Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 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 Cambridge Place during CMS and state inspections, most recent first.
A resident with severe cognitive impairment, an acute lumbar fracture, and multiple mental health diagnoses did not receive ordered pain management when a daily Lidocaine 5% patch was not administered for an extended period because it was marked as unavailable, without notifying the physician. Additionally, after a fentanyl transdermal patch dose was changed, the previous patch was left in place and the new patch was not applied for several days, while an RN acknowledged knowing the old patch remained and did not contact the pharmacy or MD. During this time, the resident required PRN oxycodone for pain, and was observed unable to converse and staring blankly when questioned.
Staff provided meals to residents on Styrofoam plates and bowls instead of regular dinnerware during meal services, citing staff shortages as the reason. This practice was not in accordance with facility policy, which prohibits single-use disposable dining ware except in emergencies, and was confirmed by dietary and administrative nursing staff.
A deficiency was cited when a nursing home area was found to contain accident hazards and lacked adequate supervision to prevent accidents. The environment did not meet required safety standards, resulting in insufficient oversight.
A resident who recently had a total knee replacement and was receiving therapy did not have access to a call light from her bed after moving rooms. Multiple observations and staff interviews confirmed the call light was left hanging on the wall, out of reach, despite facility policy requiring bedside accessibility.
Staff did not consistently follow Enhanced Barrier Precautions (EBP) when providing care to a resident with a urinary catheter, including failing to wear gloves or gowns during high-contact activities and handling an uncovered catheter bag and tubing that were left on the floor. Despite EBP indicators and available PPE, staff acknowledged lapses in protocol, resulting in noncompliance with the facility's infection control policies.
Failure to Administer and Manage Ordered Pain Medications
Penalty
Summary
The facility failed to provide ordered pain management for a resident with severe cognitive impairment and multiple mental health diagnoses, including dementia, psychotic disturbance, mood disturbance, and anxiety, as well as an acute lumbar vertebral fracture. The resident’s care plan directed staff to assess pain each shift, treat reported pain in a timely manner, and evaluate effectiveness. Physician orders included a daily Lidocaine 5% patch to the lower back and a fentanyl transdermal patch for moderate to severe pain. Record review showed that the resident did not receive the ordered Lidocaine patch for a 12‑day period because it was documented as not available, with no evidence that staff notified the physician or took further action. During this time, the resident’s MDS documented that she received scheduled and PRN pain medications and daily opioid use, but the MAR showed the Lidocaine patch was not administered for multiple consecutive days. The facility also failed to properly manage the resident’s fentanyl transdermal patch orders. After the physician discontinued a 25 mcg fentanyl patch and ordered a 12 mcg replacement, the previous 25 mcg patch remained on the resident’s left shoulder and the new 12 mcg patch was not applied for several days. A nurse later acknowledged knowing the old fentanyl patch was still in place and that the replacement patch was not available, but chose to leave the old patch on and did not contact the pharmacy or physician. The MAR documented that the resident required oxycodone for pain rated at five during this period. Observation showed the resident sitting in a wheelchair, unable to carry on a conversation and staring blankly when asked questions. The clinical record lacked evidence that the physician was notified that the ordered pain medications, including the Lidocaine and fentanyl patches, were not administered as prescribed.
Use of Disposable Dinnerware Compromises Resident Dignity
Penalty
Summary
Staff served meals to residents using Styrofoam plates and bowls instead of regular dinnerware during both lunch and breakfast meal services. Observations confirmed that meatloaf, mashed potatoes, carrots, strawberry cake, scrambled eggs, toast, sausage or bacon, and cereal were all served on disposable Styrofoam ware. Dietary staff stated that the use of disposable plates and bowls was due to being short-staffed and lacking sufficient help to clean dishes. The facility's Dining Room Standards policy, dated 2020, specifies that single-use disposable dining ware is not permitted except in emergencies. Administrative nursing staff verified that Styrofoam ware should not have been used for daily meal service and confirmed the reason for its use was staff shortages.
Failure to Maintain Safe Environment and Adequate Supervision
Penalty
Summary
A deficiency was identified due to the failure to ensure that a nursing home area was free from accident hazards and that adequate supervision was provided to prevent accidents. The report notes that the environment did not meet safety standards, which resulted in the presence of accident hazards and insufficient oversight to prevent potential incidents. No specific details about the residents involved, their medical history, or their condition at the time of the deficiency are provided in the report.
Call Light Inaccessible to Bedbound Resident
Penalty
Summary
A deficiency was identified when a resident's call light was found to be inaccessible from her bed. Observations on multiple occasions showed that the call light was hanging on the wall and could not be reached by the resident while she was in bed. The resident, who had recently undergone a total knee replacement and was receiving therapy, was mobile in her wheelchair but could not safely ambulate independently. Interviews with staff confirmed that the call light should have been accessible to the resident at all times, especially when in bed. Further investigation revealed that the resident had moved rooms about a month prior, and administrative staff were unaware that the call light was not properly installed at the bedside in the new room. The facility's policy required that call lights be accessible at each resident's bedside and that staff ensure accessibility during every interaction. Despite this policy, the resident did not have access to a call light from her bed, as verified by both administrative and nursing staff.
Failure to Implement Enhanced Barrier Precautions During Catheter Care
Penalty
Summary
Facility staff failed to implement proper infection prevention and control measures, specifically Enhanced Barrier Precautions (EBP), for a resident with an indwelling urinary catheter. Multiple observations revealed that staff did not consistently don gloves or gowns when performing high-contact care activities, such as emptying the urinary catheter bag or handling the catheter and tubing. On several occasions, staff entered the resident's room and assisted with care or handled the catheter bag without wearing gloves or gowns, despite the presence of EBP indicators and available personal protective equipment (PPE). The urinary catheter bag and tubing were also observed uncovered and placed on the floor, and staff picked them up without gloves. The facility's policies required the use of EBP, including targeted gown and glove use during high-contact care activities for residents with devices such as urinary catheters. Staff interviews confirmed awareness of EBP indicators, but also acknowledged lapses in following protocol, such as forgetting to wear a gown or failing to use gloves when handling the catheter bag. The facility's own policies emphasized the importance of these precautions to prevent the transmission of multidrug-resistant organisms and reduce infections, but these were not consistently followed during the survey period.
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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 Marysville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Frankfort Community Care Home | 15.8 mi | — | 20 | 1 |
| Linn Community Nursing Home | 26.7 mi | — | 7 | 0 |
| Eastridge | 28.7 mi | — | 0 | 0 |
| Good Samaritan Society - Beatrice | 28.8 mi | — | 12 | 0 |
| Life Care Center Of Seneca | 29.7 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.