Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around October 2026
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 Cedar Manor Nursing Home during CMS and state inspections, most recent first.
A facility failed to provide a resident with the CMS Notice of Medicare Non-Coverage (NOMNC) in a timely manner. The resident's SNF services ended without documented communication regarding discharge and appeal rights. The NOMNC and SNFABN forms were signed after the required 48-hour notice period. The administrator admitted the absence of a policy for timely ABN provision.
A resident with an indwelling catheter was observed with the collection bag and tubing on the floor without a dignity cover, contrary to standard care practices. Staff interviews confirmed the expectation to keep the bag off the floor, but the facility's policy lacked this directive. A urine culture later showed yeast presence, indicating a potential infection risk.
The facility failed to document weekly wound assessments for a resident with burns and did not update the care plan to prevent further incidents. Another resident with a seizure disorder experienced multiple seizures without proper documentation of their duration or follow-up assessments. Staff interviews confirmed these lapses in documentation and adherence to facility policies.
The facility failed to ensure the safety of two residents, resulting in multiple falls and injuries. One resident experienced repeated falls due to improper transfer techniques and lack of required safety equipment, leading to fractured ribs and a hemothorax. Another resident had a facial bruise with no investigation or documentation of its cause, and the care plan did not address the injury.
The facility failed to treat two residents with dignity and respect. One resident with severe cognitive impairment was found with a bruise and reported rough treatment by staff. Another resident with intact cognition and multiple health issues reported staff complaints about her frequent urination and improper cleaning, leading to recurrent UTIs. The DON acknowledged the unacceptable behavior, and the Administrator referred to the Resident's Bill of Rights.
The facility failed to update Care Plans for three residents after significant incidents, including a bruise of unknown origin, burns from a coffee spill, and a choking episode requiring the Heimlich maneuver. Despite expectations for timely updates, the Care Plans were not revised to reflect these events.
Failure to Provide Timely Notice of Medicare Non-Coverage
Penalty
Summary
The facility failed to provide the Centers for Medicare and Medicaid Services (CMS) Notice of Medicare Non-Coverage (NOMNC) to a resident in a timely manner. The clinical record review revealed that the Skilled Nursing Facility (SNF) services for the resident began on 5/10/24 and ended on 5/28/24. However, the progress notes for 5/26/24 and 5/27/24 did not document any communication with the resident or their responsible party regarding the discharge from SNF services and the right to appeal. The NOMNC form and the SNFABN form were both signed by the resident's responsible party on 5/29/24, indicating a failure to meet the 48-hour notice requirement. The facility's administrator acknowledged the lack of a policy for providing the Advanced Beneficiary Notice (ABN) in a timely manner.
Failure to Maintain Proper Catheter Care
Penalty
Summary
The facility failed to ensure proper care for a resident with an indwelling catheter, which is crucial to prevent urinary tract infections (UTIs). The resident, who had a history of congestive heart failure, dementia, and a sacral pressure ulcer, was observed with the catheter collection bag and tubing resting on the floor without a dignity cover. This was noted during two separate observations on the same day, indicating a lack of adherence to proper catheter care protocols. Interviews with staff, including a registered nurse and the Assistant Director of Nursing, confirmed that the standard procedure to prevent UTIs involves placing the catheter bag in a dignity cover and ensuring it is kept off the floor. However, the facility's catheter care policy did not include these specific instructions, contributing to the oversight. A subsequent urine culture indicated the presence of yeast, suggesting a potential infection risk, although the report does not explicitly link this to the observed deficiency.
Documentation Failures in Wound and Seizure Assessments
Penalty
Summary
The facility failed to properly document assessments for two residents, leading to deficiencies in care. Resident #2, who had chronic congestive heart failure, renal insufficiency, and diabetes mellitus, suffered burns on her thighs after spilling hot coffee. The facility did not document weekly wound assessments for Resident #2 from 3/22/24 to 4/2/24, and the care plan was not updated to include interventions to prevent further incidents. Additionally, the wound assessments that were documented did not specify which wound they addressed, and multiple wounds were recorded on a single sheet, contrary to the facility's policy that each wound should have its own sheet for assessments. Interviews with staff confirmed the lack of proper documentation and care plan updates. Resident #3, who had cancer, hemiplegia, and a seizure disorder, experienced multiple seizures that were not properly documented. The facility failed to record the duration of the seizures and did not conduct follow-up assessments as required. On several occasions, Resident #3 was found unresponsive and exhibiting seizure-like activity, but the clinical records lacked detailed documentation of these events. Interviews with staff revealed that the expected documentation, including the length of the seizure and follow-up assessments, was not completed. The facility's seizure policy did not provide clear instructions on what to document after seizure activity, contributing to the deficiency. The Director of Nursing (DON) and other staff members acknowledged the lapses in documentation and the failure to follow the facility's policies. The DON confirmed that the facility's practice of documenting multiple wounds on a single sheet was not in line with the policy, and there was no explanation for the lack of documentation for Resident #2's wounds during the specified period. Similarly, the DON and other staff members admitted that the documentation for Resident #3's seizures was incomplete and did not meet the facility's standards. These deficiencies highlight significant gaps in the facility's documentation practices and adherence to care plans, impacting the quality of care provided to the residents.
Failure to Ensure Resident Safety and Proper Injury Investigation
Penalty
Summary
The facility failed to ensure the safety of Resident #5, who experienced multiple falls while being transferred by staff. On one occasion, Resident #5 fell while being transferred from her wheelchair to her recliner by a CNA, resulting in three fractured ribs and a hemothorax. The CNA did not use a gait belt as required by the care plan, and the wheelchair was not properly positioned, leading to the fall. Despite the resident's history of falls and the need for two-person assistance during transfers, the staff did not consistently follow these protocols, resulting in repeated injuries and hospitalizations for Resident #5. Additionally, the facility failed to determine the cause of a facial bruise on Resident #1. The bruise was first noticed by a CNA, but there was no immediate investigation or documentation of how the injury occurred. The bruise was not reported to the Director of Nursing (DON) until it had already started to heal, and no staff member could provide an explanation for the injury. The care plan for Resident #1 did not address the bruise, and the facility's skin assessment policy was not followed. These deficiencies highlight the facility's failure to provide adequate supervision and ensure a safe environment for its residents. The lack of proper transfer techniques, failure to use required safety equipment, and inadequate investigation and documentation of injuries contributed to the harm experienced by Residents #5 and #1.
Failure to Treat Residents with Dignity and Respect
Penalty
Summary
The facility failed to treat two residents with dignity and respect. Resident #1, who had severely impaired cognition due to Alzheimer's disease and other conditions, was found with a raised bruise on her forehead. Despite interventions to prevent further injury, a roommate reported that staff treated Resident #1 roughly and made dismissive comments about her appearance and care needs. This indicates a lack of respect and proper care for Resident #1's condition and dignity. Resident #5, who had intact cognition but required substantial assistance due to multiple health issues, reported that staff accused her of wetting her pants on purpose and complained about her frequent urination. Despite her medical condition requiring diuretic therapy, staff did not clean her properly, leading to recurrent urinary tract infections. A family member and another resident corroborated these claims, reporting that staff made derogatory comments and delayed attending to her toileting needs, causing her significant distress and embarrassment. The Director of Nursing acknowledged that staff behavior was unacceptable and contrary to the facility's expectations. The Administrator confirmed that the facility did not have a specific policy on dignity but referred to the Resident's Bill of Rights, which mandates treating residents with respect and dignity. The facility's failure to adhere to these standards resulted in the reported deficiencies.
Failure to Update Care Plans After Significant Incidents
Penalty
Summary
The facility failed to update Care Plans for three residents after significant incidents. Resident #1, who had severe cognitive impairment, sustained a bruise of unknown origin on her forehead. Despite multiple observations and health status notes documenting the bruise, the Care Plan was not updated to reflect this injury. The staff implemented an intervention to place a pillow against the wall, but this was not included in the Care Plan either. Resident #2, who had intact cognition, sustained burns on her thighs after spilling coffee on her lap. The Assistant Director of Nursing and the Director of Nursing both expected the Care Plan to be updated within 24 to 48 hours after the incident. However, the MDS Coordinator admitted to forgetting to update the Care Plan until prompted by the surveyor. The Care Plan was eventually updated to include the intervention of keeping the lid on coffee cups, but this was done weeks after the incident. Resident #4, who had severe cognitive impairment and required total assistance for all activities of daily living, experienced a choking episode that required the Heimlich maneuver. Despite this significant event, the Care Plan was not updated to reflect the choking incident. The Care Plan only included general instructions for assisting with intake and serving a pureed diet, without addressing the choking episode or any new interventions to prevent future occurrences.
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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 Tipton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Clarence Nursing Home | 8.2 mi | — | 0 | 0 |
| Mechanicsville Specialty Care | 11.2 mi | — | 0 | 0 |
| Crestview Specialty Care | 13.6 mi | — | 15 | 1 |
| Wilton Retirement Community | 13.9 mi | — | 2 | 0 |
| Wheatland Manor | 15.4 mi | — | 2 | 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.