Above average — CMS composite of the measures below.
The next survey window likely opens around January 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 Mabee Health Care Center during CMS and state inspections, most recent first.
Failure to post required daily staffing information: the facility’s nursing posting was kept behind closed doors at the nurses’ station and functioned only as a sign-in schedule in a binder. It did not include the facility name, resident census, or the actual hours worked by RNs, LPNs/LVNs, and CNAs. The DON and Administrator stated they were unaware the posting had to include total hours, census, and be visible to residents and the public, and the Administrator said there was no policy for daily staffing.
The facility failed to maintain safe hot water temperatures in resident room sinks, resulting in water readings between 118°F and 122°F in three residents' bathrooms, including residents with muscle weakness, heart failure, and Alzheimer's disease who reported noticing very hot water but relying on adjusting the faucet themselves. The Maintenance Assistant Director stated that staff did not check water temperatures in resident rooms and believed normal hot water should be about 120°F, and the Administrator confirmed that maintenance was expected to spot check temperatures via mixing valves but that there was no formal policy for monitoring hot water, despite acknowledging that excessively hot water could potentially cause burns.
Surveyors found that several dual-occupancy rooms lacked full visual privacy because the ceiling-to-floor divider curtains stopped short of the walls and side curtains left large gaps, preventing complete enclosure of each bed. An interview with the Administrator confirmed awareness that this could result in resident exposure during care and revealed there was no facility policy addressing full visual privacy curtains.
Failure to Provide Medicare Non-Coverage Notices: The facility did not provide required NOMNC and Beneficiary Notice forms to three residents when skilled Medicare Part A services ended before covered days were exhausted. One resident remained in the facility as private pay after Medicare A ended, and two residents had planned discharges to home; records showed no NOMNC was issued, and the DON and Administrator confirmed the notices were not provided.
Two residents received PRN lorazepam without the required 14-day discontinuation or documented rationale for continued use. One resident had severe cognitive impairment, anxiety, and hospice-related lorazepam orders with an open-ended end date, while another resident with dementia, anxiety, depression, and Parkinson’s disease had PRN lorazepam ordered with no stop date and 11 doses administered. The DON stated psychotropic medications were to be limited to 14 days unless a reason for continued use was documented.
A facility failed to ensure accurate controlled substance count documentation in a medication cabinet. An LVN did not sign the Controlled Drug-Count Record for the correct shift and instead signed under later shift entries, even though the count was supposed to be completed and signed by both the oncoming and off-going nurses during shift change. Interviews with another LVN and the DON confirmed that signatures were to be made only at the time of the count, and the DON stated there was no policy regarding controlled medications or the audit forms.
Missing EBP Sign Outside Resident Room: A resident with a feeding tube and limited ability to communicate was observed in bed with enteral feeding infusing and PPE supplies at bedside, but no EBP sign was posted outside the room. An LVN stated EBP postings were not used and PPE was kept in resident closets, while the DON stated the signs alert staff to needed PPE but there was no posting policy.
The facility's kitchens failed to meet food safety standards, with issues such as expired milk, moldy fruits, and unclean juice reservoirs. Observations showed improper food labeling, inadequate hand hygiene, and improper dish storage. Staff interviews revealed a lack of cleaning schedules and confusion over responsibilities, despite training efforts.
The facility failed to properly label, date, and secure medications, with opened insulin vials and an expired Tuberculin vial found undated, and medication cabinets in four resident rooms left unlocked. Nursing staff were unaware of these issues, and there was no specific policy or training in place for medication management.
The facility failed to implement comprehensive care plans for three residents, including one with severe cognitive impairment and fall risk, another with paralysis and hand contractures, and a third with multiple diagnoses and a history of falls. The transition to a new EMR system was cited as a reason for missing care plans, as some information did not transfer correctly.
Failure to Post Required Daily Staffing Information
Penalty
Summary
The facility failed to post daily nursing staffing information that included the facility name, census, and actual hours worked by RNs, LPNs/LVNs, and CNAs directly responsible for resident care per shift for 3 observed days. During observation and record review on 02/24/2026, 02/25/2026, and 02/26/2026, the daily nursing posting was found behind closed doors at the nurses’ station and was only a schedule in a binder that staff signed upon arrival to work. The posting did not show the actual hours worked for each direct care staff member, the facility name, the total number and actual hours worked by staff, or the resident census. During interview on 02/26/2026, the DON and Administrator stated they were not aware that total hours and census needed to be on the posting and were unaware that it had to be visible for residents and the public. The DON stated staff names and titles were signed when they arrived to work on the floor, and the Administrator stated there was no policy for daily staffing and that they just followed the regulations.
Failure to Maintain Safe Hot Water Temperatures in Resident Rooms
Penalty
Summary
The facility failed to ensure residents' right to a safe, clean, comfortable, and homelike environment by not maintaining hot water temperatures in resident room sinks at or below 110°F. During observations on 02/24/2026, surveyors measured hot water temperatures of 122°F in the bathroom sink of Resident #46, 120°F in the bathroom sink of Resident #31, and 118°F in the bathroom sink of Resident #20. Resident #46, admitted on 02/10/2026 with muscle weakness and muscle spasms, stated she had not noticed if the water in her restroom was too hot. Resident #31, admitted on 01/05/2023 with Alzheimer's disease and muscle weakness and assessed as cognitively intact with a BIMS score of 15, reported that the hot water at his faucet had been "pretty hot" about a week prior but that he adjusted the temperature himself. Resident #20, admitted on 08/12/2021 with heart failure and muscle weakness and also cognitively intact with a BIMS score of 15, similarly reported that the hot water had been hot a couple of weeks earlier but that he adjusted the faucet to avoid burning his hands. The deficiency was further supported by staff interviews and facility practices. The Maintenance Assistant Director, when informed of the elevated water temperatures, stated that he believed the normal hot water temperature should be about 120°F and explained that temperatures were controlled at mixing valves, but that staff did not check water temperatures in resident rooms. He acknowledged he was still learning about safe water temperature levels. The Administrator stated that the expectation was for maintenance staff to spot check water temperatures and monitor them via the mixing valves, but also confirmed that the facility did not have a policy on monitoring hot water and that they operated based on regulations. The Administrator acknowledged that excessively hot water could possibly lead to a resident getting burned and reported that no residents had been burned due to hot water at the time of the interview.
Inadequate Visual Privacy in Dual-Occupancy Rooms
Penalty
Summary
The facility failed to ensure that dual-occupancy resident rooms were designed or equipped to provide full visual privacy for residents in three of four rooms reviewed (rooms C-8, S-8, and S-18). Observation showed each of these rooms had an A and B bed with a single ceiling-to-floor curtain dividing the center of the room that stopped approximately 24 inches from the wall, leaving a gap. The A beds had side curtains, but each had an approximate 30-inch gap that prevented total visual privacy around the beds. During interview, the Administrator acknowledged that without full visual privacy in resident rooms there was a possibility of residents being exposed during resident care and stated that the facility did not have a policy on full visual privacy curtains. No specific resident medical histories or conditions were described in the report.
Failure to Provide Medicare Non-Coverage Notices
Penalty
Summary
The facility failed to ensure that residents were given the required Medicare non-coverage notices when skilled Medicare Part A services ended before covered days were exhausted. Record review showed that Resident #9, Resident #47, and Resident #48 were not provided with CMS form 10123 (NOMNC) and CMS form 10055 (Beneficiary Notice) informing them how to appeal the discharge from skilled Medicare-covered services. The deficiency was identified through review of the CMS form 200052 SNF Beneficiary Protection Notification Review and resident records. Resident #9 was admitted with diagnoses including a displaced fracture of the right radial styloid process, cardiomyopathy, muscle weakness, and abnormalities of gait and mobility, and remained in the facility as private pay after Medicare A ended. The DON stated Resident #9 was not issued a NOMNC and that only a verbal notification was given to the resident and responsible party; she also stated she did not know when the NOMNC was supposed to be given. Resident #47 was admitted with a left femur fracture, pain, and orthopedic aftercare, had a planned discharge to home with home health services, and had no NOMNC provided. Resident #48 was admitted with orthopedic aftercare, a displaced intertrochanteric fracture of the left femur, pain, muscle weakness, and unsteadiness on feet, had a planned discharge home/community, had a BIMS score of 15, and also had no NOMNC provided. The Administrator stated the DON was responsible for beneficiary notices and confirmed that the residents on the review were not given a NOMNC or CMS 10055.
Unnecessary PRN Lorazepam Use Without Required Documentation
Penalty
Summary
The facility failed to ensure that two residents were free from chemical restraints not required to treat their medical symptoms. For Resident #2, record review showed a female resident with severe cognitive impairment, anxiety, and a care plan addressing anxiety with antianxiety medication. Her prescription order for Lorazepam 2 mg/mL, 0.5 mL (1 mg) by mouth every 1 hour as needed for anxiety, had an open-ended end date and was tied to hospice, but the record did not show that the PRN Lorazepam was discontinued after 14 days or that a rationale was documented for continued use. For Resident #8, record review showed a male resident with severe cognitive impairment and diagnoses including unspecified dementia, psychotic disturbance, mood disturbance, anxiety, depression, and Parkinson’s disease. His care plan addressed anxiety and agitation with antianxiety medication, and his physician’s orders included Lorazepam 0.5 mg by mouth every 4 hours as needed with a start date of 10/16/2025 and no stop date. The February 2026 MAR showed 11 doses were administered, and the physician progress note did not document a rationale for ordering PRN Lorazepam for more than 14 days. During interview, the DON stated psychotropic medications were to be prescribed for 14 days or have a documented reason for continued use, and stated she had not received a DRR on this medication from the pharmacist.
Controlled Drug Count Record Not Signed During Shift Change
Penalty
Summary
The facility failed to provide pharmaceutical services to meet the needs of each resident by not ensuring accurate controlled substance count documentation in 1 of 2 medication cabinets reviewed in the medication room. During a record review and interview, the Controlled Drug-Count Record for the 6 AM to 2 PM shift was not signed by LVN C as the nurse on duty, even though the record showed signatures for the 2 PM to 10 PM shift and the 10 PM to 6 AM shift. LVN C stated she forgot to sign for the 6 AM to 2 PM shift and instead signed under the later shift entries, explaining that this was a mistake and not acceptable. Interviews with another LVN and the DON confirmed that the Controlled Drug-Count Record was to be signed only during the change of shift by both the oncoming and off-going nurses after counting and verifying the controlled medications in the cabinet. LVN A stated the nurses performing the count were responsible for signing only when doing the count, and the DON stated nurses were expected to sign during the shift change. The DON also stated she monitored the audit records quarterly and that there was no policy regarding controlled medications or the audit forms.
Missing EBP Sign Outside Resident Room
Penalty
Summary
The facility failed to maintain an infection control program designed to help prevent the development and transmission of disease and infection, specifically by not placing an Enhanced Barrier Precautions (EBP) sign outside the door of Resident #34's room. Resident #34 was a [AGE]-year-old female with an admission date of 02/02/20 and a re-admission date of 02/20/26. Her comprehensive MDS noted no BIMS score because she was rarely/never understood, and Section K documented that she had a feeding tube while a resident. During an observation on 02/24/26 at 10:19 AM, Resident #34 was resting in bed with her feeding tube actively infusing at 70 ml/hour. No EBP sign was posted outside her room, although disposable gloves and gowns were observed at her bedside. During interview, an LVN stated PPE supplies were kept in residents' rooms and that there were no signs or postings about EBP, while the DON stated the EBP signs made staff aware of the precautions and PPE needed to care for the resident, but also stated there was no policy for postings and that the facility followed regulations.
Food Safety and Hygiene Deficiencies in Facility Kitchens
Penalty
Summary
The facility failed to adhere to professional standards for food service safety across all four of its kitchens. Observations revealed expired milk in two kitchens, with one instance where a staff member acknowledged and disposed of the expired milk. In the rehabilitation kitchen, there was an accumulation of food debris in drawers, and the refrigerator contained moldy fruits. Additionally, juice reservoirs in two kitchens were unclean and showed signs of mold growth. Food items were found unlabeled in two kitchens, and handwashing sinks lacked appropriate trash cans to prevent re-contamination of hands. Further issues included improper storage of dishes, with some stored face up, and lapses in hand hygiene by staff. Dirty rags were not kept separate from clean ones in one kitchen. Interviews with staff revealed a lack of a set cleaning schedule and confusion about responsibilities for checking food expiration and labeling. The Director of Nursing (DON) and Administrator acknowledged the issues, noting that there was no specific policy but relied on regulations and training sessions to guide staff. Despite efforts to ensure proper handwashing facilities, deficiencies in food safety practices were evident.
Medication Management Deficiencies in LTC Facility
Penalty
Summary
The facility failed to ensure that drugs and biologicals were labeled and stored according to professional principles. During an inspection, it was found that the medication cart in the secured unit contained an insulin pen that had been opened but not dated, and the medication cart in the rehab hall had two insulin vials that were also opened without dates. Additionally, the secured unit medication room contained an expired Tuberculin vial. The nursing staff, including LVN A and LVN B, were unaware of these issues, and the Director of Nursing (DON) acknowledged that there was no specific policy or training regarding the dating of medications when opened. Furthermore, the facility failed to maintain locked medication cabinets in four resident rooms. Observations revealed that the medication cabinets in the rooms of four residents were unlocked and unsupervised, with medications easily accessible. LVN A and LVN C admitted to not checking if the cabinets were locked, assuming they would lock automatically. The DON and Administrator were unaware of the issue and stated that there was no policy or in-service training regarding the locking of medication cabinets. The residents involved had various medical conditions, including dementia, hypertension, diabetes, and other chronic illnesses, requiring multiple medications. The failure to properly label, date, and secure medications could lead to residents not receiving the therapeutic benefits of their medications or experiencing adverse reactions. The lack of awareness and training among the nursing staff contributed to these deficiencies, as they did not follow standard procedures for medication management.
Failure to Implement Comprehensive Care Plans for Residents
Penalty
Summary
The facility failed to develop and implement comprehensive, person-centered care plans for three residents, which included measurable objectives and time frames to meet their highest practicable physical, mental, and psychosocial well-being. Resident #6, who had severe cognitive impairment and a history of falls, did not have a care plan addressing fall risk, despite documentation indicating that falls were a care-planned area. This oversight occurred even though the resident was on high-risk medications and required substantial assistance for transfers. Resident #14, who was completely dependent for all activities of daily living due to a stroke and paralysis, lacked a care plan for dehydration and the use of hand rolls to manage severe hand contractures. Observations confirmed the presence of hand rolls, and staff interviews indicated routine care involving these items, yet no formal care plan was documented to address these needs. Resident #22, with severe cognitive impairment and multiple diagnoses including Alzheimer's disease and a history of falls, did not have a comprehensive care plan in place. The facility's transition to a new electronic medical record system was cited as a reason for missing care plans, as some information did not transfer correctly. The Director of Nursing acknowledged the oversight and the lack of a policy regarding care plans, which contributed to the deficiencies identified during the survey.
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 44 citations issued within 25 miles in the last 12 months — 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 Midland
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Ashton Medical Lodge | 1.6 mi | ★★★★★ | 4 | 0 |
| Midland Medical Lodge | 3.5 mi | ★★★★★ | 12 | 0 |
| Focused Care At Midland | 4.3 mi | ★★★★★ | 3 | 0 |
| Focused Care At Hogan Park | 5.1 mi | ★★★★★ | 4 | 0 |
| Parks Health Center | 10.4 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Mabee Health Care Center.
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.