Above average — CMS composite of the measures below.
The next survey window likely opens around February 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 Cameron Healthcare Center during CMS and state inspections, most recent first.
An infection prevention deficiency occurred when an LPN provided wound care to a resident on EBP while wearing only gloves, without a gown, and performed wound care without hand hygiene between dirty and clean tasks. In addition, bags of trash and dirty laundry were observed on the laundry room floor and laundry receptacles were overflowing with dirty clothing.
Cold Communal Shower Room: A resident stated the shower room was cold and often washed at the sink instead. Surveyors observed the room felt cool, and there was no thermometer in the room at first to verify the temperature. The DOM later confirmed the room temperature was 67.7 degrees Fahrenheit, below the facility’s stated minimum comfort level of 71 degrees Fahrenheit. An NA stated this was the only shower room used for residents.
Inaccurate MDS Fall Assessment: A resident’s MDS incorrectly indicated no falls despite record review showing multiple falls. The MDS RN acknowledged the falls were missed and stated the assessment should have been marked yes.
Failure to Provide ADL Care During Meal Times: A resident who was totally dependent for toileting hygiene reported being told to wait until after supper to have a brief changed. During a Resident Council meeting, residents said they were being told to wait until after meals to be changed or taken to the restroom, and the DON acknowledged staff were not providing ADL care during meal times.
A resident had Acetaminophen listed on the allergy record, yet an order was entered for PRN Acetaminophen for pain and doses were administered on multiple occasions. The resident’s MRR did not identify Acetaminophen as an adverse consequence, and the DON verified the medication had been given without the facility or pharmacist identifying the potential adverse consequence.
MRR failed to evaluate and report the potential adverse consequences of giving a resident Acetaminophen despite it being listed as an allergy. The resident had Acetaminophen added to the allergy list, later received an order for PRN Acetaminophen, and the MAR showed multiple administrations. The Feb 2026 MRR did not note Acetaminophen as an adverse consequence, and the DON verified that neither the facility nor the pharmacist identified the issue.
A resident with severe cognitive impairment exhibited repeated aggressive behaviors towards other residents, including physical harm and threats. Despite behavioral health treatment and interventions, the resident's aggression persisted, leading to multiple incidents over several months. The facility's administrator confirmed the incidents and acknowledged the challenges in managing the resident's behavior.
The facility failed to maintain a safe and clean environment, with residents reporting consistently cold water and unclean bathrooms. Staff confirmed these issues, and a temperature check showed water below the required range. The Resident Council had also logged multiple complaints about cleanliness and odor in the shower room.
The facility did not complete the nursing staff posting for the day shift, as observed during a survey. A surveyor found the staffing sheet incomplete, and an LPN confirmed it should have been done but was delayed due to medication administration. The DON also acknowledged the requirement for completion at the start of the shift, as per facility policy.
During a kitchen tour, a surveyor found an unopened box of muffin mix with an expired date. The Dietary Manager acknowledged the oversight and disposed of the item immediately. This deficiency had the potential to affect more than a limited number of residents, with the facility census at 52.
The facility failed to follow proper infection control practices, lacking a Water Management Plan and documentation for Legionella control. The DPM admitted to not having logs of control measures. Additionally, an inspection revealed a door between soiled and clean laundry rooms was improperly held open, risking contamination. These deficiencies could affect all 52 residents.
A resident's preference for using a bedpan was not respected by a nurse aide, causing discomfort and incontinence issues due to delayed assistance. The resident, who is non-ambulatory and requires substantial assistance, was denied the right to make choices about her care. Additionally, ombudsman information was not accessible to residents in wheelchairs, as the information board was positioned too high, limiting their ability to independently access important information.
The facility failed to post Ombudsman information at an accessible height for residents, particularly those in wheelchairs. During a Resident Council meeting, residents noted that while they knew their rights and the location of the Ombudsman phone number, the board was too high for them to read without help. This was confirmed by the Social Worker.
A resident experienced a fall resulting in a head injury and cervical fracture. The facility failed to report the incident to the required agencies within the specified time frame. The fall was reported to the Administrator hours after it occurred, and the Facility Reported Incident was submitted late to OHFLAC. Notifications to APS and the Ombudsman were not made, indicating non-compliance with reporting requirements.
A facility failed to ensure a resident's PASARR accurately reflected their diagnosis of Major Depressive Disorder. The initial PASARR did not document this condition, and no subsequent PASARR was completed to address the diagnosis and assess the need for specialized services. This was confirmed by the Social Worker during an interview.
A facility failed to re-weigh a resident who experienced a significant weight loss of 8.6 lbs, as required by their policy. The resident had a physician's order for weekly weights, and the facility's guidelines mandated a re-weigh for any weight variance of 5 lbs or more. The DON acknowledged the absence of a re-weigh record in the EHR, and no additional documentation was provided before the surveyor's exit.
Infection Prevention and Control Deficiencies During Wound Care and Laundry Handling
Penalty
Summary
The facility failed to establish and maintain an infection prevention program to help prevent the development and transmission of communicable diseases, including COVID-19, and to prevent cross-contamination and infections. During observation of wound care for a resident on Enhanced Barrier Precautions due to wound care, an LPN and an NA were seen providing care to a pressure ulcer while wearing only gloves. The LPN removed packaging from wound supplies, cleaned the wound bed, and then placed a clean 4x4 and gauze around the wound without performing hand hygiene. The Enhanced Barrier Precautions sign on the resident’s door directed staff to wear a gown and gloves for wound care and other high-contact resident care activities. During interview, the LPN stated she should have worn a gown during wound care and acknowledged she should have changed gloves after touching dirty areas of the wound and before touching clean areas during treatment. In a separate observation during the laundry tour, bags of trash and bags of dirty laundry were seen on the floor, and the laundry receptacles were overflowing with dirty clothing. The Maintenance Director confirmed that no items should be placed on the floor.
Cold Communal Shower Room
Penalty
Summary
The facility failed to provide a comfortable home-like environment in the communal shower room. During an initial interview, Resident #42 stated that the shower room was cold and that this was why the resident washed at the sink on many days. An observation of the shower room later that day found that it felt cool, and there was no thermometer in the room to determine the actual temperature. The Director of Maintenance later confirmed the room felt cool and used a water temperature thermometer to check the room, which read 71 degrees Fahrenheit. The State Agency asked whether a wall thermometer was available to place in the room so the actual temperature could be determined. A wall thermometer was then placed in the shower room, and a later observation with the Director of Maintenance showed the room temperature was 67.7 degrees Fahrenheit. The Director of Maintenance confirmed that the temperature was not comfortable for the shower room. A Nursing Assistant stated that one shower had been given in that room that day and that it was the only shower room used for residents. The facility policy titled Extreme Cold Temperature Protocol stated that the facility provides resident-centered care and that the purpose of the policy is to provide direction when internal environmental temperatures drop below the minimum comfort of 71 degrees Fahrenheit.
Inaccurate MDS Fall Assessment
Penalty
Summary
The facility failed to ensure medical assessments regarding the frequency of falls were completed accurately for Resident #6. Review of the MDS Section J1800 with an ARD of 08/18/2025 showed the MDS RN marked that the resident had no falls since admission, reentry, or the prior assessment. However, record review showed Resident #6 had falls on 05/12/25, 06/07/25, and 06/08/25. During interview, the MDS RN stated the falls may have been missed and should have been answered yes, then later confirmed that two falls had been missed and the MDS had been modified to reflect the falls.
Failure to Provide ADL Care During Meal Times
Penalty
Summary
The facility failed to provide ADL care to dependent residents during meal times. Resident #11 stated that about a week before the interview, the resident asked to have a brief changed about 15 minutes before supper but was told by a nurse aide that the resident would have to wait until after the meal. The resident’s ADL care plan identified the resident as totally dependent for toileting hygiene, with one helper doing all the effort and the resident doing none of the effort. During the Resident Council meeting with the State Agency, the residents as a group reported that they were being told they had to wait until after meals to be changed or taken to the restroom. The DON later acknowledged that the Resident Council and Resident #11 told survey staff that ADL care was not being provided during meal times.
Failure to Identify Adverse Drug Consequence for Acetaminophen
Penalty
Summary
The facility failed to provide care and services in accordance with professional standards of practice regarding adverse drug consequence for Resident #9. Acetaminophen was added to the resident’s allergy list on the admission date, yet an order was later entered for Acetaminophen 650 mg by mouth every four hours as needed for pain. The medication administration record showed that the resident received Acetaminophen on 02/20/26, 02/21/26, and 03/04/26. Review of the resident’s February 2026 Medication Regimen Review showed that Acetaminophen was not identified as an adverse consequence. On 03/04/26, the DON verified that Acetaminophen had been given to the resident, and the facility and pharmacist did not identify the potential for adverse consequences related to its administration.
MRR Failed to Identify Allergy-Related Acetaminophen Use
Penalty
Summary
Medication Regimen Review failed to evaluate and report the potential adverse consequences of administering a medication listed as an allergy for Resident #9. Acetaminophen was added to the resident’s drug allergy list on the admission date, yet an order was later entered for Acetaminophen oral tablet 325 mg, 650 mg by mouth every four hours as needed for pain. The medication administration record showed that Acetaminophen 650 mg was administered on multiple occasions, and the February 2026 Medication Regimen Review did not note Acetaminophen as an adverse consequence. On 03/04/26, the DON verified that neither the facility nor the pharmacist identified the potential for adverse consequences when Acetaminophen was given to Resident #9.
Failure to Protect Residents from Aggressive Behavior
Penalty
Summary
The facility failed to protect residents from abuse, specifically involving Resident #32, who exhibited aggressive behaviors towards other residents. Resident #32, with a BIMS score indicating severe cognitive impairment, was involved in multiple incidents of physical aggression. These incidents included putting another resident in a headlock, wrapping his arm around a resident's neck, and grabbing and shaking another resident while making threatening statements. Despite being sent for behavioral health treatment, Resident #32 continued to display aggressive behaviors upon return to the facility. The aggressive incidents continued over several months, with Resident #32 causing physical harm to other residents, such as twisting a resident's wrist, leading to swelling and bruising. The facility's records indicate that Resident #32's aggressive behavior persisted, culminating in an incident where he attempted to fight with another resident, resulting in police intervention. The facility's administrator confirmed these incidents, acknowledging the challenges in managing Resident #32's behavior despite various interventions.
Removal Plan
- Education to all staff in building on 1:1 process
- Resident is 1:1
- Monitor signs and symptoms of agitation - notify physician immediately with any increased agitation
- Utilize medications appropriately
- Social Services Supervisor will conduct resident interviews on all residents who are able to be interviewed
- Body audits will be completed by licensed nurses to ensure no abuse or neglect
- Ad hoc QAPI will be conducted with physician to discuss abatement plan
- Additional education will be provided as needed
Deficiencies in Water Temperature and Cleanliness
Penalty
Summary
The facility staff failed to provide adequate housekeeping services to maintain a safe, clean, comfortable, and homelike environment for its residents. Observations and interviews revealed that the water temperature in the residents' bathrooms and shower rooms was consistently cold, failing to meet the facility's standard of maintaining hot water temperatures between 105 and 109 degrees Fahrenheit. This issue was confirmed by multiple residents and staff, including Resident #4 and Resident #13, who reported cold water during showers. A temperature check in Resident #13's room showed a water temperature of only 78 degrees Fahrenheit, which was confirmed by the Director of Plant Maintenance. Additionally, the facility did not ensure cleanliness in the residents' bathrooms and shower rooms. Resident #10's bathroom had a black substance between the floor tiles, and Resident #13's bathroom had a foul odor. The B-Hallway shower room had shower benches with a brown substance on their legs and a whirlpool tub containing wheelchair footrests. These observations were confirmed by staff, and the facility's grievance log documented multiple complaints from the Resident Council about the cleanliness and odor of the shower room, indicating a pattern of neglect in maintaining a clean environment.
Failure to Complete Nursing Staff Posting for Day Shift
Penalty
Summary
The facility failed to ensure the completion of the nursing staff posting for the day shift, as observed during a revisit survey. On the morning of October 2, 2024, a surveyor noted that the nursing staffing sheet at the end of C-Hall was not filled out for the day shift. During an interview, an LPN confirmed that the staffing sheet should have been completed and mentioned that they were in the process of doing it, as they had been occupied with passing medications. The Director of Nursing also confirmed in a subsequent interview that the staffing sheet should have been completed at the beginning of the day shift. A review of the facility's policy indicated that nurse staffing data should be posted daily at the start of each shift.
Expired Food Item Found in Kitchen
Penalty
Summary
During an initial tour of the kitchen, a surveyor observed an unopened box of muffin mix with an expired date stamped by the manufacturer. This observation was made in the presence of the Dietary Manager, who acknowledged that the muffin mix should have been discarded and proceeded to dispose of it immediately. The failure to dispose of expired food items was identified as a deficiency, with the potential to affect more than a limited number of residents served by the kitchen. The facility had a census of 52 residents at the time of the observation.
Inadequate Infection Control Practices in Water Management and Laundry Services
Penalty
Summary
The facility failed to implement an effective infection prevention and control program, as evidenced by the absence of a Water Management Plan and a water flow diagram necessary for Legionella control measures. During a review of facility records, it was discovered that there was no documentation or description of control practices to prevent the growth of waterborne pathogens. The Director of Plant Maintenance (DPM) admitted to not having any documentation or logs of measures taken, despite claiming to have implemented some control measures like flushing unused water outlets and shower heads. Additionally, during an inspection of the laundry services, it was observed that the door between the soiled and clean laundry rooms was held open by a box of detergent, potentially leading to contamination of clean laundry. The DPM confirmed that the door should not have been left open. These deficiencies in infection control practices had the potential to affect all residents residing in the facility, as the facility census was 52 at the time of the survey.
Failure to Respect Resident Preferences and Accessibility Needs
Penalty
Summary
The facility staff failed to honor a resident's right to a dignified existence and self-determination by not respecting her preference for using a bedpan. The resident, who is non-ambulatory and requires substantial assistance due to conditions such as fibromyalgia, respiratory failure, and morbid obesity, expressed that a nurse aide refused her request for a bedpan, insisting instead on using a bedside commode. This caused the resident discomfort and led to incontinence issues, as the time taken to assist her to the commode often resulted in her voiding into her brief. The care plan indicated that the resident was totally dependent on staff for toilet transfers, yet her preference was not accommodated, denying her the right to make choices about her care. Additionally, the facility failed to make ombudsman information easily accessible to residents, particularly those in wheelchairs. During a resident council meeting, it was noted that while residents were aware of their rights and the location of the ombudsman phone number, the information board was positioned too high for them to read without assistance. This was confirmed by the social worker, indicating a lack of consideration for the accessibility needs of residents, potentially affecting their ability to independently access important information about their rights.
Ombudsman Information Inaccessible to Residents
Penalty
Summary
The facility failed to ensure that the Ombudsman information was posted in a manner that was easily accessible to all residents, particularly those who are not tall enough or are in wheelchairs. During a Resident Council meeting, residents expressed awareness of their rights and knowledge of the Ombudsman phone number's location but reported that the board displaying this information was positioned too high for them to read without assistance. This issue was confirmed by the Social Worker, who acknowledged that the board for resident rights and Ombudsman information was indeed too high for residents in wheelchairs to access.
Failure to Timely Report Resident Fall with Serious Injury
Penalty
Summary
The facility failed to report a fall with serious injury involving a resident to the required agencies within the specified time period. The incident involved a resident who fell and hit her head in the bathroom, resulting in a large knot and laceration above the left eye, neck pain, and bruising. The resident was transferred to a local hospital and then to an area trauma center, where a CT scan revealed a cervical fracture. The facility became aware of the fall at 1:23 AM, and the Administrator was notified at 7:00 AM. However, the Facility Reported Incident (FRI) was not submitted to the Office of Health Facility Licensure and Certification (OHFLAC) until 11:17 AM, over six hours after the facility had knowledge of the serious injury. Additionally, no notification was submitted to Adult Protective Services (APS) and the Ombudsman, indicating non-compliance with reporting requirements.
Failure to Accurately Document PASARR for Major Depressive Disorder
Penalty
Summary
The facility failed to ensure that the Pre-Admission Screening and Resident Review (PASARR) for a resident accurately reflected the pre-admission diagnosis of Major Depressive Disorder. Upon review of the resident's records, it was found that the admitting PASARR, dated December 9, 2021, did not identify the resident's major depressive disorder in Section III, Question 30. Furthermore, there was no subsequent PASARR completed to address the resident's diagnosis and determine if specialized services were needed. This oversight was confirmed during an interview with the Social Worker, who acknowledged the omission in the PASARR documentation.
Failure to Re-weigh Resident After Significant Weight Loss
Penalty
Summary
The facility failed to ensure that a resident who experienced significant weight loss was re-weighed to verify the accuracy of the weight measurement. This deficiency was identified during a review of the records for a resident who had a physician's order for weekly weights. The resident's weight dropped from 90.0 lbs to 81.4 lbs within a short period, indicating a loss of 8.6 lbs. According to the facility's policy, any weight variance of 5 lbs or more should prompt a re-weigh to confirm the measurement. However, the Director of Nursing acknowledged that no re-weigh was recorded in the electronic medical record following the initial weight loss observation. Despite the Director's intention to review the dietician's notes for any documentation of a re-weigh, no further information was provided before the surveyor's exit.
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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 Cameron
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Moundsville Healthcare Center | 11.2 mi | ★★★★★ | 15 | 0 |
| Continuing Healthcare Of Shadyside | 13.9 mi | ★★★★★ | 6 | 0 |
| Country Club Retirement Ctr Iv | 17.3 mi | ★★★★★ | 19 | 0 |
| Continuous Care Center Wheeling Hospital | 17.9 mi | ★★★★★ | 5 | 0 |
| Good Shepherd Nursing Home | 18.3 mi | ★★★★★ | 17 | 1 |
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