Above average — CMS composite of the measures below.
The next survey window likely opens around December 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 Nhc Healthcare, Oakwood during CMS and state inspections, most recent first.
Failure to Maintain Required RN Coverage: The facility failed to ensure RN coverage for 8 consecutive hours a day, 7 days a week. Work In/Out records showed only 5 hours of RN coverage on one day and 7.5 hours on another, with no documentation of RN coverage for the remaining hours. The Staffing Coordinator could not provide proof of coverage, and the Administrator acknowledged the requirement and stated that the ADON, DON, and Staffing Coordinator were responsible for ensuring coverage.
Failure to provide dignity and privacy for a resident with an indwelling urinary catheter was identified when the resident, who had aphasia and severe cognitive impairment, was observed seated at a dining table with the catheter bag visible and no privacy cover. The DON/Administrator acknowledged that residents with catheters should have privacy bags and that lack of one in a common area could cause a dignity concern or embarrassment.
Failure to refund resident trust fund balances within 30 days of death for three residents. Facility policy and the admission/financial agreement stated that funds held in trust would be paid to the resident’s estate within 30 days of death or discharge, but account reviews showed remaining balances of $4,012.18, $1,948.00, and $573.91 after the residents expired. The BOM stated the facility held the funds until insurance balances were paid and that the checks were written later, while the Administrator confirmed the 30-day requirement.
A resident with a history of stroke and brain injury fell while trying to reach a urinal. Despite facility policy requiring a nurse's assessment before moving a resident after a fall, CNAs moved the resident back to bed before an assessment. The resident was later sent to the ER for evaluation and returned to the facility.
A resident with a history of a gunshot wound and related medical issues did not receive trauma-informed care as required by facility policy. Despite the resident's admission of nightmares and pain related to the trauma, the facility failed to incorporate this into the care plan. Interviews with staff revealed a lack of awareness and assessment of the resident's trauma history, leading to inadequate care planning.
A facility failed to implement Enhanced Barrier Precautions (EBP) for a resident with a stage 4 pressure ulcer. Despite the facility's policy requiring PPE during high-contact activities, an LPN and a nursing assistant did not wear gowns during a wound assessment, leading to contact with soiled linens and the wound area. The resident's care plan and physician orders did not reflect the need for EBP, and staff interviews confirmed the oversight.
Failure to Maintain Required RN Coverage
Penalty
Summary
The facility failed to ensure RN coverage for 8 consecutive hours a day, 7 days a week for 2 of 30 days reviewed. Based on the Work In/Out Report and interviews, the facility’s census was 51, and documentation did not show RN coverage for an 8 consecutive hour interval on 1/10/2026 or 1/11/2026. On 1/10/2026, RN A worked from 12:00 AM to 12:45 AM, and RN A and RN B worked from 7:00 PM to 12:00 AM, which provided 5 hours of RN coverage; the facility was unable to provide documentation of RN coverage between 12:46 AM and 6:59 PM. On 1/11/2026, RN A worked from 12:00 AM to 3:00 AM and 3:30 AM to 7:30 AM, and RN B worked from 12:45 AM to 7:15 AM and from 7:00 PM to 12:00 AM, which provided 7.5 hours of RN coverage; the facility was unable to provide documentation of RN coverage between 7:31 AM and 6:59 PM. During interviews, the Staffing Coordinator stated they were aware of the requirement to staff RN coverage 8 consecutive hours, 7 days a week, but was unable to provide documentation for the requested dates. The Administrator also stated that RN coverage should be available 8 consecutive hours, 7 days a week, that lack of RN coverage could result in medical concerns or missed medication doses, and that the ADON, DON, and Staffing Coordinator were responsible for ensuring RN coverage.
Failure to Provide Privacy for Urinary Catheter Bag
Penalty
Summary
The facility failed to provide care and services to promote dignity for Resident #39, who was admitted with diagnoses including aphasia, obstructive and reflux uropathy, and hypertensive heart and chronic kidney disease. The quarterly MDS assessment showed the resident scored a 5 on the BIMS, indicating severe cognitive impairment, and the resident was coded for use of an indwelling urinary catheter. A physician order dated 1/6/2026 directed indwelling catheter changes as needed for accidental removal or occlusion. Observations in the dining room on 1/20/2026 at 11:05 AM and 4:52 PM showed the resident seated in a high-back reclining wheelchair at the dining table for meal service with a urinary catheter bag secured to the wheelchair and dark yellow urine visible in the bag, without a privacy cover. During interview on 1/22/2026, the Administrator stated residents with indwelling urinary catheters should be provided a privacy bag to ensure dignity, that nurses are responsible for ensuring the bags are available, and that having no privacy bag in a common area could cause a dignity concern or embarrassment for the resident.
Failure to Refund Resident Trust Funds Within Required Timeframe
Penalty
Summary
The facility failed to refund resident trust fund balances within 30 days of death for 3 of 3 sampled residents reviewed for personal funds. Facility policy titled Patient Trust and the admission and financial agreement both stated that funds held in trust would be refunded within 30 days of death or discharge. Review of the records showed that Resident #64, who had diagnoses including dementia, adult failure to thrive, depression, and anxiety, expired at the facility with a remaining trust fund balance of $4,012.18. Resident #65, who had diagnoses including Alzheimer’s disease, anxiety, diabetes mellitus, and heart failure, also expired at the facility with a remaining balance of $1,948.00. Resident #66, who had diagnoses including dementia, epilepsy, and dysphagia, expired at the facility with a remaining trust fund balance of $573.91. The resident trust fund account reviews showed that the balances remained after death, and the facility did not refund the funds within the required 30-day timeframe. During interview, the BOM stated the facility held resident funds if insurance balances were pending and said the checks for these three residents were written after the last quarter statements were issued; the BOM also stated the refunds were going back to the state reimbursement program. The Administrator stated that resident trust fund balances should be refunded within 30 days of death or discharge.
Failure to Follow Accident Policy for Resident Fall
Penalty
Summary
The facility failed to adhere to its accident policy when a resident experienced an unobserved fall. The policy, titled 'INCIDENT AND ACCIDENT PROCESS,' mandates that an investigation into the incident should be conducted, and the patient should not be moved until an assessment is completed unless immediate treatment is necessary. However, in the case of Resident #31, who was admitted with diagnoses including Hemiplegia and Hemiparesis following a cerebral infarction, monocular vision loss, and a history of traumatic brain injury, this protocol was not followed. The resident, who had no cognitive impairment and was dependent on staff for transfers, fell while attempting to reach for a urinal on the floor. The resident was found face down with his left leg still in bed, and staff moved him back to bed before a nurse could assess him. The incident was documented in a Fall Scene Investigation Report and a Statement Form, which revealed that the resident complained of pain in the left shoulder and right side of the face and forehead. Despite the policy requiring a nurse's assessment before moving the resident, the CNAs moved Resident #31 back to bed, and the nursing staff only assessed him afterward. The Director of Nursing confirmed that the CNAs should not have moved the resident unless he was in immediate danger. The resident was subsequently sent to the emergency room for evaluation, where scans were performed and found to be nonremarkable, and he was returned to the facility.
Failure to Provide Trauma-Informed Care for Resident with Gunshot History
Penalty
Summary
The facility failed to provide trauma-informed care for one resident, identified as Resident #31, who had a significant history of trauma. The facility's policy on trauma-informed care emphasizes the importance of recognizing and addressing residents' trauma histories to prevent re-traumatization. However, the facility did not adhere to this policy, as evidenced by the lack of a care plan addressing Resident #31's traumatic experiences, despite his history of a gunshot wound and subsequent medical complications. Resident #31, a male with a history of a gunshot wound, craniotomy, and other related health issues, was admitted to the facility with diagnoses including hemiplegia, monocular vision loss, and a personal history of traumatic brain injury. Despite these significant events, the Social Service-Comprehensive assessment and the Annual MDS did not reflect any history of traumatic experiences. Interviews with the resident revealed that he experienced nightmares and pain related to the gunshot wound, indicating ongoing trauma-related issues that were not addressed in his care plan. Interviews with facility staff, including the Social Service Director and the MDS Coordinator, revealed a lack of awareness and assessment of Resident #31's trauma history. The Social Service Director admitted to not reviewing the resident's history and physical records thoroughly and acknowledged the importance of monitoring for post-traumatic stress disorder. The MDS Coordinator also recognized the traumatic nature of the resident's history but had not taken steps to incorporate this into the care planning process. This oversight resulted in a failure to provide appropriate trauma-informed care for Resident #31.
Failure to Implement Enhanced Barrier Precautions for Resident with Pressure Ulcer
Penalty
Summary
The facility failed to maintain infection prevention practices for a resident with a stage 4 pressure ulcer. The facility's policy on Enhanced Barrier Precautions (EBP) requires the use of personal protective equipment (PPE), including gowns and gloves, during high-contact activities to prevent the spread of multidrug-resistant organisms. However, during an observation, it was noted that an LPN and a nursing assistant did not wear the appropriate PPE while performing a wound assessment on the resident. The resident's care plan and physician orders did not reflect the need for EBP for the stage 4 pressure ulcer, despite the facility's policy indicating that such precautions should be in place for wounds. The resident, who was admitted with diagnoses including heart failure, hypertension, and a stage 4 pressure ulcer, required maximal assistance for activities of daily living. During the wound assessment, the nursing assistant and LPN failed to don PPE gowns, resulting in their uniforms coming into contact with the resident's soiled linens and the wound area. Interviews with the staff, including the MDS Coordinator and the Director of Nursing, confirmed that PPE should have been used according to the facility's policy. The deficiency was identified as a failure to adhere to the established infection control protocols, specifically regarding the use of EBP for the resident's pressure ulcer.
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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, Lewisburg | 0.5 mi | ★★★★★ | 7 | 0 |
| Magnolia Healthcare And Rehabilitation Center | 18.1 mi | ★★★★★ | 15 | 0 |
| Life Care Center Of Columbia | 18.4 mi | ★★★★★ | 0 | 0 |
| Nhc Healthcare, Columbia | 18.4 mi | ★★★★★ | 0 | 0 |
| Nhc-maury Regional Transitional Care Center | 18.9 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.