Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around January 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Thomson Health And Rehabilitation during CMS and state inspections, most recent first.
The facility failed to maintain the ice machine in a sanitary condition, as a black substance was observed on its plastic lining. The ice machine had not been cleaned since the previous month, contrary to the facility's sanitation policy. The Dietary Manager confirmed the lapse in monitoring, which posed a potential health risk to 103 residents consuming an oral diet.
The facility failed to provide written hospital transfer notices for three residents who were hospitalized for various medical reasons, including a swollen scrotum, unstable vitals, and unresponsiveness. The facility's policy did not specify that residents or their representatives would receive a copy of the transfer information, and there was no evidence in the EMR that such notices were provided. The administrator confirmed the lack of documentation.
The facility failed to provide written bed hold notices to three residents during hospital transfers, as required by their policy. This deficiency was identified through staff interviews and record reviews, revealing that the residents or their representatives did not receive the necessary notices, potentially causing confusion about bed hold charges and availability upon their return.
Two residents in an LTC facility were served meals on styrofoam with plastic utensils, and assisted with eating while staff stood, contrary to the facility's policy on dignity. One resident, with an eating disorder, was observed spitting food, while another, with dementia, was assisted while seated in a geri chair. Staff acknowledged the oversight, citing a chaotic environment.
A facility failed to honor a resident's right to vote, as guaranteed by Federal and State laws. Despite having intact cognition, the resident was not assisted in voting, either in person or via absentee ballot. Interviews revealed a lack of coordination and communication among staff regarding the voting process, leading to the resident's disappointment at not being able to participate in the voting process.
The facility failed to create comprehensive care plans for two residents, leading to unmet needs. One resident with an eating disorder exhibited behaviors like spitting food and self-induced vomiting, which were not addressed in the care plan. Another resident with dementia and on hospice care showed significant changes in mobility and behavior, but the care plan did not reflect these changes. Staff shortages contributed to these deficiencies.
Ice Machine Sanitation Deficiency
Penalty
Summary
The facility failed to maintain the ice machine in a clean and sanitary manner, as observed during a kitchen inspection. A black substance was found on the plastic lining inside the ice machine, indicating it had not been cleaned properly. The facility's policy on sanitation, revised in November 2022, requires that ice machines be drained, cleaned, and sanitized regularly. However, the cleaning schedule showed that the ice machine was last cleaned on October 21, 2024, nearly a month before the observation. During an interview, the Dietary Manager confirmed that maintenance was responsible for cleaning the ice machine and acknowledged that it was not clean, indicating a lapse in monitoring. This deficiency had the potential to cause illness to 103 out of 105 residents who consumed an oral diet.
Failure to Provide Written Hospital Transfer Notices
Penalty
Summary
The facility failed to provide written hospital transfer notices for three residents who were hospitalized, as required by their policy. The policy titled 'Transfer Agreement' was reviewed and found to facilitate the exchange of medical and other information necessary for the care and treatment of residents transferred between institutions. However, it did not specify that the resident or their representative would receive a copy of the information or other written notice of transfer. The Notice of Transfer/Discharge form, dated March 2017, indicated the reason, time, date, and location of the hospital transfer, as well as the amount of the bed hold, but there was no evidence that this form was provided to the residents or their representatives. The deficiency was identified through staff interviews, record reviews, and examination of the facility's policy. Three residents, identified as R11, R12, and R43, were transferred to the hospital for various medical reasons, including a swollen scrotum, unstable vitals with congested lung sounds, and unresponsiveness with slumping to one side. In each case, there was no documentation in the Electronic Medical Record (EMR) that the residents or their representatives received written notice of the hospital transfer. The facility's administrator confirmed the absence of such documentation during an interview.
Failure to Provide Written Bed Hold Notices During Hospital Transfers
Penalty
Summary
The facility failed to provide written bed hold notices to residents or their representatives during hospital transfers, as required by their policy. This deficiency was identified for three residents (R11, R12, and R43) out of a sample of 33. The facility's policy, titled Bed-Holds and Returns, mandates that residents or their representatives receive a written notice of the bed-hold policy at the time of transfer, or within 24 hours if the transfer is an emergency. However, there was no evidence in the Electronic Medical Records (EMR) that such notices were provided to the residents or their representatives during their respective hospital transfers. Resident R11 was transferred to the hospital due to a swollen scrotum and returned to the facility without receiving a bed hold notice. Similarly, Resident R12 was transferred due to unstable vitals and congested lung sounds, and Resident R43 was transferred after not responding to staff and slumping to one side. Both returned to the facility without evidence of receiving the required written notices. The facility's administrator confirmed the absence of these notices during an interview, highlighting the facility's failure to adhere to its own policy and potentially causing confusion regarding bed hold charges and availability upon the residents' return.
Undignified Dining Experience for Residents
Penalty
Summary
The facility failed to provide a dignified dining experience for two residents, R24 and R100, by serving meals on styrofoam with plastic utensils and assisting with meal intake while standing. R24, who was admitted with an eating disorder and adult failure to thrive, was observed during multiple meal times to be served meals in a styrofoam container. She was seen spitting food onto the floor, her wheelchair, and into her lap. Staff interviews revealed that styrofoam was used because R24 sometimes spits in her food and has previously smeared feces on her tray. However, it was unclear if staff attempted to remove the meal before these incidents occurred. R100, diagnosed with unspecified dementia and behavioral disturbances, was observed being assisted with meals while seated in a reclining geri chair. On two occasions, staff members assisted R100 with eating while standing, despite an offer to provide a chair for the assisting staff. The HR staff member acknowledged the oversight, noting the chaotic environment and R100's attempts to get out of the chair. These actions were inconsistent with the facility's policy on treating residents with dignity and respect.
Failure to Facilitate Resident Voting Rights
Penalty
Summary
The facility failed to honor a resident's right to vote, which is a fundamental right guaranteed by Federal and State laws. The deficiency was identified through staff and resident interviews, as well as a review of the facility's policy on Resident Rights. The policy, revised on January 6, 2023, emphasizes the residents' rights to exercise their citizenship rights, including voting. The resident in question, identified as R83, had a cognitive status indicating intact cognition, as evidenced by a perfect score on the Brief Interview for Mental Status (BIMs). Despite this, the facility did not facilitate her ability to vote, either in person or via absentee ballot. Interviews with the Social Service Director (SSD) and the Activity Director (AD) revealed a lack of coordination and communication regarding the voting process for residents. The SSD, who had been employed for only a week, was unaware of any arrangements made for residents to vote and did not know if any absentee ballots were provided. The previous SSD was responsible for organizing voting assistance, but it was unclear if any actions were taken. The resident, R83, expressed disappointment at not being able to participate in the voting process, as she preferred to vote in person and had no family to assist her. The AD confirmed that voting is discussed as a resident right during council meetings, but no specific actions were taken to assist residents in voting during this period.
Deficient Care Plans for Residents with Behavioral and Mobility Needs
Penalty
Summary
The facility failed to develop a comprehensive, person-centered care plan for two residents, R24 and R100, which led to unmet care needs. R24, who was admitted with an eating disorder and adult failure to thrive, exhibited socially inappropriate behaviors such as spitting food and self-induced vomiting during meals. Despite these observations, the care plan for R24 did not include interventions to address these specific behaviors, focusing instead on other inappropriate behaviors like smearing feces. Interviews with staff, including an LPN and the DON, confirmed the resident's behaviors, but no specific strategies were implemented to manage the spitting and vomiting. R100, diagnosed with unspecified dementia and behavioral disturbances, experienced a significant change in condition after hospitalization for pneumonia and subsequent placement on hospice care. The resident was no longer walking independently, was unsteady, and at increased risk for falls. Observations showed R100 attempting to stand from a geri chair and becoming agitated, yet the care plan did not reflect these changes in condition. It lacked interventions for assistance with eating, supervision to prevent accidents, and adjustments for the resident's new hospice status. The MDS Coordinator acknowledged the care plan's deficiencies, citing staffing shortages as a reason for the oversight.
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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 Thomson
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Warrenton Woods Of Journey Llc | 9.9 mi | — | 2 | 0 |
| Gibson Health Opco Llc | 16 mi | — | 0 | 0 |
| Reserve At Appling Of Journey Llc, The | 18.1 mi | — | 0 | 0 |
| Pruitthealth - Evans, Llc | 22.6 mi | — | 0 | 0 |
| Pavilion At Brandon Wilde | 22.8 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 August 2026) and official state health department websites.