Average — CMS composite of the measures below.
The next survey window likely opens around October 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 Vanayer Senior Living And Rehabilitation during CMS and state inspections, most recent first.
A resident with pneumonia, chronic respiratory failure, and lung cancer was ordered SVN treatments to be administered by clinician, but the facility could not provide a self-administration assessment. During observation, the resident was in bed wearing a nebulizer mask with the machine on and no staff present, and the DON confirmed a nurse should have been present if the resident had not been assessed for self-administration.
Failure to implement fall-prevention care plan interventions for a resident with severe cognitive impairment, a wheelchair, and a history of multiple falls. The care plan included dycem in the geri chair, anti-roll backs on the w/c, and nonskid socks, but observations showed the resident in socks without grippers, no shoes, and a w/c without anti-roll back wheels; the DON and ADON confirmed the interventions should have been in place.
A resident with dementia, dysphasia, and a PEG tube had enteral feeding documentation that did not match the physician’s order. The order specified Jevity 1.5 at 50 ml/hr, but progress notes repeatedly recorded 65 ml/hr, and the DON confirmed this would be inaccurate documentation.
Infection control practices were not maintained during wound care and dining. An LPN failed to perform hand hygiene between glove changes while providing wound care to a resident with severe cognitive impairment and pressure ulcers, and a CNA handled a resident’s ice cream sandwich with bare hands before placing it back on the tray. The DON stated hand hygiene should occur between glove changes and that resident food should not be handled with ungloved bare hands.
A resident with significant mobility deficits and recent illness was left unsupervised on her side during incontinence care by a CNA, who turned away to retrieve supplies. The resident, who was dependent on staff for bed mobility and at high risk for falls, slid off an alternating pressure mattress and sustained multiple lower extremity fractures. The CNA had not reviewed the care plan or received a shift report, and was unaware of the resident's increased weakness. This failure to provide adequate supervision and assistance resulted in actual harm.
A medication inhaler was found unsecured on a resident's bed, despite facility policy requiring all drugs to be properly stored and not left unattended. The resident was not assessed or care planned for self-administration, and the DON confirmed that medications should not be left in resident rooms. The unsecured medication was accessible and could have affected other wandering residents.
Nebulizer Treatment Self-Administered Without Required Staff Supervision
Penalty
Summary
The facility failed to ensure that resident medication was administered as ordered when a resident self-administered a nebulizer treatment without staff present. The resident was admitted with diagnoses including pneumonia, chronic respiratory failure, and malignant neoplasm of the bronchus and lung. The care plan directed staff to administer small-volume nebulization as ordered, and the physician's order specified ipratropium-albuterol inhalation solution, 1 vial every 6 hours while awake, to be administered by clinician. The facility was unable to provide documentation that a self-administration assessment had been completed for the resident. During a random observation in the resident's room, the resident was lying in bed wearing a nebulizer mask with the nebulizer machine on and no staff present to monitor the medication administration. When asked whether a nurse should be present during a nebulizer treatment if the resident had not been assessed for self-administration of medications, the DON stated yes.
Failure to Implement Fall-Prevention Care Plan Interventions
Penalty
Summary
The facility failed to implement care plan interventions for Resident #3, a resident admitted with diagnoses including Cerebral Infarction, Dementia, and Osteoarthritis. The quarterly MDS showed a BIMS score of 3, indicating severe cognitive impairment, and that the resident used a wheelchair, was dependent on staff for ADLs, and had one fall with injury. The care plan dated 1/2/2025 documented multiple falls, including falls on 1/31/2025, 2/2/2025, 2/6/2025, 2/17/2025, 2/25/2025, 3/3/2025, 3/5/2025, 3/15/2025, 5/29/2025, 7/18/2025, 7/28/2025, 8/2/2025, and 8/10/2025, and included interventions such as dycem in the geri chair, anti-roll backs on the wheelchair, and nonskid socks. Observations on 9/29/2025 and 9/30/2025 showed the resident wearing socks with no grippers on the bottom and no shoes, and sitting in a wheelchair without anti-roll back wheels. During interview, the DON and ADON stated that dycem should have been in the chairs, that the resident should not have been in a standard wheelchair without anti-roll back wheels if that intervention was care planned, and that the resident should have had nonskid socks on if that was on the care plan.
Inaccurate PEG Tube Feeding Documentation
Penalty
Summary
The facility failed to ensure accurate documentation for a resident with a PEG tube. Resident #6 was admitted with diagnoses including dementia, dysphasia, and gastrostomy, and the quarterly MDS indicated the resident was severely cognitively impaired and had a feeding tube. The physician’s order dated 9/4/2025 specified Jevity 1.5 Cal/Fiber at 50 ml/hr, but progress notes documented Jevity 1.5 continuous at 65 ml/hr on multiple dates, which did not match the ordered rate. The facility policy titled "Enteral Feeding Administration" dated 7/2025 directed staff to document necessary information including placement check, residual, any difficulties, and the resident’s tolerance to the procedure in the progress notes. During interview on 10/1/2025, the DON was asked whether documentation showing the PEG tube feed at 65 ml/hr in the progress notes, while the MAR indicated 50 ml/hr, would be inaccurate documentation, and the DON stated yes.
Infection Control Failures During Wound Care and Food Handling
Penalty
Summary
The facility failed to maintain infection prevention and control practices during wound care for a resident with severe cognitive impairment and multiple diagnoses including atrial fibrillation, dementia, and hypertension. The resident had two unstageable pressure ulcers and was ordered to have the left heel cleaned with normal saline, patted dry, painted with betadine, and left open to air daily and as needed for a blister. During observation of wound care, an LPN cleaned the right heel, removed gloves, failed to perform hand hygiene before putting on clean gloves, and completed the wound care on the right heel. The LPN then removed gloves again, put on a clean pair of gloves without performing hand hygiene, and completed wound care on the left heel. The DON stated that hand hygiene should be performed between glove changes when providing wound care. The facility also failed to follow food handling practices during dining for another resident. During observation, a CNA removed a wrapped ice cream sandwich from the resident’s tray, removed the wrapper, and broke the ice cream sandwich in half with bare hands before placing it back on the resident’s tray. The facility policy on general food handling stated that food will be served with suitable implements to avoid manual contact of prepared foods. The DON stated that staff members should not handle resident food with ungloved bare hands.
Failure to Provide Adequate Supervision During Bed Mobility Results in Resident Fall and Fractures
Penalty
Summary
A deficiency occurred when a resident, who was dependent on staff for bed mobility and had significant medical conditions including recent fractures, hemiplegia, contractures, Parkinson's disease, vascular dementia, and osteoporosis, was left unsupervised on her side during incontinence care. The resident had recently been ill with influenza A, resulting in increased weakness and malaise, and was identified as high risk for falls. Despite these factors, a CNA performed incontinence care alone, rolled the resident onto her side, and then turned her back to retrieve supplies, leaving the resident unsupported on an alternating pressure mattress. During this time, the resident slid off the bed and fell, sustaining a right distal femoral shaft fracture, left distal femoral shaft fracture, and left proximal tibia fracture. The CNA involved did not review the resident's care plan or receive a shift report prior to providing care, and was unaware of the resident's recent illness and increased weakness. The CNA also stated that, although the resident had previously been able to hold onto the bed rail, she was not aware of the resident's current condition and did not seek additional assistance, despite feeling it may have been necessary. Interviews with facility staff and family confirmed that the resident was typically dependent on staff for mobility and that two staff members were often used for care due to her immobility and weakness. The facility's policy required appropriate assessment and interventions to prevent falls, but these were not followed in this instance. The incident resulted in actual harm to the resident, as documented by medical records and staff interviews.
Unsecured Medication Left in Resident Room
Penalty
Summary
A deficiency was identified when a medication, specifically a Breo Ellipta inhaler, was found unsecured on the foot of a resident's bed. The facility's policy requires that all drugs and biologicals be properly stored and not left unattended or unsecured. The resident in question was not care planned or assessed by the Interdisciplinary Team (IDT) to self-administer medications, and the care plan did not include self-administration. The Director of Nursing confirmed that medications should not be left unattended in resident rooms and that the resident had not been authorized to self-administer the inhaler. The resident involved had a history of chronic ischemic heart disease, anemia, cardiomegaly, bipolar disorder, major depressive disorder, allergic rhinitis, generalized anxiety disorder, and polyosteoarthritis. The resident was cognitively intact according to the most recent assessment. The unsecured medication could have potentially affected four identified wandering residents in the facility, as the medication was accessible in an unsecured area.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 56 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Martin
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Diversicare Of Martin | 0.3 mi | ★★★★★ | 0 | 0 |
| Weakley Rehabilitation And Nursing Center | 9.8 mi | ★★★★★ | 9 | 0 |
| The Waters Of Union City , Llc | 10.6 mi | ★★★★★ | 4 | 0 |
| Union City Health And Rehabilitation | 10.7 mi | ★★★★★ | 3 | 1 |
| Hillview Community Living Center | 11 mi | ★★★★★ | 9 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Vanayer Senior Living And Rehabilitation.
100% money-back within 48 hours.
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.