Above 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 Stratford Healthcare Center during CMS and state inspections, most recent first.
A resident with severe cognitive impairment and dysphagia was not provided with food in the required mechanical soft, ground form as ordered by her provider. Instead, she received a regular pork chop and pie with crust, contrary to her tray ticket and care plan. Staff and dietary management acknowledged the error, and documentation showed ongoing confusion due to family preferences, but facility policy required adherence to provider diet orders.
Staff failed to report an incident of visitor-to-resident sexual abuse within the required two-hour window. Three staff members observed a visitor and a resident with severe cognitive impairment engaging in inappropriate contact, but the incident was not reported to authorities until the following day, contrary to facility policy and regulatory requirements.
Facility staff did not document a medical evaluation for a resident with severe cognitive impairment after an observed abuse incident by a visitor. Although a progress note referenced that an evaluation was completed and the provider was aware, no evidence of the evaluation was found in the clinical record, resulting in an incomplete and inaccurate record.
A resident with multiple health conditions did not receive Ertapenem as ordered due to pharmacy delivery issues and documentation errors. The resident was prescribed Cefdinir and later Ertapenem, but Ertapenem was not administered on several occasions due to discontinuation, time changes, and missing medication. The DON confirmed a documentation error regarding Ceftriaxone.
A facility failed to ensure a medical provider documented actions on a pharmacy recommendation for a resident's medication regimen review. Despite recommendations to discontinue Buspropion, the medication remained active without documented physician response. The nurse practitioner later declined a gradual dose reduction, citing clinical contraindications. Facility policy requires documentation of actions taken, which was not completed.
A contracted LPN worked 11 shifts at the facility with a revoked license, which was not disclosed to the facility. An investigation confirmed the nurse did not inform the facility of the revocation. Staff interviews and resident assessments found no negative incidents attributable to the nurse's care.
Failure to Provide Diet Texture as Ordered for Resident with Dysphagia
Penalty
Summary
Facility staff failed to provide a resident with food prepared in a form designed to meet her individual dietary needs, as ordered by her medical provider. The resident, who had diagnoses including dysphagia, dementia, and a history of falls, was assessed as severely cognitively impaired and required a mechanical soft diet with ground meats. Despite clear orders and care plan interventions specifying a mechanical soft diet, the resident was observed receiving a regular pork chop cut into large strips and a piece of pie with crust, instead of ground meat and crustless pie as indicated on her tray ticket. Staff present at the time acknowledged the discrepancy, and the dietary manager confirmed the meal did not meet the ordered diet texture. Further interviews with staff and review of facility documentation revealed ongoing confusion regarding the resident's diet, partly due to conflicting preferences from the resident's family. The tray ticket system defaulted to ground meats for mechanical soft diets, but nursing staff were instructed to chop meat in an attempt to liberalize the diet per family wishes. The speech therapist and multiple CNAs confirmed the resident should have received ground meats for safety. Facility policy required meals to be provided as ordered by the healthcare provider, but this was not followed in this instance.
Failure to Timely Report Visitor-to-Resident Sexual Abuse
Penalty
Summary
Facility staff failed to report an incident of visitor-to-resident sexual abuse within the required two-hour timeframe. Three staff members observed a visitor, who was a family member of another resident, and a resident engaging in inappropriate physical contact in an alcove off the main hallway. The incident occurred in the afternoon, but was not reported to the appropriate authorities until the following day, exceeding the facility's policy and regulatory requirements for timely reporting. The resident involved had a history of unspecified dementia, major depressive disorder, and cognitive communication deficit, with a recent assessment indicating severely impaired cognition. Despite her cognitive limitations, she was physically independent in daily activities. Her care plan identified risks for inappropriate advances and behavioral symptoms, including affectionate behaviors toward others and vulnerability to advances from visitors or other residents. Documentation showed that after the incident, a certified nursing assistant attempted to contact the DON but was unsuccessful and did not leave a message. The CNA reported the incident to the manager on duty, who did not escalate the report to the DON on the day of the incident. The DON only became aware of the situation the next morning, after which the incident was reported to the responsible party, physician, adult protective services, and law enforcement. The facility's policy required immediate reporting, but the delay resulted in noncompliance with both internal policy and state regulations.
Failure to Document Medical Evaluation After Abuse Incident
Penalty
Summary
Facility staff failed to ensure a complete and accurate clinical record for one resident following an incident of abuse. After a visitor was observed inappropriately touching the resident, who had diagnoses including unspecified dementia, major depressive disorder, and cognitive communication deficit, the resident was reportedly evaluated by a medical resident. However, there was no documentation of this evaluation in the clinical record or elsewhere, despite a progress note referencing that an evaluation had been completed and the medical provider was aware. The resident's care plan identified behavioral symptoms and a risk for inappropriate advances, and the most recent MDS indicated severely impaired cognition but independence in functional abilities. During interviews, the DON confirmed that a medical resident evaluated the resident after the incident but acknowledged that the evaluation was not documented. No evidence of the evaluation was provided to the surveyor, resulting in a deficiency for failure to maintain a complete and accurate clinical record in accordance with accepted professional standards.
Failure to Administer Antibiotic as Ordered
Penalty
Summary
Facility staff failed to administer an antibiotic medication per provider orders for a resident with multiple diagnoses, including type 2 diabetes mellitus, hypertension, and cerebral palsy. The resident was assessed with a full mental status score and exhibited rejecting care 1-3 days of the week prior to the assessment. A provider order was made for urinalysis with culture and sensitivity and Cefdinir 300 mg twice per day for 7 days. Following laboratory results, the provider ordered Ertapenem 1 gram intramuscularly daily for 5 days. However, the resident received 14 doses of Cefdinir as ordered, but there was a failure in administering Ertapenem as prescribed. The facility's records showed that Ertapenem was not administered on 9/28 and 9/29 due to discontinuation and time change, respectively. On 9/30, it was administered at a later time, but on 10/1, it was not administered because the medication had not arrived from the pharmacy. The resident received a dose on 9/30 and another on 10/2, but there was no explanation for the missed dose on 10/2. The director of nursing confirmed that Ceftriaxone was an erroneous entry, and the stop order on 10/2 was for Ertapenem. The pharmacy delivered 4 doses of Ertapenem on 9/29, but the accompanying Lidocaine required for administration arrived only on 9/30.
Failure to Document Action on Pharmacy Recommendation
Penalty
Summary
The facility staff failed to ensure that the medical provider documented the action and/or rationale for the action on a pharmacy recommendation as part of a medication regimen review for one resident. The resident, who was cognitively intact, had a diagnosis list that included Parkinson's disease, hyperlipidemia, essential hypertension, chronic respiratory failure, chronic obstructive pulmonary disease, hypothyroidism, atrial fibrillation, schizophrenia, anxiety disorder, major depressive disorder, and bipolar disorder. A drug regimen review was completed with recommendations to discontinue Buspropion, but the surveyor was unable to locate the recommendation reports in the resident's clinical record. The medical provider signed the report but did not indicate a response to the recommendations, and the medication remained active in the resident's orders. The pharmacist recommended a gradual dose reduction for Buspropion again, but the nurse practitioner declined this recommendation, citing clinical contraindications. The facility's policy requires the attending physician to document in the resident's health record that the identified irregularity has been reviewed and what action has been taken, but this was not done. The issue was discussed with facility leadership, but no further information was provided to the survey team before the exit conference.
Unlicensed LPN Worked 11 Shifts
Penalty
Summary
The facility staff failed to ensure that professional staff were licensed, certified, or registered in accordance with applicable State laws. During a review of employee records, it was discovered that a contracted LPN's license had been revoked by the board of nursing prior to their employment at the facility. The nurse had worked 11 shifts after the license was revoked, and the facility was not notified of this revocation. An investigation was conducted, and it was confirmed that the nurse had not informed the facility of the license revocation. Staff interviews and resident assessments were conducted to determine if any residents were negatively impacted by the care provided by this nurse, and no negative incidents were found attributable to the nurse's care.
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What surveyors actually found near you
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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 Danville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Riverside Health & Rehab Cntr | 1.2 mi | ★★★★★ | 0 | 0 |
| Piney Forest Health And Rehabilitation Center | 1.9 mi | ★★★★★ | 0 | 0 |
| Roman Eagle Rehabilitation And Health Care Center | 3.1 mi | ★★★★★ | 0 | 0 |
| Yanceyville Rehabilitation And Healthcare Center | 11.8 mi | ★★★★★ | 1 | 0 |
| Chatham Health & Rehabilitation Center | 15.8 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.