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 Norton Community Hospital Snf Unit during CMS and state inspections, most recent first.
Failure to Assess and Offer Updated COVID-19 Vaccines: Staff did not fully assess COVID-19 vaccine history or offer the 2025-2026 vaccine to three residents after admission, including two residents who later tested positive for COVID-19 and one resident with no documented prior COVID vaccine. Admission assessments only confirmed that the residents said they had been vaccinated, without verifying the date of the most recent dose. The facility also stopped offering COVID-19 vaccines to staff, and the IP stated staff vaccines were no longer offered because they were not mandated.
Late Admission MDS Assessments: The facility failed to complete admission MDS assessments within the required timeframe for two residents. One resident had a fracture of the right ankle, debility, and chronic diastolic heart failure, and the other had COPD, pulmonary fibrosis, debility, cerebral stroke, and persistent atrial fibrillation. The DON confirmed both admission MDS assessments were completed late.
A resident’s admission MDS was completed by the DON but was not electronically transmitted within the required timeframe. The resident had a history of a right ankle fracture, debility, and chronic diastolic HF, and the DON stated the facility’s goal was to transmit MDS assessments within seven to 10 days of completion.
Monthly pharmacist drug regimen review was not completed for one resident. The resident had a history of right ankle fracture, debility, chronic diastolic HF, and depression, and had intact cognition per BIMS. Record review showed the last DRR was completed in December, and the January review was missing; the DON confirmed the omission during interview.
Improper Hand Hygiene During Medication Administration: An RN failed to follow the facility's hand hygiene policy during med pass by using the same gloves to scan a resident, apply ointment, handle oral meds, and administer medications, then repeated similar actions with a second resident while wearing the same gloves. The policy stated hand hygiene must be performed before handling medications and gloves are not a substitute for hand hygiene.
Failure to Offer Pneumococcal Vaccinations: The DON confirmed there was no documentation that two residents were offered indicated pneumococcal vaccines after admission. One resident had a history of CHF and had previously received PPSV23 only, while the other had DM2, OSA, obesity, and prior PCV13 and PPSV23 immunizations. Both residents had intact cognition, and the records lacked documentation that PCV15, PCV20, or PCV21 was offered in accordance with CDC guidance and the facility’s immunization policy.
Failure to Assess and Offer Updated COVID-19 Vaccines
Penalty
Summary
The facility failed to offer the 2025-2026 COVID-19 vaccine to three sampled residents after admission because staff did not fully assess each resident’s COVID-19 vaccine history. Facility policy stated residents or their representatives were to receive education about the vaccine, be offered the vaccine unless previously immunized or medically contraindicated, and have COVID-19 vaccine status obtained on admission. However, the admission assessments for Resident #5, Resident #13, and Resident #12 only documented that each resident said they had received a COVID-19 vaccine, and staff did not obtain the date of the most recent vaccine to determine whether an updated vaccine was due. Resident #5 was admitted with a history of pulmonary fibrosis, COPD, mitral valve disease, and persistent atrial fibrillation, and had intact cognition with a BIMS score of 15. The record showed prior COVID-19 vaccinations in 2021, 2022, and 2023, but no documentation that an updated 2025-2026 vaccine was offered after admission. Resident #5 tested negative for SARS-CoV-2 after admission and later tested positive for COVID-19. Resident #13 was admitted with acute on chronic respiratory failure, CHF, CAD, type 2 diabetes, and CKD, also had a BIMS score of 15, and had prior COVID-19 vaccinations documented in 2021 and 2022. The record did not show that an updated vaccine was offered after admission, and Resident #13 tested positive for COVID-19 after admission and had increased fatigue and cough noted in a physician progress note. Resident #12 was admitted with type 2 diabetes, obstructive sleep apnea, hypertension, and obesity, had intact cognition with a BIMS score of 15, and had no documented prior COVID-19 vaccine in the immunization history. Even so, the admission assessment documented only that the resident said yes when asked about having had a COVID-19 vaccine, and staff did not verify the date or offer an updated vaccine. The facility also failed to offer 2025-2026 COVID-19 vaccines to current staff. The Infection Preventionist stated the facility no longer offered COVID-19 vaccinations for staff because it was no longer mandated.
Late Admission MDS Assessments
Penalty
Summary
The facility staff failed to complete admission MDS assessments within 14 calendar days after admission for two sampled residents. Facility policy titled Care Plan/Comprehensive Assessment, revised 4/04/25, stated that the RAI manual provides instructions for when and how to use the time frames for completing assessments and transmitting data. For one resident, the facility admitted the resident on 11/26/25, and the admission MDS with an ARD of 12/11/25 was signed as completed by the DON on 12/11/25, 16 days after admission. During interview, the DON stated the ARD should have been 12/09/25 and confirmed the admission MDS was completed late. For the second resident, the facility admitted the resident on 1/14/26, and the admission MDS with an ARD of 2/09/26 was signed as completed by the DON on 2/09/26, 26 days after admission. The resident’s H&P dated 1/15/26 documented a history of COPD, pulmonary fibrosis, debility, cerebral stroke, and persistent atrial fibrillation. During interview, the DON stated this admission MDS was completed late. The Director, Quality Officer, and DON were informed of the concern, and no further information was provided before the exit conference.
Late Transmission of Admission MDS Assessment
Penalty
Summary
The facility failed to electronically transmit an admission MDS assessment within the required time frame for one resident. The resident was admitted with a medical history that included a fracture of the right ankle, debility, and chronic diastolic heart failure. The admission MDS had an ARD of 12/11/25 and was signed as completed by the DON on that same date, but it was not transmitted until 1/06/26, 26 days after completion. During interview, the DON stated the assessment was completed on 12/11/25 and transmitted on 1/06/26, and said her goal was to transmit MDS assessments within seven to 10 days of completion.
Monthly Pharmacist Drug Regimen Review Not Completed
Penalty
Summary
The facility failed to ensure that each resident’s drug regimen was reviewed at least monthly by a licensed pharmacist for one sampled resident. A facility policy titled Medication Reconciliation/Drug Regimen, revised 3/07/25, stated that residents’ drug regimens would be reviewed on admission prior to midnight the second day of admission, monthly, and as needed based on the resident’s medical condition and risk of adverse consequences of medications. Resident #1 had an active problem list that included a fracture of the right ankle, debility, chronic diastolic heart failure, and depression. The admission MDS with an ARD of 12/11/25 showed a BIMS score of 15, indicating intact cognition. Review of the clinical record on 2/10/26 showed the most recent drug regimen review had been completed on 12/19/25, and the January review was not found. During interview on 2/11/26 at 8:45 AM, the Director confirmed that a drug regimen review was not completed in January and stated that a current review had since been performed.
Improper Hand Hygiene During Medication Administration
Penalty
Summary
The facility staff failed to maintain an infection prevention and control program designed to provide a safe and sanitary environment to help prevent the transmission of infections, as evidenced by improper hand hygiene during medication administration. During an observation of medication administration on 2/10/26 at 9:45 AM, RN #1 performed hand hygiene, donned gloves, scanned Resident #11's identification band, returned to the medication cart, and then used the same gloves to apply ointment to the resident's nares with a cotton applicator. RN #1 then returned to the cart and, while still wearing the same gloves, opened the resident's oral medications, placed a tablet into her gloved hand, put it into the medication cup with additional oral tablets, and administered the medications to the resident. After administration, RN #1 removed the gloves and performed hand hygiene. At 9:55 AM the same day, RN #1 again donned gloves, scanned Resident #13's identification band, returned the scanner, and opened each medication from individual packets into a medication cup. While wearing the same gloves, RN #1 placed two potassium tablets into her gloved hand before placing them in the medication cup and administering them to the resident. The facility policy titled, Hand Hygiene, revised 12/05/25, stated that hands must be washed with soap and water or alcohol hand gel used before handling medications and that gloves should never be used as a substitute for hand hygiene. On 2/11/26 at 4:00 PM, the Director, Quality Officer, and DON were informed of the concerns regarding RN #1's hand hygiene observations.
Failure to Offer Pneumococcal Vaccinations
Penalty
Summary
The facility failed to offer a pneumococcal vaccine to Resident #1 after admission. Resident #1 was admitted on 11/26/25 and had a history of a right ankle fracture, debility, and chronic diastolic heart failure. The admission MDS dated 12/11/25 showed a BIMS score of 15, indicating intact cognition. The clinical record showed the resident had received PPSV23 on 8/26/21, but there was no documentation that the facility offered PCV15, PCV20, or PCV21 after admission. The CDC guidance cited in the report stated that adults who previously received PPSV23 only should receive one dose of PCV15, PCV20, or PCV21 at least one year after the last PPSV23 dose. The facility also failed to offer a pneumococcal vaccine to Resident #12 after admission. Resident #12 was admitted on 1/29/26 and had a history of type 2 diabetes mellitus, obstructive sleep apnea, and obesity. The record included a BIMS score of 15, indicating intact cognition, and an immunization history showing PCV13 on 3/24/15 and PPSV23 on 10/06/16. The CDC guidance cited in the report stated that adults who had PCV13 at any age and PPSV23 before age [AGE] should receive PCV20 or PCV21 at least five years after the last pneumococcal vaccine dose. The clinical record did not include documentation that the facility offered PCV20 or PCV21 after admission.
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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 Norton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Heritage Hall Wise | 5.4 mi | ★★★★★ | 0 | 0 |
| Heritage Hall Big Stone Gap | 7.2 mi | ★★★★★ | 0 | 0 |
| Letcher Manor | 15.5 mi | ★★★★★ | 1 | 0 |
| Ridgecrest Manor Nursing & Rehabilitation | 17.6 mi | ★★★★★ | 0 | 0 |
| Heritage Hall Clintwood | 18.4 mi | ★★★★★ | 0 | 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.