Above average — CMS composite of the measures below.
A standard survey is most likely before around August 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 Overton County Health And Rehab Center during CMS and state inspections, most recent first.
The facility did not document advance directives education or the decisions regarding advance directives for several residents, despite varying cognitive statuses and complex medical histories. The Social Services Director confirmed that there was no record in the medical files to show that residents or their representatives received information or made decisions about advance care planning, living wills, or power of attorney, as required by facility policy.
A resident with multiple medical conditions was discharged home with family and home health services, but the MDS discharge assessment was inaccurately coded as a discharge to a hospital. Facility staff confirmed the error, which resulted in the discharge status not being accurately documented.
An LPN left a medication cart unattended with a laptop displaying residents' electronic medical records and an open narcotic record book during medication administration, making sensitive health information visible. The LPN was unaware of the need to fully secure these records or use electronic safeguards, and this failure was confirmed by the DON and Administrator. The residents affected had a range of medical and cognitive conditions.
Failure to Document Advance Directives Education and Resident Decisions
Penalty
Summary
The facility failed to document advance directives education and the decisions regarding advance directives for seven residents, as required by its own policy. The policy states that upon or prior to admission, the social services director or designee must inquire about the existence of any written advance directives, provide written information to the resident or representative, and ensure that information about whether or not the resident has executed an advance directive is displayed prominently in the medical record. However, for all seven residents reviewed, there was no written documentation that advance directive education was discussed or provided, nor was there any record of the residents' decisions regarding advance care planning, living wills, or power of attorney. The residents involved had a range of medical conditions, including schizoaffective disorder, mood disorder, psychotic disorder, dementia, chronic kidney disease, Parkinson's disease, obstructive and reflux uropathy, atrial fibrillation, depression, stroke, hypertension, diabetes, cancer, and fractures. Their cognitive status varied, with some residents being cognitively intact and others having moderate to severe cognitive impairment, as indicated by their BIMS scores. Despite these differences, the lack of documentation was consistent across all cases reviewed. During a record review and interview, the Social Services Director confirmed that there was no documentation in the medical records to indicate that the residents had received and understood advance directive education or that their decisions regarding advance directives had been recorded. This failure was identified through facility policy review, medical record review, and staff interview, and affected all seven residents reviewed for advance directives.
Inaccurate Discharge Status Assessment on MDS
Penalty
Summary
The facility failed to accurately assess and document the discharge status of a resident as required by the Resident Assessment Instrument (RAI) Manual. The resident, who had diagnoses including orthopedic aftercare, hypertension, atrial fibrillation, and a right artificial knee, was admitted to the facility and had a care plan indicating a potential discharge to a lower level of care. The resident was cognitively intact, as evidenced by a Brief Interview for Mental Status (BIMS) score of 14. Despite multiple records, including social services and discharge summary notes, indicating that the resident was discharged home with family and home health services, the Minimum Data Set (MDS) discharge assessment inaccurately coded the resident as being discharged to a short-term general hospital. Both the facility administrator and the MDS/LPN confirmed during interviews that the MDS discharge assessment was incorrect and did not reflect the actual discharge destination.
Failure to Secure Resident Health Information During Medication Administration
Penalty
Summary
The facility failed to secure resident-identifiable information during medication administration for three residents. During medication passes, an LPN left a medication cart unattended with a laptop displaying residents' electronic medical records and a narcotic record book open, making sensitive health information visible. The LPN was observed leaving the cart multiple times with the laptop screen partially open and the narcotic record book not fully closed, exposing residents' medical and prescription information. The LPN was unaware that these actions left protected health information accessible and did not know how to use the electronic medical record system safeguards intended to protect this information. The residents involved had various diagnoses, including Tourette's Disorder, Type 2 Diabetes, Mood Disorder, Seizures, Parkinson's Disease, Depression, Adjustment Disorder, Pain, Schizophrenia, Anxiety, and Bipolar Disorder, with cognitive assessments ranging from severe impairment to cognitively intact. Interviews with the LPN, DON, and Administrator confirmed that the facility failed to secure resident medical information during medication administration, contrary to facility policy and accepted professional standards.
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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
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Livingston
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Celina Health And Rehabilitation Center | 14.6 mi | ★★★★★ | 7 | 0 |
| Signature Healthcare Of Putnam County | 15.2 mi | ★★★★★ | 0 | 0 |
| Standing Stone Care And Rehab | 16.4 mi | ★★★★★ | 0 | 0 |
| Pickett Care And Rehabilitation Center | 16.9 mi | ★★★★★ | 0 | 0 |
| Grandview Post Acute | 17.8 mi | ★★★★★ | 2 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.