Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before 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 Blair Ridge Health Campus during CMS and state inspections, most recent first.
The facility failed to follow its policies for reporting and investigating misappropriation of property and alleged abuse. An LPN directed staff to give a CNA a dose of Zofran from a resident’s private medication supply, and the DON later acknowledged the event but did not obtain written statements from involved staff or report the misappropriation to the State Agency, despite the resident having an active PRN ondansetron order. In a separate incident, a resident with dementia and significant ADL assistance needs was reportedly spoken to in a loud, passive-aggressive manner by a CNA, with statements such as “you need to stand up” and “if you don’t stand up I’ll put you in your wheelchair,” after which the resident appeared visibly upset and stated he was not okay. A QMA reported this as verbal abuse to an LPN and the Administrator, both verbally and in writing, but the Administrator did not notify the State Agency and concluded there was no abuse, contrary to the facility’s abuse policy requiring prompt reporting and thorough investigation of alleged abuse and misappropriation.
A resident with dementia, severe depression with psychotic symptoms, anxiety, and a known history of exit seeking and wandering was care planned as an elopement risk but was able to leave the building through the main entrance without staff awareness. After finishing a meal and putting on a winter coat, the resident exited the front door, walked along the drive, and reached an outdoor area near a courtyard before staff noticed and escorted the resident back inside. During this time, the resident was not visualized for approximately two minutes, and a magnetic alarm device the resident was wearing did not activate when the door was opened, despite facility policy requiring prevention strategies and supervision for residents at risk of unauthorized exit.
The facility failed to maintain sanitary conditions in the kitchen, with improper storage and labeling of food, and unclean appliances. Yogurt cups were improperly stored, and expired and unlabeled food items were found in the refrigerator and freezer. Dishware was stored upright, contrary to policy. These issues potentially affected 51 of 52 residents.
A resident with a history of spinal infection was transferred to the emergency room due to surgical site complications but did not receive the required transfer and discharge form. The facility's policy mandates such documentation, but it was not provided, as confirmed by the Executive Director.
A resident with dementia and a new diagnosis of a psychotic disorder did not receive a timely PASRR assessment after a medication change. The Social Service director could not find an updated assessment, and the DON confirmed there was no policy for PASRR assessments.
The facility failed to provide adequate grooming services for two residents, resulting in deficiencies in personal hygiene. One resident, with moderate cognitive impairment, was observed with long whiskers despite having an electric razor available. Another resident, with severe cognitive impairment, was repeatedly seen unshaven with long fingernails. The facility lacked a specific policy for ADL care, contributing to these oversights.
A facility failed to follow physician orders for PICC line dressing changes for a resident receiving antibiotic therapy. The dressing, dated 7/2/2024, was not changed every 5 days as required, and improper documentation was noted in the MAR. The resident, who required intravenous medication for infections, confirmed the dressing had not been changed since 7/2/2024. An LPN acknowledged the lack of documentation for the dressing changes, contrary to facility policy.
A facility failed to ensure proper infection control during a medication administration by RN 3, who did not wash hands after glove removal and fanned a cleansed area. The facility's policies required hand hygiene after glove removal and the use of a barrier for supplies, which were not followed.
Failure to Report and Investigate Misappropriation of Medication and Alleged Verbal Abuse
Penalty
Summary
The deficiency involves the facility’s failure to follow its own policies for reporting and investigating misappropriation of resident property when staff used a resident’s prescription medication for staff personal use. The DON recalled that in October, an LPN instructed an unnamed nursing staff member to give a CNA a dose of Zofran (ondansetron) from a resident’s private medication supply for the CNA’s stomachache. A later text exchange showed the LPN asking if this included the Zofran she had given somebody, followed by emojis, and the DON responding that additional statements were needed. The DON acknowledged she did not obtain written statements from the involved staff and was not aware the incident was reportable, so she did not report the misappropriation to the State Agency. Resident M’s record showed an order for ondansetron 4 mg every 6 hours as needed for nausea and vomiting during the admission period. The facility also failed to follow its abuse policy by not reporting an allegation of verbal abuse to the State Agency and not conducting a thorough investigation. Resident H had dementia, weakness, anxiety, mild cognitive impairment, no documented negative behaviors, and required substantial to maximal assistance for standing, transfers, and toileting, with care plan interventions including extensive assistance for transfers, use of a walker, and encouragement to stand slowly. On one shift, a QMA reported that a CNA had yelled at Resident H and that the resident was visibly upset and stated he was not okay. The QMA reported hearing the CNA speaking loudly and passive-aggressively to the resident, saying phrases such as “you need to stand up,” “stop doing that,” and “if you don’t stand up I’ll put you in your wheelchair,” and reported this allegation to an LPN and to the Administrator, both verbally and in writing. Multiple staff statements documented that the allegation of verbal abuse toward Resident H was communicated to supervisory staff, including the LPN and the Administrator. The LPN reported that the QMA told her the CNA was being mean to a resident and that she then notified the Administrator. The QMA stated she specifically reported that the CNA had been verbally abusive to Resident H and to other staff, and that Resident H appeared visibly upset after the interaction. Despite these reports and the facility’s written policy defining abuse (including verbal abuse and intimidation causing mental anguish) and requiring notification to the State Department of Health within 24 hours of becoming aware of an alleged incident, the Administrator stated that the State was not notified because abuse was not identified, and the facility’s investigation concluded with no findings. This sequence of events demonstrates the facility’s failure to implement its abuse, neglect, exploitation, and misappropriation policies regarding reporting and investigation of both the medication misappropriation and the verbal abuse allegation.
Failure to Supervise Elopement-Risk Resident with Dementia
Penalty
Summary
The facility failed to ensure adequate supervision and accident prevention for a resident with dementia and known exit-seeking behaviors, resulting in an elopement event. The resident, who had diagnoses including dementia with mood disturbances, severe depression with psychotic symptoms, and anxiety, had a documented history of wandering, exit seeking, and threatening self-harm. A recent MDS assessment showed wandering behaviors and care plans identified the resident as an elopement risk with exit-seeking behaviors, with a goal that the resident would not elope and would be redirected away from doors and exits as needed. An observation report documented that the resident was oriented only to person and had a history of exit seeking, and a physician note described recent exit-seeking behaviors and refusal of sleep and medications. On the day of the incident, after finishing supper, the resident returned to his room, put on a winter coat, and then exited the building through the main front door. Photographs provided by the Administrator showed the resident leaving through the main entry, walking along the asphalt drive around the side of the building, and later being outside near the courtyard before staff escorted him back inside through doors near the courtyard. During this time, there was an approximate two-minute period when the resident was not visualized and was unsupervised. The incident report and nursing progress note indicated that another resident and family in the foyer observed the resident leaving, and memory care staff noticed the resident outside and brought him back in. The Administrator stated that although the resident was wearing a magnetic alarm mechanism, it failed to alarm when the resident opened the front door and exited. The facility’s elopement risk assessment and prevention policy required implementation of prevention strategies and a plan of care for residents identified as having the potential to leave the facility unauthorized and requiring supervision for wandering to unsafe areas.
Deficiencies in Kitchen Sanitation and Food Storage
Penalty
Summary
The facility failed to maintain safe and sanitary conditions in the kitchen, affecting the storage, preparation, and serving of food. During an initial observation, yogurt cups were found sitting on the counter without being iced, and when checked, the temperature was 60.8°F, indicating improper cold storage. Additionally, the reach-in freezer contained undated and unlabeled food items, such as Taquitos and French fries, while the refrigerator held expired items like chocolate pudding, green beans, mashed potatoes, and lettuce, some of which were wilted and unlabeled. The kitchen appliances, including the stovetop, refrigerator, and ovens, were observed to have grease, food debris, and spillage, indicating a lack of cleanliness. Dishware storage was also found to be unsanitary, with large salad bowls, side plates, side bowls, and ramekins stored upright instead of inverted, exposing them to potential contamination. Despite the facility's policy requiring food to be labeled, dated, and stored properly, and dishware to be stored upside down, these practices were not followed. The Culinary Director acknowledged these lapses, noting that appliances were cleaned on a once-a-week rotation, which was insufficient to maintain cleanliness. These deficiencies had the potential to affect 51 of 52 residents who consumed food from the kitchen.
Failure to Provide Transfer and Discharge Form
Penalty
Summary
The facility failed to provide a transfer and discharge form for a resident who was hospitalized. The resident, who was cognitively intact, had been admitted to the facility multiple times and had a medical history that included an infection of the spinal internal fixation device, osteomyelitis, and MSSA. On a specific date, the resident was discharged to the emergency room due to a spinal surgical site dehiscence with purulent drainage and returned to the facility the following day. During interviews, it was revealed that a transfer and discharge form should have been provided when the resident was transferred to another facility. However, the Executive Director confirmed that the facility did not issue the required form on the date of the transfer. The facility's policy, which aligns with federal regulations, mandates that a transfer or discharge form is necessary when a resident's needs cannot be met in the facility, but this protocol was not followed in this instance.
Failure to Conduct Timely PASRR Assessment
Penalty
Summary
The facility failed to ensure that a resident received a timely PASRR (Preadmission Screening and Resident Review) assessment following a change in their medical condition. The resident, who had diagnoses including dementia, psychotic disorder with hallucinations, mood disturbance, and anxiety, initially had a PASRR Level 1 assessment completed, which did not require a Level II assessment. However, after receiving a new qualifying diagnosis of a psychotic disorder and a change in medication, no updated PASRR assessment was conducted. During an interview, the Social Service director acknowledged the absence of an updated assessment, and the Director of Nursing confirmed the lack of a policy for PASRR assessments.
Deficiency in Grooming Services for Residents
Penalty
Summary
The facility failed to provide adequate grooming services for two residents, leading to deficiencies in their personal hygiene. Resident 27, who has diagnoses including dementia, visual hallucinations, and diabetes mellitus type 2, was observed multiple times with long white whiskers on her chin, upper lip, and cheeks. Despite having an electric razor provided by her daughter, the resident expressed a desire for assistance in removing the whiskers. Her care plan indicated a need for substantial assistance with grooming due to moderate cognitive impairment, yet it did not specifically address grooming assistance. Observations over several days confirmed the lack of grooming, and an LPN acknowledged that facial hair should be shaved as needed, not just on shower days. Similarly, Resident 29, with severe cognitive impairment and multiple diagnoses such as dementia and chronic kidney disease, was observed unshaven with long fingernails on several occasions. His care plan indicated a need for maximal assistance with personal hygiene, yet he remained unshaven and with long nails. An LPN confirmed that the resident should have been shaved and his nails trimmed. The Regional Support Nurse noted that the facility lacked a specific policy for ADL care, relying instead on a resident procedure guide, which contributed to the oversight in grooming care for these residents.
Failure to Follow PICC Line Dressing Change Orders
Penalty
Summary
The facility failed to adhere to physician orders regarding the dressing changes for a PICC line in a resident receiving antibiotic therapy. During an observation, it was noted that the dressing on the resident's PICC line was dated 7/2/2024, despite the physician's order requiring dressing changes every 5 days. The dressing was not fully adhered, and paper tape was used improperly, indicating it had not been changed as required. The resident, who was cognitively intact, confirmed the dressing had not been changed since 7/2/2024. A review of the resident's records showed that the PICC line was necessary for administering antibiotics due to conditions such as infection of a spinal internal fixation device and osteomyelitis. The Medication Administration Record (MAR) inaccurately documented a dressing change on 7/10/2024, which was inconsistent with the observed dressing date. An LPN confirmed the lack of documentation for the required dressing changes, and the facility's policy stipulated dressing changes every 5-7 days or as needed. This discrepancy highlights a failure in following the prescribed care plan and maintaining accurate records.
Infection Control Lapse During Medication Administration
Penalty
Summary
The facility failed to ensure proper infection control practices during a medication administration observation involving RN 3. During the procedure, RN 3 obtained supplies to perform a blood glucose level and administer insulin to a resident. RN 3 placed the glucometer device and supplies on the resident's bed, washed his hands, and applied gloves. However, after wiping the resident's finger with an alcohol pad, RN 3 fanned the cleansed area with an open hand, which is not a recommended practice. After obtaining the blood sample, RN 3 removed his gloves but did not wash his hands before administering insulin to the resident. The Director of Nursing provided the facility's policies on glucometer use, handwashing/hygiene, and injectable medication administration, which were current and indicated the need for appropriate infection control techniques. The handwashing policy specifically required hand hygiene after glove removal, and the injectable medication administration policy required the use of a barrier if supplies or medication were set down in a resident's room. RN 3 acknowledged during an interview that he should have washed his hands and used a barrier, indicating a lapse in following the facility's infection control policies.
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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 Peru
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Waters Of Peru Skilled Nursing Facility, The | 1 mi | — | 0 | 0 |
| Hickory Creek At Peru | 1.2 mi | — | 13 | 0 |
| Aperion Care Peru | 6.5 mi | — | 32 | 0 |
| Miller's Merry Manor | 12 mi | — | 9 | 0 |
| Woodbridge Health Campus | 12.8 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.