Below average — CMS composite of the measures below.
A standard survey is most likely before 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 Union City Health And Rehabilitation during CMS and state inspections, most recent first.
An LPN failed to perform hand hygiene when donning and doffing gloves and did not properly clean and disinfect a shared glucometer between uses on two residents. Surveyors observed the device being used on one resident, then reused for another resident without EPA-approved disinfection or a barrier on the med cart or overbed table, despite facility policy and the glucometer user guide requiring cleaning and disinfection between patients.
Unsecured sharps and a bottle of isopropyl alcohol were left unattended in resident rooms. A resident with dementia and moderate cognitive impairment had an uncapped razor in the bathroom, another resident with COPD, anxiety, and depression had multiple uncapped razors left in the room and bathroom, and a cognitively intact resident had a 16-oz bottle of 70% isopropyl alcohol on the nightstand. The DON and ADON confirmed the items should not have been left there.
The facility failed to ensure nurse competency for medication administration and glucometer cleaning. An LPN was observed performing Accu-Cheks for two residents without hand hygiene before gloves, without proper glucometer handling, and with inconsistent cleaning and storage of the device. Although the LPN's skills checklist showed competency, the DON later said she did not sign it and could not verify who did. The facility also could not provide medication administration observation audits for 28 of 32 nurses reviewed, and only 4 nurses had completed audits.
The facility failed to update the care plans for two residents to reflect their current medical needs, including the use of oxygen and the risk for UTIs, despite physician orders and observations confirming these conditions.
A resident with significant weight loss and multiple diagnoses, including Heart Failure and Chronic Kidney Disease, did not receive the recommended dietary supplement interventions. Despite the RD's recommendation to increase Twocal to 8 ounces three times a day, the facility failed to implement this, leading to continued weight loss.
The facility failed to ensure medications were labeled and stored appropriately in two medication storage areas. An unlabeled Hydrocodone pill was found in a cup in the 200 Hall Medication Cart, and a peach-colored pill was found lying on the floor near the East Hall nurses' station. The DON confirmed that controlled medications should be double-locked and that there should not be any medication on the floor.
Failure to Disinfect Shared Glucometer and Perform Hand Hygiene
Penalty
Summary
The facility failed to maintain infection prevention and control practices during blood glucose monitoring for two sampled residents. Surveyors observed an LPN remove a multi-use glucometer from the medication cart, place it on the cart without cleaning it or using a barrier, don gloves without performing hand hygiene, and enter a resident room to obtain a blood glucose reading. After the fingerstick, the LPN removed gloves without performing hand hygiene, handled the glucometer with a bare hand, and returned it to the medication cart and then into the drawer without cleaning or disinfecting it. One resident involved had diagnoses including Type 2 diabetes mellitus and malignant neoplasm of the bladder, with orders for sliding-scale Humalog insulin and Lantus. The resident’s MDS showed moderate cognitive impairment. During observation, the LPN used the facility glucometer for this resident after first using it for another resident, and the device was not disinfected with an EPA-approved disinfecting wipe before or after use as described in the facility policy and the device user’s guide. The second resident had diagnoses including Type 2 diabetes mellitus, diabetic neuropathy, and chronic viral hepatitis C, with orders for sliding-scale Aspart insulin and Lantus. The resident’s MDS showed cognitive intactness. Surveyors observed the same glucometer being used for this resident shortly after it had been used for the other resident. The LPN cleaned the glucometer with an alcohol prep pad rather than following the facility’s stated disinfection process, placed it on the medication cart without a barrier, and again failed to perform hand hygiene when donning and doffing gloves as observed by surveyors.
Unsecured sharps and alcohol left in resident rooms
Penalty
Summary
The facility failed to provide an environment free from accident hazards for 3 of 72 residents when unsecured sharps and a hazardous chemical were left unattended in resident rooms. The facility policies reviewed stated that resident personal property must be kept in a way that does not infringe on the rights or health and safety of other residents, and that chemicals and other hazardous materials are to be kept locked or secured. There were 7 residents with wandering behaviors in the facility. Resident #42 had diagnoses including Cognitive Communication Deficit and Dementia, and a BIMS score of 9 indicating moderately impaired cognition. On observation, one uncapped disposable razor was found on the back of the sink in the resident’s bathroom and remained unsecured and unattended during repeated observations. Resident #60 had diagnoses including Chronic Obstructive Pulmonary Disease, Anxiety, and Depression, with a BIMS score of 12 indicating moderate cognitive impairment. Multiple uncapped disposable razors were observed unsecured in the resident’s bathroom and room, including razors in a basin and on the back of the paper towel dispenser. Resident #51 had diagnoses including Hypertension and Depression, with a BIMS score of 13 indicating cognitive intactness, and one 16-ounce bottle of 70% isopropyl alcohol was observed sitting on the resident’s nightstand unsecured and unattended.
Incomplete Nurse Competency and Medication Administration Observation Audits
Penalty
Summary
The facility failed to ensure that licensed nurses independently demonstrated competency while providing care and services for residents. Review of facility policies showed that the facility was required to ensure licensed nurses had the competencies and skill sets necessary to care for residents' needs, and the LPN job description required nurses to prepare and administer medications and be knowledgeable of nursing and medical practices and procedures. Although LPN A's new hire and annual skills checklist showed medication administration and infection control were completed and signed by the DON, the DON later stated she did not sign the checklist and could not verify who completed it. The DON also confirmed there were no in-services or orientation skills check-offs for LPN A related to glucometer cleaning. During medication administration observations, LPN A removed a glucometer from the medication cart, donned gloves without performing hand hygiene, entered Resident #48's room, performed an Accu-Chek, and returned the glucometer to the top of the cart without a barrier and without cleaning it or performing hand hygiene. Later, LPN A cleaned the glucometer with an alcohol pad, placed it on top of the medication cart to dry without a barrier, entered Resident #6's room, performed another Accu-Chek, then cleaned the glucometer again and placed it inside the medication cart drawer. The facility's 2025 Medication Administration Observation records showed only 4 nurses had completed audits, and the facility could not provide medication administration observation audits for 28 of 32 nurses reviewed, including the DON. The DON stated that having medication observation audits completed on only four nurses was not adequate for the total number of nurses employed.
Failure to Revise Comprehensive Care Plans
Penalty
Summary
The facility failed to revise the comprehensive care plan for two residents to reflect their current medical status. Resident #21, who was admitted with diagnoses including Cardiorespiratory Conditions, Heart Failure, End Stage Renal Disease, and Respiratory Failure, was observed using oxygen. However, the care plan did not document the use of oxygen, despite physician orders and multiple observations confirming its use. The Director of Nursing confirmed that oxygen should have been included in the care plan. Resident #51, admitted with Alzheimer's Disease, Hypertension, Hyperlipidemia, Vitamin D Deficiency, Gout, and Dementia, had a history of urinary tract infections (UTIs) and was receiving antibiotics for treatment. Despite this, the care plan did not address the resident's risk for UTIs. The MDS Coordinator confirmed that the care plan should have included this risk, given the resident's recent antibiotic treatments for UTIs.
Failure to Implement RD's Nutritional Recommendations
Penalty
Summary
The facility failed to accurately assess the nutritional status and follow the Registered Dietician's (RD) recommendations for a resident with significant weight loss. Resident #24, who had diagnoses including Heart Failure, Chronic Kidney Disease, Diabetes, and Malignant Neoplasm of Bone and Kidney Disease, experienced a significant weight loss of 15.93% over 30 days. Despite the RD's recommendation to increase the dietary supplement Twocal to 8 ounces three times a day, the facility did not implement this intervention. The medical record review revealed no documentation or physician order for the RD's recommendation, and the resident's weight loss was not adequately addressed. Interviews with the RD and the Director of Nursing (DON) confirmed that the RD's recommendations were not followed. The RD acknowledged the oversight, noting the resident's poor appetite due to carcinoma of the bone and kidney. The DON admitted that the facility did not follow the RD's recommendations for addressing the resident's weight loss, despite recognizing the importance of doing so. This failure to implement the recommended nutritional interventions contributed to the resident's continued weight loss and compromised nutritional status.
Medication Labeling and Storage Deficiencies
Penalty
Summary
The facility failed to ensure medications were labeled and stored appropriately in two of six medication storage areas. Specifically, an unlabeled Hydrocodone pill was found in a cup in the top drawer of the 200 Hall Medication Cart. The Licensed Practical Nurse (LPN) confirmed that the medication was intended for a resident but was not properly labeled or secured. Additionally, the narcotic count for the resident's Hydrocodone did not match the recorded count, indicating a discrepancy. The Director of Nursing (DON) confirmed that controlled medications should be stored under a double lock and that the narcotic count should match the recorded count. In another instance, a peach-colored pill was found lying unsecured and unattended on the floor near the East Hall nurses' station. The DON confirmed that there should not be any medication on the floor. These observations indicate a failure to adhere to the facility's policies on medication administration and storage, particularly for controlled substances, which require double locking and accurate record-keeping.
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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 Union City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Waters Of Union City , Llc | 0.2 mi | ★★★★★ | 4 | 0 |
| Obion County Nursing Home | 5 mi | ★★★★★ | 3 | 0 |
| Vanayer Senior Living And Rehabilitation | 10.7 mi | ★★★★★ | 4 | 0 |
| Fulton Nursing And Rehabilitation, Llc | 10.9 mi | ★★★★★ | 0 | 0 |
| Diversicare Of Martin | 10.9 mi | ★★★★★ | 0 | 0 |
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