Above 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 Mission Nursing & Rehabilitation Center during CMS and state inspections, most recent first.
A resident with atrial fibrillation, HTN, CHF, and dialysis dependence missed ordered morning doses of Amiodarone, Apixaban, and Metoprolol because she left for dialysis before med pass and returned after the facility’s 4-hour medication window. Staff entered code 3 for the omitted doses, and interviews confirmed the physician was not notified that the resident was repeatedly missing these ordered meds.
A resident admitted with COPD did not have a completed baseline care plan within 48 hours of admission. The admitting RN said she was responsible for the baseline care plan but forgot to do it, while the MDS Coordinator said the facility now does an assessment instead of the baseline care plan. The DON confirmed the baseline care plan was missing from the electronic chart and stated it is used for communication between the nursing team.
A resident with peripheral vascular disease, severe cognitive impairment, and a left heel wound did not have a comprehensive care plan that included enhanced barrier precautions or the wound treatment order. MDS staff and the WCN gave conflicting statements about who was responsible for care planning the wound care, while the DON stated EBP should have been care planned for residents with wounds and other invasive devices. The care plan lacked measurable interventions and timeframes for the resident’s identified needs.
A resident with an indwelling Foley catheter and bladder dysfunction was observed sitting in a wheelchair with the catheter bag dragging on the floor. The care plan and Foley care orders directed staff to keep the bag and tubing positioned below the bladder, and facility policy stated the drainage bag should be kept off the floor. An LVN and the DON both stated the bag should not be touching the floor.
Medication administration was not accurately verified for a resident receiving gabapentin for pain. The blister pack directions for the medication did not match the EHR physician order, but the CMA administered the medication without identifying the discrepancy. The CMA stated she should compare the blister pack to the order, and the DON stated the mismatch should have been reported.
A resident with COPD and moderate cognitive impairment had a Trelegy Ellipta inhaler on the medication cart without an open date. An LVN observed the unlabeled inhaler, stated it should have been dated when opened, and the DON confirmed that Trelegy inhalers should have an open date so staff can track when the medication was opened. The facility policy required medications to be properly labeled.
A resident with a left heel wound and severe cognitive impairment did not have an EBP sign posted on his door. The CNA and LVN both stated the sign should have been in place, and the DON said residents in the secured unit sometimes removed signs. The resident’s care plan did not include EBP interventions, and the facility policy stated EBP are indicated for residents with wounds.
Surveyors observed a medication cart on the 700 hall left unlocked and unattended while a medication aide was inside a resident room. When the aide returned, she found the cart unsecured and then locked it. In an interview, the aide admitted responsibility for the cart, acknowledged she was expected to lock it whenever she walked away, and stated she had forgotten to do so. The DON reported that she, the ADON, and other staff were responsible for ensuring carts remained locked when out of staff view, consistent with facility policy requiring medication carts to be secured during med passes and locked when not in use.
A facility failed to validate a resident's OOH-DNR order due to a missing physician signature, leading to the resident being considered full code despite her wishes. Staff interviews revealed a misunderstanding of the form's requirements, as they believed the physician's signature under the statement was sufficient. This oversight contravened the facility's policy, which requires a complete signature for validity.
A resident with respiratory conditions was observed receiving oxygen at rates higher than the prescribed 3 Lpm, contrary to the physician's order. Despite staff checks, the oxygen rate was inconsistently maintained, and a family member was found to have adjusted the settings. The facility's policies emphasized adherence to oxygen orders, yet the deficiency in maintaining the prescribed rate was evident.
A CNA failed to report a resident's rash promptly, delaying treatment. Despite in-service training, the CNA did not inform the charge nurse until the rash worsened. Other staff had reported the rash earlier, preventing negative outcomes.
A long-term care facility failed to provide adequate pharmaceutical services for two residents, leading to deficiencies in medication administration. One resident did not receive the prescribed dosage of Tramadol due to discrepancies between physician orders and medication records. Another resident did not receive a frozen nutritional treat as ordered, with the Med-Aide signing off without verifying its presence. The facility's policies on medication administration were not followed, resulting in these deficiencies.
A resident with an indwelling catheter and bowel incontinence received care from two CNAs who failed to follow proper infection control practices. The CNAs did not sanitize hands between glove changes and reused wipes during perineal care, contrary to facility protocols. The DON confirmed that these actions were against the established procedures meant to prevent cross-contamination and infection spread.
A resident with Alzheimer's and other conditions was observed crying while her family member rubbed her forehead, leading to concerns of potential abuse. Despite this, a CNA did not report the incident as suspected abuse according to facility policy, instead informing an LVN who noted discoloration but no distress. The facility's policy required immediate reporting to the Administrator, which was not followed, resulting in a deficiency.
A facility failed to ensure that an LVN maintained an active nursing license, resulting in the nurse working for 26 days with a delinquent license. The facility lacked a system for regularly checking nurses' licenses, relying on the nurses to manage their renewals. This deficiency was discovered during a survey, leading to the nurse's suspension until her license was renewed.
A facility failed to report an incident where a family member performed an inappropriate assessment on a resident, including opening the resident's labia, within the required timeframe. Despite concerns from nurses and involvement from APS, the facility did not recognize the incident as abuse due to the lack of sexual intent, leading to a deficiency in abuse prevention and reporting protocols.
Missed Morning Cardiac and Anticoagulant Medications on Dialysis Days
Penalty
Summary
Resident #13, a female with diagnoses including paroxysmal atrial fibrillation, hypertension, combined systolic and diastolic heart failure, and dependence on renal dialysis, was found to have missed ordered morning doses of Amiodarone HCI 200 mg, Apixaban 2.5 mg, and Metoprolol Tartrate 25 mg. Her admission record reflected moderate cognitive impairment with a BIMS score of 12. Her care plan identified anticoagulant therapy related to atrial fibrillation and medication administration as part of her interventions. The physician’s orders required Amiodarone, Apixaban, and Metoprolol to be given twice daily at 6:00 a.m. and 6:00 p.m. Review of the eMAR showed that the morning doses were not administered on 02/18/26, and additional missed morning doses occurred on 03/04/26, 03/09/26, 03/13/26, 03/18/26, and 03/21/26. The record reflected that these omissions were entered as code 3 because the resident was not in the facility during the medication pass. Interviews with the LVN, Med Aide, DON, NP, and physician established that the resident left for dialysis on Mondays, Wednesdays, and Fridays before the morning medication pass and returned after the facility’s four-hour medication window had passed. Staff stated that the medications were not administered when she was absent and that the physician had not been notified that the ordered morning doses were being missed on dialysis days. The facility’s policy required medications to be administered in accordance with orders and defined omission as a medication error.
Failure to Complete Baseline Care Plan Within 48 Hours
Penalty
Summary
The facility failed to complete the baseline care plan for Resident #89, a [AGE]-year-old female admitted on 3/4/26 with chronic obstructive pulmonary disease. Record review showed her MDS was still in progress, and her baseline care plan had not been completed as of 3/17/26. The facility policy, Care Plans-Baseline, stated that a baseline plan of care to meet the resident's immediate needs shall be developed for each resident within 48 hours of admission. During interviews, the MDS Coordinator stated the facility now does an assessment instead of the baseline care plan and said she was responsible for the comprehensive care plan. RN B, the admitting nurse, stated she was responsible for completing the baseline care plan but forgot to do it. The DON confirmed that the baseline care plan was not in the electronic chart and stated the admitting nurse was responsible to initiate it, with the baseline care plan serving as communication between the nursing team.
Failure to Care Plan Enhanced Barrier Precautions and Wound Treatment
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan for Resident #38 that included measurable objectives and timeframes for his identified needs. Resident #38 was a 57-year-old male with diagnoses including peripheral vascular disease and a wound to the left heel. His quarterly MDS reflected a BIMS score of 2, indicating severe cognitive impairment. The most recent care plan, dated 03/06/2026, did not address enhanced barrier precautions and contained no interventions for them, despite the resident having a wound and a physician order for daily left heel wound treatment. Record review showed a physician order dated 03/13/2026 for cleansing the left heel wound with normal saline, applying betadine, covering with gauze, wrapping with roll gauze, and securing with tape once daily. During interviews, the MDS staff member stated wound care should be care planned within 48-72 hours of a new order and that wound care needed to be included for infection control and staff protection. The WCN stated she was responsible for wound care plan development but was not aware the wound treatment order needed to be care planned because it was being done as a preventative measure. The DON stated enhanced barrier precautions needed to be care planned, that MDS staff were responsible for developing the care plans, and that EBP was implemented for residents with wounds, urinary catheters, PEGs, IVs, and dialysis ports.
Catheter Bag Touched the Floor
Penalty
Summary
The facility failed to ensure appropriate catheter care for a resident with an indwelling urinary catheter. Resident #10 was admitted with neuromuscular dysfunction of the bladder and had an indwelling catheter for obstructive uropathy/kidney neoplasm. The care plan directed staff to position the catheter bag and tubing below the level of the bladder and away from the entrance room door, and the orders included Foley catheter care every shift and as needed. During observation, Resident #10 was sitting in a wheelchair and the catheter bag was noted dragging on the floor. An LVN was informed at the time of the observation and stated the bag should not be touching the floor and that if it were on the floor, the tubing and bag should be changed immediately. The DON later stated the bag should not be touching the floor and that if it was, the tubing and bag should be changed immediately. The facility policy stated the catheter tubing and drainage bag should be kept off the floor.
Medication Label and Order Mismatch
Penalty
Summary
Pharmaceutical services were not provided accurately for one resident reviewed for pharmacy services. Resident #71, a female with cirrhosis of the liver, bipolar disorder, and type 2 diabetes mellitus, had a BIMS score of 15 and was documented as having pain medication therapy in the care plan, including morphine, baclofen, and gabapentin. The physician order in the electronic record was for gabapentin 800 mg, 1 tablet by mouth three times per day, but the blister pack for the same medication stated, "take 1 tablet by mouth two times per day." During medication administration observation, CMA A prepared and removed the gabapentin from the blister pack and administered medications without identifying the discrepancy between the blister pack instructions and the physician order in the electronic record. In interview, CMA A stated she was supposed to compare the blister pack label to the electronic order and noted the difference in frequency, while the DON stated the blister pack should match the physician order and that the nurse should have been notified of the mismatch. Resident #71 stated her pain was controlled well with her medications and that she had no issues or concerns with her medication.
Unlabeled Trelegy Inhaler Lacked Open Date
Penalty
Summary
The facility failed to ensure that Resident #28’s Trelegy Ellipta inhaler was labeled with an open date. Resident #28 was admitted with diagnoses including chronic obstructive pulmonary disease with exacerbation and had a quarterly MDS assessment showing a BIMS score of 12, indicating moderate cognitive impairment. Her order summary listed Trelegy Ellipta inhalation powder, 1 inhalation daily for COPD. During an observation of the 600 Hall medication cart with an LVN, Resident #28’s Trelegy inhaler was found without an open date. The LVN stated the inhaler should be labeled with an open date and that the person who initially opened it was responsible for labeling it. The DON also stated that Trelegy inhalers should have an open date because the medication has a life span and, without an open date, staff could not track when it was opened. The facility’s medication labeling policy stated that all medications maintained in the facility shall be properly labeled in accordance with current state and federal regulations.
Missing EBP Sign for Resident with Wound Care
Penalty
Summary
Provide and implement an infection prevention and control program was deficient for Resident #38 because the facility did not maintain an Enhanced Barrier Precautions (EBP) sign on the resident’s door. Resident #38 was a 57-year-old male with diagnoses including Peripheral Vascular Disease and a wound to the left heel. His quarterly MDS reflected a BIMS score of 2, indicating severe cognitive impairment, and his most recent care plan did not include EBP interventions. A physician’s order directed daily wound care to the left heel with cleansing, betadine, gauze, roll gauze, and tape. During observation, there was no EBP sign posted on the resident’s door. The CNA stated the resident should have an EBP sign and that the nurse was responsible for posting it, while the LVN stated she was responsible for the sign and did not know it was missing. The DON stated residents in the secured unit grabbed items including the EBP sign and that they were working on a better system to keep the sign in place. The facility policy stated EBP are indicated for residents with wounds and/or indwelling medical devices even if the resident is not known to be infected or colonized with an MDRO.
Unattended Unlocked Medication Cart on 700 Hall
Penalty
Summary
The deficiency involves the facility’s failure to ensure that drugs and biologicals were stored in locked compartments in accordance with professional standards. During an observation of the 700 hall medication cart, surveyors noted that the medication aide’s cart was left unlocked and unattended in the hallway while the medication aide was inside a resident room. No staff or other individuals were present near the cart at that time. When the medication aide returned to the cart, she found it unlocked and then secured it by locking it. In an interview immediately following the observation, the medication aide acknowledged she was responsible for that cart and confirmed she was expected to lock it whenever she walked away. She stated she forgot to lock the cart and recognized that, if left unlocked, a resident could open a drawer and take medications not intended for them or medications could be stolen. In a separate interview, the DON stated that she, the ADON, and numerous staff were responsible for ensuring medication carts were locked and that her expectation was that staff lock the cart whenever they walked away or when it was out of their view. The facility’s policy, “Security of Medication Cart,” stated that medication carts must be securely locked at all times when out of the nurse’s view and, when not in use, locked and parked at the nurses’ station or inside the medication room.
Invalid OOH-DNR Order Due to Missing Physician Signature
Penalty
Summary
The facility failed to ensure that a resident's Out of Hospital Do Not Resuscitate (OOH-DNR) order was valid due to the absence of a physician's signature at the bottom of the form. This oversight was identified during a review of the resident's records, which showed that the OOH-DNR form lacked the necessary physician signature in the section that required all signatories to acknowledge the document's completion. The resident in question, a female with severe cognitive impairment due to dementia and Crohn's disease, had an OOH-DNR order as part of her care plan, but the missing signature rendered the directive invalid. Interviews with facility staff, including the social worker (SW), medical records specialist, licensed vocational nurses (LVNs), and the Director of Nursing (DON), revealed a misunderstanding of the requirements for a valid OOH-DNR form. The staff believed that the physician's signature under the physician's statement was sufficient for validity, disregarding the need for a signature in the section acknowledging the document's completion. This misunderstanding led to the resident being considered a full code in the event of a medical emergency, contrary to her documented wishes. The facility's policy on Do Not Resuscitate orders, revised in April 2017, mandates that such orders must be signed by the attending physician and placed in the resident's medical record. However, the staff's misinterpretation of the policy requirements resulted in the failure to honor the resident's end-of-life wishes. This deficiency highlights a critical gap in the facility's processes for managing and validating advance directives, potentially affecting the quality of care provided to residents.
Failure to Maintain Prescribed Oxygen Rate for Resident
Penalty
Summary
The facility failed to provide appropriate respiratory care for a resident, identified as Resident #34, who required oxygen therapy. The resident, an 81-year-old male with diagnoses including acute and chronic respiratory failure, acute bronchitis, and chronic obstructive pulmonary disease (COPD), was observed receiving oxygen at rates higher than the prescribed 3 liters per minute (Lpm) via nasal cannula. Observations on multiple occasions showed the resident receiving oxygen at 4 Lpm and 3.5 Lpm, contrary to the physician's order. The resident reported that this was the rate he received at home and had informed the staff accordingly. Interviews with the facility's staff, including Licensed Vocational Nurses (LVNs) and the Assistant Director of Nursing (ADON), revealed inconsistencies in monitoring and maintaining the prescribed oxygen flow rate. LVN J stated that the oxygen rate should be checked every two hours, but observations indicated that the rate was not consistently maintained at the prescribed level. LVN K admitted to adjusting the oxygen setting to 3 Lpm during her checks but had not witnessed any changes made by the resident or his family. The ADON emphasized the importance of adhering to the physician's order and noted that any deviation without an order would be considered a medication error. Further investigation revealed that the resident's family member had been adjusting the oxygen rate, which was not permitted. The Director of Nursing (DON) confirmed that the family member was informed of the policy against adjusting the oxygen settings. Despite the deviations in oxygen administration, the DON stated that the resident did not exhibit signs of over-oxygenation or distress. The facility's policies and in-service records highlighted the need for strict adherence to oxygen therapy orders, yet the deficiency in maintaining the prescribed oxygen rate for Resident #34 was evident.
Failure to Report Change in Condition
Penalty
Summary
The facility failed to ensure that a Certified Nursing Assistant (CNA D) had the appropriate competencies to communicate a resident's change in condition to the charge nurse, which is crucial for maintaining resident safety and well-being. The deficiency involved a resident with severe cognitive impairment and multiple diagnoses, including dementia and Crohn's disease. On 12/23/2024, CNA D noticed a rash on the resident's chest but decided not to report it immediately, intending to wait and see if it resolved on its own. The following day, the rash had spread, but CNA D again failed to report it due to being occupied with other residents. On 12/26/2024, CNA D finally reported the worsening rash to LVN A, who then assessed the resident and notified the nurse practitioner (NP). The NP prescribed Permethrin cream for dermatitis. Interviews with other staff members revealed that another CNA (CNA E) had noticed the rash on 12/24/2024 and reported it to the charge nurse, who then informed the treatment nurse. The treatment nurse had conducted a skin assessment and reported the findings to the resident's primary care provider (PCP), who recommended monitoring the condition. Despite the facility's in-service training on recognizing and reporting changes in residents' conditions, CNA D did not adhere to these protocols, resulting in a delay in addressing the resident's rash. The Director of Nursing (DON) confirmed that CNAs are trained to report changes immediately but acknowledged that there was no specific policy on the timeframe for reporting such changes. The report indicates that there were no negative outcomes for the resident due to the actions taken by other staff members who had reported the rash earlier.
Medication Administration Deficiencies in LTC Facility
Penalty
Summary
The facility failed to provide adequate pharmaceutical services for two residents, leading to deficiencies in medication administration. For one resident, the nursing staff did not administer Tramadol as prescribed by the physician. The resident, who had severe cognitive impairment and a history of Alzheimer's disease, heart failure, and type 2 diabetes, was supposed to receive two tablets of Tramadol every eight hours as needed for pain. However, the Control Drug Administration Record showed that only one tablet was administered on multiple occasions. Interviews with the Director of Nursing (DON) and Licensed Vocational Nurses (LVNs) revealed discrepancies between the physician's orders, the electronic Medication Administration Record (e-MAR), and the blister pack labels. The nursing staff failed to verify the correct dosage and did not contact the physician to clarify the orders, resulting in the resident not receiving the intended therapeutic benefit of the medication. Another resident, who had severe cognitive impairment and a history of dementia, hypothyroidism, and Crohn's disease, did not receive a frozen nutritional treat as ordered. The resident's care plan included a daily frozen nutritional treat to address unintended weight loss. However, on a specific date, the facility ran out of the frozen nutritional treats, and the dietary staff failed to provide a substitute. The Med-Aide signed off on the administration of the treat without verifying its presence on the resident's lunch tray. Interviews with the Dietary Manager and Med-Aide confirmed that the treat was not available, and the Med-Aide did not physically check the tray before signing off on the MAR. This oversight could have impacted the resident's nutritional intake, although the facility's dietician noted no negative effects due to the provision of pudding as a supplement. The facility's policies on medication and treatment orders, as well as medication administration, were not followed, leading to these deficiencies. The policies require that medications be administered as prescribed and documented accurately. The nursing staff and Med-Aides failed to adhere to these policies, resulting in discrepancies in medication administration and documentation. The DON acknowledged the responsibility of the nursing staff to verify and document medication administration accurately, and the facility's failure to do so led to the identified deficiencies.
Inadequate Infection Control Practices During Resident Care
Penalty
Summary
The facility failed to establish an effective infection prevention and control program, as evidenced by improper hand hygiene and incontinent care practices observed during care for a resident. The resident, a female with a history of cerebral infarction, muscle weakness, and neuromuscular dysfunction of the bladder, was dependent on staff for toileting hygiene and had an indwelling catheter. During an observation, two CNAs were seen performing incontinent care without following proper hand hygiene protocols, such as sanitizing hands between glove changes and using a new wipe for each swipe. The CNAs involved, CNA F and CNA G, admitted to not being aware of the correct procedures for hand hygiene and wipe usage during perineal care. CNA F used a single wipe multiple times by folding it, contrary to the facility's protocol, which requires a new wipe for each swipe. Additionally, CNA G did not sanitize her hands between glove changes, and both CNAs failed to change gloves and sanitize hands at appropriate times during the care process. The Director of Nursing (DON) stated that hand hygiene should be performed before and after resident care, between glove changes, and after each wipe during incontinent care. The facility's policies and procedures, including the Clinical Skills Checklist and Handwashing/Hand Hygiene policy, were not adhered to by the CNAs, leading to a risk of cross-contamination and infection spread among residents.
Failure to Report Suspected Abuse
Penalty
Summary
The facility failed to implement its written policies and procedures to prohibit and prevent abuse, neglect, and exploitation of residents, specifically concerning a resident who was observed crying while her family member was rubbing her forehead. The resident, a female with a history of Alzheimer's disease, hypertension, functional quadriplegia, peripheral vascular disease, and schizoaffective disorder, was noted to have discoloration on her forehead. Despite the observation of the resident crying, the facility staff member, CNA A, did not report the incident as suspected abuse according to the facility's policy. CNA A observed the resident's family member rubbing the resident's forehead while the resident was crying, which she interpreted as a sign of potential abuse. However, CNA A did not report this suspicion to the Administrator or Director of Nursing as required by the facility's policy. Instead, she reported the incident to LVN B, who assessed the resident and noted the discoloration but did not observe any signs of pain or distress. The failure to report the incident directly to the Administrator delayed the investigation and reporting of the potential abuse. Interviews with facility staff, including LVN B, LVN C, the DON, and the Administrator, revealed inconsistencies in the reporting and assessment of the incident. The DON and Administrator were not made aware of the resident crying until several days after the incident, and CNA A's initial statement did not include details about the resident crying. The facility's policy required immediate reporting of suspected abuse to the Administrator, which was not followed in this case, leading to a deficiency in the facility's handling of potential abuse situations.
Failure to Ensure Active Nursing Licenses
Penalty
Summary
The facility failed to ensure that a Licensed Vocational Nurse (LVN A) maintained an active nursing license in accordance with Texas state laws. LVN A's nursing license was found to be delinquent, and she continued to work and provide nursing care to residents for a total of 26 days after her license had expired. This was discovered during a survey when the Director of Nursing (DON) and Human Resources (HR) were unaware of the delinquency. The facility's system for verifying and monitoring nursing licenses was inadequate, as HR only tracked nurse aides' certifications and did not regularly check the nurses' licenses. Interviews with the DON, HR, and the Administrator revealed that there was no established process for regularly checking the licensure status of nurses. The responsibility for license renewal was placed on the nurses themselves, and no reminders or checks were conducted by the facility. The DON and HR both confirmed that LVN A had been working with a delinquent license and had provided care to residents during this period. The facility's handbook stated that employees were responsible for maintaining current licenses, but there was no active oversight to ensure compliance. The deficiency was identified when Surveyor B discovered LVN A's delinquent license. The DON and HR acknowledged that LVN A was not allowed to work with a delinquent license, and she was subsequently suspended until her license was renewed. The Administrator confirmed that no other nursing staff had delinquent licenses after conducting an audit. Despite the lack of complaints or observed effects on resident care, the facility's failure to ensure active licensure for LVN A posed a risk to the quality of care provided to residents.
Failure to Report Alleged Abuse in a Timely Manner
Penalty
Summary
The facility failed to report allegations of resident abuse within the required timeframe to the State Survey Agency. Specifically, an incident occurred where a family member was observed performing an inappropriate assessment on a resident, which included opening the resident's labia and attempting to scoop out what she believed to be a yeast infection. This incident was not reported to the State Survey Agency within the mandated two-hour window for allegations involving abuse or serious bodily injury. The facility's Director of Nursing (DON) and Administrator did not recognize the incident as abuse, leading to a failure in timely reporting. The resident involved was an elderly female with Alzheimer's disease, cognitive communication deficit, muscle weakness, osteoporosis, and other medical conditions. She was dependent on staff for activities of daily living, including toileting hygiene. On the day of the incident, the resident had just received perineal care from a Licensed Vocational Nurse (LVN), who applied cream to the resident's groin area. Shortly after, the family member arrived, removed the resident's brief, and conducted an inappropriate assessment, which was witnessed by the LVN and another nurse. Despite the nurses' concerns and the subsequent involvement of Adult Protective Services (APS), the facility did not report the incident to the State Survey Agency. The DON and Administrator believed that the family member's actions did not constitute abuse because there was no sexual intent. However, the facility's policy clearly states that residents have the right to be free from abuse by anyone, including family members. The failure to report this incident within the required timeframe constitutes a deficiency in the facility's abuse prevention and reporting protocols.
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 159 citations issued within 25 miles in the last 12 months — including the 8 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 Mission
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Mission Valley Nursing And Transitional Care | 0.2 mi | ★★★★★ | 14 | 3 |
| Village Healthcare And Rehabilitation | 3.4 mi | ★★★★★ | 2 | 0 |
| Briarcliff Nursing And Rehabilitation Center | 4.4 mi | ★★★★★ | 14 | 0 |
| Windsor Nursing And Rehabilitation Center Of Mcall | 4.9 mi | ★★★★★ | 5 | 0 |
| Grand Terrace Rehabilitation And Healthcare | 5.2 mi | ★★★★★ | 7 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Mission Nursing & Rehabilitation 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.