Average — CMS composite of the measures below.
The next survey window likely opens around March 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 Perry County Nursing Home during CMS and state inspections, most recent first.
Incomplete Smoking Assessments for Tobacco-Using Residents: The facility failed to complete smoking assessments with each quarterly or comprehensive MDS for several residents who used tobacco. Records showed that residents with diagnoses including HTN, AKF, dysphagia, epilepsy, heart disease, nicotine dependence, MDD, anxiety, COPD, and DM2 had prior smoking evaluations, but later quarterly MDS assessments either did not assess tobacco use or lacked updated smoking documentation. The DON stated smoking assessments should be completed on admit, quarterly, and with a change of condition.
The facility failed to maintain sanitary food storage conditions, with a kitchen vent hood covered in dust and grease, and nourishment refrigerators containing dead pests and improperly labeled or expired food items. The Certified Dietary Manager was unsure of the cleaning schedule, and the DON confirmed the improper storage practices.
A long-term care facility was found deficient in infection control practices. A CNA provided perineal care without PPE to a resident with an open lesion and catheter. Another CNA exited a room wearing PPE and failed to perform hand hygiene after removing it. A Wound Nurse did not wash hands between glove changes during wound care for a resident with a pressure ulcer. The DON confirmed the need for proper hand hygiene and PPE use.
The facility did not review resident rights during council meetings for five cognitively intact residents, despite policy requirements. The residents, who had various medical conditions, expressed concerns about this oversight, which was confirmed by the Activity Director.
A facility failed to report an incident of resident-to-resident abuse in which a cognitively intact resident reported being hit by another resident with a history of mental health issues. Despite the facility's policy requiring such incidents to be reported to authorities, the altercation was not reported within the required timeframe, and the Administrator had not fully investigated the incident.
The facility failed to investigate an allegation of resident-to-resident abuse involving two residents. Despite the facility's policy requiring immediate investigation and reporting, the incident was not reported to the administrator until several days later. A CNA was aware of the altercation but did not report it, leading to a delay in investigation. One resident was moderately cognitively impaired, while the other was cognitively intact.
A resident with multiple diagnoses developed a pressure ulcer that was incorrectly staged as Stage 3 despite being 90% covered with slough, making it unstageable. The facility failed to notify the responsible party of the wound's deterioration, contrary to its policy requiring timely communication of significant changes in resident status.
The facility failed to secure hazardous items, leaving sharps and personal care products accessible in resident rooms and an unsecured shower room. A resident with cognitive impairment had mouthwash left unattended, while another resident's room contained nail clippers and aerosol spray. The shower room was found open with razors and other hazardous items accessible. Staff confirmed these items should have been secured.
The facility failed to ensure proper labeling of enteral feeding and flush bags for two residents with PEG tubes. Both residents, who were severely cognitively impaired and dependent on staff for care, had unlabeled feeding and flush bags in their rooms. The DON confirmed that labeling with the resident's name, date, formula, and time is required.
The facility failed to follow physician orders for oxygen administration and did not maintain clean oxygen concentrators for two residents. One resident received oxygen at 3L/min instead of the ordered 2L/min, and their concentrator was dusty. Another resident received oxygen at 4L/min instead of the ordered 2L/min. The DON confirmed the discrepancies and was unsure about cleaning responsibilities.
The facility failed to properly store and secure medications, as an LPN left eye drops unattended in a resident's room, and another resident with severe cognitive impairment had unsecured antacids in their bathroom. Both incidents were confirmed by staff, highlighting a breach in medication security protocols.
Incomplete Smoking Assessments for Tobacco-Using Residents
Penalty
Summary
The facility failed to complete smoking assessments for residents who used tobacco with each quarterly or comprehensive MDS assessment. Facility policy titled, Resident Smoking, stated that all residents would be asked about tobacco use during admission and during each quarterly or comprehensive MDS assessment, and that residents who smoke would be further assessed using the Resident Safe Smoking Assessment to determine whether supervision was required or whether the resident was safe to smoke at all. The facility list of resident tobacco users identified 15 residents who smoked, 7 who vaped, and 2 who dipped or chewed. Review of the records for four sampled residents showed missing or incomplete smoking assessments after prior completed evaluations. Resident #16 had diagnoses including hypertension, acute kidney failure, dysphagia, and epilepsy; a smoking safety evaluation on 3/21/2025 indicated tobacco use and that supervision would be required during designated smoking times, but no later smoking evaluations or assessments were provided. Resident #25 had diagnoses including heart disease, nicotine dependence, major depressive disorder, cognitive communication deficit, and generalized anxiety; the last smoking assessment provided was 3/29/2024, and later quarterly MDS assessments noted tobacco use but did not include smoking assessment documentation. Resident #37 had diagnoses including essential hypertension, tobacco use, and COPD; a smoking safety evaluation on 12/19/2025 indicated tobacco use, but no later smoking evaluations or assessments were provided. Resident #65 had diagnoses including major depressive disorder, generalized anxiety disorder, nicotine dependence, and type 2 diabetes. Smoking assessment tools were completed on 3/28/2024, 3/29/2025, and 3/26/2026, but the facility was unable to provide quarterly smoking evaluations and/or assessments between those dates, and quarterly MDS assessments did not assess tobacco use. The DON stated that smoking assessments should be completed on admission, quarterly, and with a change of condition, and stated that not having an up-to-date smoking assessment could create an opportunity for risk.
Unsanitary Food Storage Conditions in Facility
Penalty
Summary
The facility failed to ensure food was stored under sanitary conditions, as observed in multiple areas. In the kitchen, the vent hood above the stove was found to have a buildup of dust and grease, indicating a lack of regular cleaning. The Certified Dietary Manager was unable to confirm the frequency of cleaning or identify who was responsible for this task. This lack of clarity and oversight contributed to the unsanitary conditions observed. Additionally, the nourishment refrigerators in the West Hall, North Hall, and East Hall were found to contain dead pests, such as gnats, and various food items that were opened, undated, unlabeled, and expired. These included items like ketchup, ranch dressing, a breakfast sandwich, and a Jell-O cup, among others. The East Hall refrigerator also lacked a thermometer, which is essential for monitoring proper storage temperatures. The Director of Nursing confirmed that food items should not be stored in such conditions, highlighting a failure in maintaining food safety standards.
Infection Control Deficiencies in LTC Facility
Penalty
Summary
The facility failed to maintain infection prevention and control practices, as evidenced by several observations involving staff members. A Certified Nursing Assistant (CNA) was observed administering perineal care to a resident with an open lesion and an indwelling urinary catheter without using Personal Protective Equipment (PPE). This resident, who was severely cognitively impaired, required enhanced barrier precautions due to their medical conditions, including impaired skin integrity and the presence of an indwelling catheter. Another incident involved a CNA who exited a resident's room while still wearing PPE to retrieve a urinal, and upon returning, removed the PPE without performing hand hygiene. This CNA, along with another, assisted the resident to a wheelchair and proceeded to weigh the resident without washing or sanitizing their hands after removing PPE. This resident also had significant medical needs, including severe cognitive impairment and reliance on staff for activities of daily living. Additionally, the Wound Nurse was observed failing to perform hand hygiene between glove changes during wound care for a resident with a Stage 3 pressure ulcer. The nurse changed gloves multiple times without washing or sanitizing hands, which is against the facility's hand hygiene policy. The Director of Nursing confirmed that staff should perform hand hygiene after removing gloves and before donning new ones, and that PPE should not be worn outside of resident rooms.
Failure to Review Resident Rights During Council Meetings
Penalty
Summary
The facility failed to ensure that resident rights were reviewed during resident council meetings for five residents who were in attendance. The facility's policy, dated September 2024, mandates that residents be informed of their rights both orally and in writing in a language they understand. However, a review of the Resident Council Minutes from August 2024 through November 2024 revealed no documentation that resident rights had been reviewed with the residents during these meetings. This oversight was confirmed during an interview with the Activity Director, who acknowledged that resident rights were not reviewed during the council meetings. The deficiency involved five residents, all of whom were cognitively intact as indicated by their BIMS scores of 15. These residents had various medical conditions, including Chronic Obstructive Pulmonary Disease, Anemia, Anxiety, Kidney Failure, Parkinsonism, Dysphagia, Atrial Fibrillation, Heart Failure, Depression, and Diabetes. During a resident council meeting, these residents expressed concerns about the lack of review of their rights, highlighting a gap in the facility's adherence to its own policy regarding resident rights communication.
Failure to Report Resident-to-Resident Abuse
Penalty
Summary
The facility failed to report an allegation of resident-to-resident abuse involving two residents. According to the facility's policy on abuse, neglect, and exploitation, any suspected abuse must be reported to the State Agency and the local Ombudsman office. However, the facility did not adhere to this policy. Resident #32 reported that Resident #18 followed him into the bathroom and began hitting him on the head. Despite Resident #32 informing a nurse about the incident, the facility did not report the altercation within the required 24-hour timeframe. Resident #18, who has a history of paranoid schizophrenia and other mental health issues, was moderately cognitively impaired at the time of the incident. Resident #32, who is cognitively intact, confirmed the physical altercation during an interview with the survey team. The Administrator was informed of the incident by the survey team and acknowledged the date of the incident. However, the Administrator had not spoken with the nurse assigned to Resident #32 and initially reported that there was no physical contact. The facility lacked documentation to confirm that the incident was reported as required, leading to a deficiency in reporting suspected abuse.
Failure to Investigate Resident-to-Resident Abuse
Penalty
Summary
The facility failed to investigate an allegation of resident-to-resident abuse involving two residents. According to the facility's policy on abuse, neglect, and exploitation, any suspicions or reports of abuse require an immediate investigation, which includes obtaining witness statements and reporting the incident to the facility administrator and the State Survey Agency within two hours. However, the facility did not adhere to this policy. The incident occurred on 11/26/2024, but the administrator was not notified until 12/9/2024, indicating a significant delay in reporting and investigating the incident. Resident #18, who was moderately cognitively impaired with a BIMS score of 10, and Resident #32, who was cognitively intact with a BIMS score of 15, were involved in the altercation. Despite the awareness of a Certified Nursing Assistant (CNA) about the incident, it was not reported to the charge nurse or the abuse coordinator, leading to a failure in timely and thorough investigation. The facility's inaction in addressing the incident promptly and according to policy resulted in a deficiency in handling allegations of abuse.
Failure to Properly Stage Pressure Ulcer and Notify Responsible Parties
Penalty
Summary
The facility failed to correctly identify and stage a pressure ulcer for a resident, leading to a deficiency in care. The resident, who was admitted with diagnoses including Alzheimer's Disease, Parkinson's Disease, Osteoarthritis, Dementia, and Hemiplegia/Hemiparesis, developed a pressure ulcer that was initially documented as a Stage 2 on the right buttock. However, subsequent evaluations revealed a decline to a Stage 3 pressure ulcer on the coccyx, with significant slough covering the wound bed, making it unstageable. Despite this, the wound was incorrectly documented as Stage 3, and the responsible party was not notified of the change in the wound's status. The facility's policy required timely notification of significant changes in a resident's condition to the medical staff and family, which was not adhered to in this case. The Wound Nurse confirmed that the wound was 90% covered with slough, obscuring the wound bed and preventing accurate depth measurement, which should have led to the wound being classified as unstageable. The failure to notify the physician and family representative of the wound's deterioration and the incorrect staging of the wound were confirmed during interviews with the Wound Nurse and Wound Care Specialist.
Failure to Secure Hazardous Items in Resident Rooms and Shower Room
Penalty
Summary
The facility failed to ensure residents were free from accident hazards, as evidenced by the presence of sharps and hazardous personal items in resident-occupied rooms and an unsecured shower room. In Resident #19's room, a plastic basket on the bedside table contained an 18 oz container of mouthwash, a pair of silver nail clippers, and a 4 oz can of aerosol body spray. Resident #19, who was cognitively intact but required assistance for daily living activities, was exposed to these hazards. Similarly, Resident #56, who was severely cognitively impaired and required assistance with activities of daily living, had a large 32-ounce bottle of mouthwash left unattended on the bathroom sink. Additionally, the East Hall Shower Room was found unsecured and unattended, with the door and storage cabinet left open. This allowed access to hazardous items, including disposable razors, aerosol spray deodorant, shaving cream, aerosol hair spray, and shampoo. Interviews with staff, including LPNs and the Maintenance Director, confirmed that these items should have been secured, and the shower room should have been locked at all times. The Director of Nursing also confirmed that all sharps and hazardous items should not be left unattended and unsecured in residents' rooms.
Failure to Label Enteral Feeding and Flush Bags
Penalty
Summary
The facility failed to provide proper care and services for residents with percutaneous endoscopic gastrostomy (PEG) tubes by not ensuring that enteral feeding and flush solutions were properly labeled. Resident #51, who was admitted with diagnoses including Dementia, Dysphagia, and Anorexia, was dependent on staff for all care and required tube feeding due to inadequate oral intake and a history of weight loss. Observations revealed that the enteral feeding bag and automatic flush water bag in Resident #51's room were not labeled with the date, rate of delivery, or staff initials, which was confirmed by the Director of Nursing (DON) as a requirement. Similarly, Resident #59, who was admitted with diagnoses including Senile Degeneration, Bipolar Disorder, and Dementia, was also dependent on staff for eating and required tube feeding due to swallowing problems and weight loss. Observations in Resident #59's room showed that the enteral feeding and flush bags were not labeled with the resident's name, date, time, or staff initials. The DON confirmed that staff should label the bags with the resident's name, date, formula, and the time it was hung. The facility's failure to ensure proper labeling of enteral feeding and flush bags for these residents was identified as a deficiency.
Failure to Follow Oxygen Orders and Maintain Equipment Cleanliness
Penalty
Summary
The facility failed to adhere to physician orders for oxygen administration and did not ensure the cleanliness of oxygen concentrators for two residents. Resident #29, who was admitted with chronic respiratory failure, asthma, tracheostomy status, and congestive heart failure, was observed receiving oxygen at 3L/min through a tracheostomy collar, contrary to the physician's order of 2L/min. Additionally, the oxygen concentrator in Resident #29's room was found to be dusty and covered with white residue. The Director of Nursing (DON) confirmed the incorrect oxygen setting and was unsure about the responsibility for cleaning the concentrators and filters. Resident #40, admitted with pneumonia and dependent on supplemental oxygen, was observed receiving oxygen at 4L/min, despite the physician's order for 2L/min. This discrepancy was confirmed by LPN G during an observation. The DON acknowledged that staff should follow physician orders for oxygen use. These findings indicate a failure in following prescribed oxygen therapy protocols and maintaining equipment cleanliness, as per the facility's policy.
Medication Storage and Security Deficiency
Penalty
Summary
The facility failed to ensure medications were properly stored and secured, as evidenced by two separate incidents involving medication administration and storage. During a medication pass, an LPN left eye drops unsecured and unattended on a resident's over-the-bed table while exiting the room to obtain gloves. The resident, who had moderate cognitive impairment and required assistance with daily living activities, was left with the medication unattended until the LPN returned to administer the eye drops. In another incident, a resident with severe cognitive impairment and confusion was found to have an open, undated, and unsecured bottle of antacids on the bathroom sink in their room. The resident was not capable of self-administering medication, and the presence of the unsecured medication was confirmed by two LPNs and the Director of Nursing, all of whom acknowledged that medications should not be left unattended in 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 Linden
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Decatur County Healthcare | 15.9 mi | ★★★★★ | 2 | 0 |
| Westwood Nursing And Rehabilitation | 16.2 mi | ★★★★★ | 0 | 0 |
| Waynesboro Post Acute & Rehabilitation | 20.8 mi | ★★★★★ | 4 | 0 |
| Life Care Center Of Centerville | 24.1 mi | ★★★★★ | 0 | 0 |
| Lewis Park Post Acute | 27.7 mi | ★★★★★ | 14 | 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.