Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Emporia Rehabilitation And Healthcare Center during CMS and state inspections, most recent first.
A resident with severe cognitive impairment and multiple medical conditions experienced a decline in urinary output and poor meal intake. Despite repeated alerts and documentation of low intake and output, staff did not notify the NP or the resident's Responsible Party of these significant changes. Interviews confirmed that staff considered poor intake to be the resident's baseline and did not implement or communicate additional monitoring, resulting in a lack of timely notification when the resident's condition worsened.
A resident with multiple medical conditions and moderate cognitive impairment received Midodrine for low blood pressure despite physician orders to hold the medication when systolic blood pressure exceeded specified limits. The MAR showed that staff administered the medication on several occasions when the resident's blood pressure was above the ordered parameters, contrary to the physician's instructions.
A resident with severe cognitive impairment and multiple comorbidities was not adequately assessed or monitored for dehydration, despite poor oral intake and declining urostomy output. Staff did not consistently document or communicate concerns about fluid intake, and supplement shakes were not reliably provided or tracked. The resident's condition deteriorated, leading to hospitalization for severe dehydration and sepsis.
A resident with severe cognitive impairment fell and sustained a rib fracture, but the LTC facility delayed sending her to the hospital for 32 hours despite evident pain and a nurse practitioner's order for x-rays. Staff interviews indicated that the resident should have been sent to the hospital the same day, aligning with NIH guidelines for timely diagnosis and treatment of rib fractures.
Failure to Notify of Significant Change in Condition and Poor Intake
Penalty
Summary
Facility staff failed to notify the Nurse Practitioner and the resident's Responsible Party immediately of a significant change in condition for a resident with complex medical needs. The resident, who had severe cognitive impairment and was dependent for most activities of daily living, experienced a decline in urinary output and fluid intake. Despite multiple alerts in the electronic medical record indicating poor meal intake and documented low urostomy output, there was no evidence that the medical provider or the Responsible Party was notified of these changes. The clinical record also lacked documentation of fluid intake monitoring, even though the resident was at risk for dehydration and had a history of poor intake upon admission. Interviews with facility staff revealed that poor intake was considered the resident's baseline, and as such, changes were not reported to the Nurse Practitioner or Responsible Party. The Registered Dietician and nursing staff did not consistently monitor or communicate the resident's nutritional and hydration status, and the facility did not implement daily fluid intake measurements despite ongoing concerns. The Director of Nursing acknowledged that monitoring should have occurred and that it was the nurses' responsibility to notify the medical provider and family of any change in condition, including poor intake. The resident's Responsible Party had previously voiced concerns about dehydration and requested increased nutritional support and monitoring, but there was no evidence that these interventions were consistently implemented or communicated. Ultimately, the resident experienced a rapid decline, prompting emergent notification and transfer to the emergency room. The clinical record and staff interviews confirmed that significant changes in the resident's condition were not promptly communicated to the medical provider or Responsible Party as required.
Failure to Follow Medication Hold Parameters for Blood Pressure Medication
Penalty
Summary
Facility staff failed to ensure that a resident was free from significant medication errors by not adhering to physician orders regarding the administration of Midodrine, a medication used to treat low blood pressure. The resident, who had multiple diagnoses including interstitial pulmonary disease, generalized anxiety disorder, major depressive disorder, unspecified dementia, dysphagia, Barrett's esophagus, and generalized weakness, was assessed as having moderate cognitive impairment. Physician orders specified that Midodrine should be held if the resident's systolic blood pressure exceeded certain thresholds, initially greater than 130 mmHg and later changed to greater than 120 mmHg. A review of the Medication Administration Record (MAR) for September and October showed that staff administered Midodrine on several occasions when the resident's systolic blood pressure was above the ordered parameters. Specifically, the medication was given when the resident's systolic blood pressure was recorded as 139, 132, 145, and 131 mmHg, all above the hold parameters set by the physician. Interviews with nursing staff and the Director of Nursing confirmed the expectation that physician orders should be followed exactly as prescribed, but the records demonstrated that this did not occur.
Failure to Assess and Manage Dehydration in a High-Risk Resident
Penalty
Summary
Facility staff failed to ensure that care and services provided to a resident met accepted professional standards, specifically in the assessment and management of dehydration. The resident, who had a complex medical history including Ogilvie's Syndrome, dementia, chronic kidney disease, and a urostomy, was admitted following a hospitalization for gastrointestinal issues. Upon admission, the resident was severely cognitively impaired, required maximum assistance with activities of daily living, and was dependent on staff for feeding and hydration. Despite these vulnerabilities, staff did not consistently monitor or document the resident's fluid intake, and there was no evidence that poor oral intake or declining urostomy output was communicated to the medical provider. Throughout the resident's stay, multiple staff members, including CNAs and nurses, reported that the resident routinely consumed little food or fluid, and urostomy output was often low or leaking. Meal intake was inconsistently documented, and fluid intake was not measured, even though the facility's electronic medical record system generated alerts for poor meal intake. The registered dietician and nursing staff acknowledged that they did not know how much fluid the resident actually consumed, and there was no evidence that supplement shakes were provided as ordered or that their consumption was tracked. The resident's responsible party raised concerns about dehydration and poor intake, but the facility's response was limited to investigating the complaint without implementing ongoing monitoring or interventions for hydration. In the days leading up to the resident's acute decline, documentation showed continued poor meal intake and low urostomy output, yet there was no indication that the medical provider was notified or that additional assessments for dehydration were performed. When the resident experienced a significant change in condition, staff were unable to obtain intravenous access for fluids, and the resident was ultimately transferred to the hospital, where he was found to be severely dehydrated and septic. Interviews with facility staff revealed a lack of communication and follow-through regarding the resident's hydration status, and the facility's own policy on urostomy care, which required monitoring and recording of fluid output, was not consistently followed.
Delayed Hospital Transfer After Resident Fall
Penalty
Summary
The facility staff failed to maintain professional standards of nursing practice for a resident who experienced a fall with injury. The resident, who had severe cognitive impairment and required extensive assistance with activities of daily living, fell in another resident's room and was found with chest bruising and pain. Despite the nurse practitioner's immediate assessment and order for mobile x-rays, the x-rays were not obtained, and the resident was not sent to the hospital until 32 hours later, at the family's request. The delay in obtaining diagnostic imaging and sending the resident for evaluation resulted in a fractured rib being diagnosed at the hospital. Interviews with nursing staff revealed that the appropriate action following a fall with injury would be to call the doctor and obtain an x-ray order or send the resident to the hospital. The staff indicated that if an x-ray was delayed, the resident should be sent to the hospital the same day. The facility's stated nursing standards align with NIH guidelines, which emphasize the importance of timely diagnosis and treatment of traumatic rib fractures. However, the facility failed to adhere to these standards, resulting in a significant delay in the resident's evaluation and treatment.
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Illustrative
What surveyors actually found near you
We read the 14 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
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Emporia
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Greensville Health And Rehabilitation Center | 0.2 mi | ★★★★★ | 0 | 0 |
| Lawrenceville Health & Rehabilitation | 17.3 mi | ★★★★★ | 0 | 0 |
| Signature Healthcare Of Roanoke Rapids | 18.5 mi | ★★★★★ | 10 | 0 |
| Liberty Commons Nursing And Rehabilitation Center | 19.9 mi | ★★★★★ | 1 | 0 |
| Northampton Nursing And Rehabilitation Center | 23.3 mi | ★★★★★ | 3 | 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.