stored when expired medications were found in 1 of 7 medication storage areas, the 400 Hall Medication Cart. Review of facility policy stated that when a multidose vial seal is broken, it must be initialed and dated with an open date and expiration date, and that these vials expire 28 days after opening unless otherwise specified by the manufacturer; another policy stated to check the expiration date of each medication. During observation and interview at the 400 Hall Medication Cart, an opened vial of multidose Lispro insulin had an open date of 10/25/2025 and an expiration/discard date of 11/22/2025, and a bottle of Folic Acid 100 mg capsules had an expiration date of 11/2025. RN A acknowledged that expired medication should not be stored in the medication cart, and the DON stated that expired medication should not be on the medication cart.
Unsanitary Ice Machine Conditions
Penalty
Summary
The facility failed to maintain sanitary conditions in the storage, preparation, and serving of food, specifically concerning the ice machine. An observation in the Clean Utility Room on the 300 Hall revealed a black, slimy substance on the inside trim and inside edge of the ice machine, along with white residue running down the inside of the door. The facility's policy, dated 11/30/2022, mandates that ice should be maintained and served in a sanitary manner. However, the last recorded cleaning and sanitization of the ice machine by a contractor was on 4/15/2024, as per the Named Company's invoice. During interviews, the Dietary Supervisor confirmed the unsanitary condition of the ice machine, and the Maintenance Director acknowledged that the machine should be cleaned monthly and that such residues should not be present.
Unsecured Medications Found in Resident's Room
Penalty
Summary
The facility failed to ensure medications were properly stored and secured for a resident when medications were found unattended and unsecured in the resident's room. The facility's policy, dated 9/25/2024, mandates that all medications must be stored in locked compartments or under the direct observation of the person administering them. However, during an observation on 10/28/2024, two syringes filled with Heparin were found on a chair next to the resident's bed, unsecured and unattended. The resident, who was admitted with diagnoses including Osteomyelitis, Diabetes, and Anemia, was assessed as cognitively intact with a BIMS score of 14 and was receiving special treatments that included intravenous medications. Interviews conducted with RN A and the Director of Nursing confirmed that the medications should not have been left unattended at the bedside, indicating a breach in the facility's medication storage policy.
Infection Control Deficiencies in Medication Administration and Handling of Soiled Materials
Penalty
Summary
The facility failed to ensure proper infection control practices during medication administration and handling of soiled materials. Registered Nurse (RN) C was observed administering medications to residents without performing hand hygiene between glove changes. Specifically, RN C did not sanitize hands after removing gloves and before donning new gloves while administering eye drops and oral medications to Resident #29, and while accessing a Peripherally Inserted Central Catheter (PICC) line for Resident #227. Additionally, Certified Nurses Assistant (CNA) B was observed improperly handling a soiled brief by carrying it in her bare hand across the hallway to dispose of it, instead of placing it in a plastic bag as required by facility policy. The Director of Nursing confirmed that hand sanitization should always be performed after removing gloves and that soiled briefs should be bagged before being transported out of a resident's room.
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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 Parsons
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Westwood Nursing And Rehabilitation | 4.1 mi | ★★★★★ | 0 | 0 |
| Lexington Post Acute | 14.4 mi | ★★★★★ | 4 | 0 |
| Briarwood Community Living Center | 15.6 mi | ★★★★★ | 0 | 0 |
| Perry County Nursing Home | 15.9 mi | ★★★★★ | 14 | 0 |
| Life Care Center Of Bruceton-hollow Rock | 28.4 mi | ★★★★★ | 3 | 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.