Below 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 Nhc Healthcare, Lewisburg during CMS and state inspections, most recent first.
An LPN pre-poured and stored loose, unlabeled pills in medication cups inside the med cart for multiple residents instead of administering them at the time they were prepared. The LPN also worked on two residents’ medications at the same time while switching between screens. Other nursing staff and the DON stated this practice was not acceptable and was inconsistent with facility policy and accepted nursing standards.
Failure to assess a resident before allowing self-administration of medications. A resident with intact cognition and multiple scheduled oral meds had a medication cup left at the bedside with loose pills, even though there was no physician order, self-administration assessment, or care plan authorizing bedside storage. The resident said the nurse left the meds there because it was preferred, and the LPN confirmed the resident had not been assessed for safe self-administration.
MDS assessments were not coded accurately for two residents with positive PASRR Level II determinations. One resident had multiple psychiatric and neurologic diagnoses, and another had bipolar disorder; both had notices showing special services were needed, but their MDS assessments stated they were not currently considered by the state PASRR process to have a serious mental illness, ID, or related condition. Staff interviews confirmed the PASRR status should have been coded on the MDS.
Pre-poured and Unlabeled Medications Stored in Medication Cart
Penalty
Summary
The nursing facility failed to ensure nursing staff did not pre-pour and store medications in advance of administration for 10 of 24 residents receiving medications from the 200 Hall medication cart. Facility policy stated medications are to remain in the pharmacy-labeled container and are to be administered at the time they are prepared, with no pre-pouring in advance of the med pass or for more than one resident at a time. During observation, an LPN was seen scanning medications, opening packaging, and pouring loose pills into transparent plastic cups, then writing residents’ names on the cups and placing them back into the medication cart drawer. The medication cart contained multiple cups with loose, unlabeled medications, including pills prepared for several residents. The LPN stated she pre-poured the medications, labeled the cups, stored them in the cart, and gave them when residents became available, and she said she was not sure whether preparing medications ahead of administration was good practice. She also stated she was working on two residents at the same time and continued pulling medications for both simultaneously while switching between screens. Other nursing staff and leadership stated that pre-pouring medications, keeping loose pills in the cart, and preparing medications for more than one resident at a time was not acceptable and was inconsistent with facility policy and accepted nursing standards.
Failure to Assess Resident Before Leaving Medications at Bedside
Penalty
Summary
The facility failed to ensure that a resident who was self-administering medications had been assessed for the capability to do so. Resident #53 was admitted with diagnoses including hypertensive heart disease with heart failure, major depressive disorder, and chronic atrial fibrillation. The resident's annual MDS showed a BIMS score of 15, indicating intact cognition. The resident had physician orders for multiple scheduled oral medications at 8:00 A.M., including allopurinol, Bystolic with instructions to check pulse and blood pressure before administration, Cardizem, Eliquis, famotidine, potassium chloride, gabapentin, Lasix, loratadine, and vitamin D3. However, there was no physician order authorizing self-administration or bedside storage, and the resident's record did not contain a self-administration assessment or care plan for medication self-administration. During observation, a medication cup labeled with the resident's name was found at the bedside containing seven loose pills, and the resident stated the nurse had left the medications there for self-administration because that was preferred. The LPN who left the medications at the bedside stated the resident was alert and able, but had not been assessed for safe self-administration and there were no physician orders permitting bedside medications. Other staff stated medications may only be left at the bedside after assessment and authorization, and the DON and Administrator confirmed the resident had not been assessed and that the nurse had not followed the facility's self-administration policy.
MDS assessments not coded accurately for PASRR Level II status
Penalty
Summary
The facility failed to accurately complete MDS assessments for two residents by not coding their PASRR Level II status correctly. Resident #7 was admitted with diagnoses including spina bifida with hydrocephalus, bipolar disorder, panic disorder, borderline personality disorder, and PTSD. The resident’s Notice of PASRR Level II Outcome Nursing Home Approval showed a Level II PASRR evaluation with a determination that special services were needed for mental health, intellectual disability, or a related condition, but the admission MDS with an ARD of 12/03/2025 indicated the resident was not currently considered by the state Level II PASRR process to have a serious mental illness, intellectual disability, or related condition. Resident #50 was admitted with a diagnosis of bipolar disorder and also had a Notice of PASRR Level II Outcome Nursing Home Approval showing a Level II PASRR evaluation and a determination that special services were needed. However, the annual MDS with an ARD of 11/24/2025 likewise indicated the resident was not currently considered by the state Level II PASRR process to have a serious mental illness, intellectual disability, or related condition. Interviews with the DSS, MDS Coordinator, DON, and Administrator confirmed that both residents had positive Level II PASRR status and that the MDS should have been coded accordingly.
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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 Lewisburg
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Nhc Healthcare, Oakwood | 0.5 mi | ★★★★★ | 7 | 0 |
| Magnolia Healthcare And Rehabilitation Center | 17.6 mi | ★★★★★ | 15 | 0 |
| Life Care Center Of Columbia | 17.9 mi | ★★★★★ | 0 | 0 |
| Nhc Healthcare, Columbia | 18 mi | ★★★★★ | 0 | 0 |
| Nhc-maury Regional Transitional Care Center | 18.4 mi | ★★★★★ | 0 | 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.