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 Tioga Community Care Center during CMS and state inspections, most recent first.
A resident with morbid obesity, vascular dementia, and an above-the-knee amputation, who was cognitively intact and dependent on a mechanical lift with two-person assist for transfers, was not assisted out of bed over a weekend despite repeatedly requesting to get up. CNAs and an LPN reported that lifts on the resident’s hall and other halls were not working or had uncharged batteries, resulting in residents who required lifts not being gotten out of bed. The resident’s responsible party stated the resident had been reporting ongoing difficulty getting out of bed due to lift problems, and administration later acknowledged there had been lift issues, while also confirming staff should have used a working lift to honor the resident’s request to get out of bed.
Staff failed to consistently monitor and record food, refrigerator, freezer, and dishwasher temperatures, and did not properly store food items, such as leaving opened dough boxes exposed in the freezer. These lapses were confirmed by dietary staff and were not in accordance with facility policies, potentially affecting all residents receiving meals.
A resident experienced verbal abuse from a CNA during a showering session, leading to mental anguish. Despite the resident's cognitive intactness and corroboration from witnesses, the facility's administration did not classify the incident as verbal abuse, instead labeling it as an unprofessional interaction. The resident, with a history of anxiety and depression, reported feeling disrespected and insulted by the CNA's profane language.
A facility failed to report a verbal abuse incident involving a CNA and a cognitively intact resident with anxiety and major depressive disorder. The resident reported being cursed at by the CNA during a shower, which was confirmed by another CNA. Despite this, the Administrator did not report the incident to the State Agency, believing it did not constitute abuse due to lack of psychological harm, violating state law and facility policy.
A facility failed to inform a resident's responsible party of changes in the resident's medication regimen, despite the resident having severe cognitive impairment and multiple diagnoses. Interviews with staff confirmed that the responsible party should have been notified, but there was no documentation of such communication.
The facility failed to ensure the QAA committee meetings included the required six staff members for the last four quarterly meetings. The review of sign-in sheets revealed that only the Medical Director, Administrator, DON, and Infection Preventionist were in attendance. The Administrator was unaware of the requirement for additional members.
A resident with Lumbago and Sciatica did not receive recommended Lidocaine patches for pain management due to inadequate follow-up by an LPN. The resident's care plan included administering analgesic medications as ordered, but the facility failed to implement the orthopedic doctor's recommendation.
Failure to Honor Resident Choice Due to Unresolved Lift Equipment Issues
Penalty
Summary
The facility failed to promote and facilitate resident self-determination and resident choice regarding when to get out of bed for one cognitively intact resident who was dependent on staff and mechanical lifts for transfers. The resident, admitted with multiple diagnoses including unspecified atrial flutter, type 2 diabetes mellitus, morbid obesity, hypertensive heart disease, vascular dementia, and an above-the-knee left leg amputation, had a care plan indicating an ADL self-care performance deficit requiring use of a lift system with a brown sling and assistance of two staff for transfers. Despite this, over a specified weekend the resident reported being left in bed after repeatedly asking to get up and being told there were no lift pads available or that the lift was not working. Multiple staff interviews confirmed that lifts on the resident’s hall were reportedly not working during that weekend, and that residents requiring lifts, including this resident, were not gotten out of bed due to lift issues and problems with keeping batteries charged. One CNA stated she attempted to obtain a lift from other halls but found those lifts also not working, and another CNA reported that at times only one lift in the building was working and that the resident typically did not get out of bed when lift problems occurred. An LPN acknowledged knowing the resident did not get out of bed that weekend and heard the resident state he expected to get up on Monday. The resident’s responsible party reported receiving calls from the resident over the preceding weeks about difficulty getting out of bed due to lift problems and was later informed by administration that there had been lift issues. The administrator stated he had been aware of lift issues earlier in the week and had maintenance check all lifts, batteries, and charging ports, but he was not informed of lift problems on the specific weekend in question, and confirmed that if the resident had requested to get out of bed, staff should have used a working lift.
Failure to Maintain Food Safety Standards and Temperature Monitoring
Penalty
Summary
The facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety. Specifically, staff did not ensure that food, dishwasher, refrigerator, and freezer temperatures were performed and recorded as required. Observations revealed that two opened boxes of yeast roll dough were left open to air in the walk-in freezer, and review of temperature logs showed that no refrigerator, freezer, or dishwasher temperatures were recorded on multiple dates. Additionally, food temperatures for dinner meal services were not completed on two occasions. Interviews with dietary staff confirmed that temperature checks were not completed appropriately and that there was a lack of monitoring to ensure logs were filled out as required. Facility policies reviewed indicated that food should be covered, labeled, and dated, and that temperatures should be checked and recorded at specified intervals, but these procedures were not followed. This deficient practice had the potential to affect all 93 residents who received meals prepared in the kitchen.
Verbal Abuse Incident During Resident Care
Penalty
Summary
The facility failed to protect a resident from verbal abuse by a staff member, resulting in mental anguish and psychosocial harm. The incident involved a cognitively intact resident who was verbally abused by a CNA during ADL care. The resident, who has a history of anxiety disorder and major depressive disorder, reported feeling disrespected and insulted after the CNA used profane language during a showering session. The incident occurred when the resident expressed dissatisfaction with the CNA's handling of the shower, leading to a verbal altercation. The CNA responded with profanity, telling the resident to "Shut the F*** up" and "F*** this Sh**." Witnesses, including another CNA and a treatment nurse, confirmed the resident's account of the incident. Despite the resident's clear distress and the corroboration of the event by other staff members, the facility's administration did not classify the incident as verbal abuse. The Director of Nursing and the Administrator conducted an investigation but did not report the incident as verbal abuse, instead categorizing it as an unprofessional interaction. The facility's policy defines verbal abuse as actions that cause mental anguish, yet the administration did not recognize the incident as such, despite the resident's reported emotional distress. The lack of appropriate classification and reporting of the incident highlights a deficiency in the facility's handling of abuse allegations.
Failure to Report Verbal Abuse Incident
Penalty
Summary
The facility failed to report an incident of verbal abuse involving a resident and a Certified Nursing Assistant (CNA) to the State Survey Agency within the required timeframe. The incident involved a resident who was cognitively intact, as indicated by a BIMS score of 14, and had diagnoses including anxiety and major depressive disorder. The resident was dependent on staff for various activities of daily living. The incident occurred when the resident complained about a CNA's behavior during a shower, leading to the CNA cursing at the resident. This interaction was reported to the Director of Nursing (DON) and the Administrator by a Nurse Aide Supervisor. Despite the resident's report and confirmation by the Administrator that the incident was witnessed by another CNA, the Administrator did not report the incident to the State Agency. The Administrator believed the incident did not meet the definition of abuse as there was no evidence of psychological harm to the resident. Consequently, the incident was not reported to the State Agency, and a Statewide Incident Tracking System (SIMS) report was not completed, which is a violation of the facility's policy and state law requiring immediate reporting of abuse allegations.
Failure to Notify Resident's Responsible Party of Medication Changes
Penalty
Summary
The facility failed to ensure that the responsible party (RP) of a resident with severe cognitive impairment was informed of changes in the resident's medication regimen. The resident, who had diagnoses including Alzheimer's disease, Generalized Anxiety Disorder, Major Depressive Disorder, and Dementia, was prescribed various medications for anxiety and depression. The resident's clinical records showed changes in medication dosages and types over several months, but there was no documentation indicating that the RP was notified of these changes. Interviews with facility staff, including an LPN and the Assistant Director of Nursing (ADON), confirmed that the RP should have been informed of the medication changes but was not. The Director of Nursing (DON) also verified that there was no evidence of notification to the RP regarding the changes in the resident's medication regimen. This lack of communication with the RP represents a deficiency in the facility's adherence to its policy on notifying residents and their representatives of changes in medical conditions or treatments.
QAA Committee Meetings Lacked Required Members
Penalty
Summary
The facility failed to ensure the Quality Assessment and Assurance (QAA) committee meetings included the required six staff members for the last four quarterly meetings. The review of the facility's quarterly QAA committee sign-in sheets for meetings held on April 11, 2024, January 18, 2024, October 3, 2023, and July 13, 2023, revealed that only the Medical Director, Administrator, Director of Nurses, and the Infection Preventionist were in attendance. During an interview on May 22, 2024, the Administrator indicated that he was not aware of the requirement for additional members to attend the quarterly QAPI meetings.
Failure to Implement Pain Management Care Plan
Penalty
Summary
The facility failed to implement the person-centered care plan for a resident who was reviewed for pain management. The resident, who was cognitively intact and used a walker to ambulate, had a primary medical condition of Lumbago with Sciatica. The resident's orthopedic doctor recommended Lidocaine patches for pain management, but the facility did not order or administer these patches. The resident's care plan included administering analgesic medications as ordered by the physician and monitoring for side effects and effectiveness every shift. However, the Lidocaine patches were not included in the resident's medication regimen despite the doctor's recommendation. The deficiency was identified through a series of interviews and record reviews. The resident expressed ongoing pain and dissatisfaction with the current pain management, which only included Tylenol. The LPN acknowledged receiving the recommendation for Lidocaine patches but did not follow up adequately to obtain the necessary order. The Assistant Director of Nursing confirmed that the LPN should have contacted the facility's Medical Director or the resident's Nurse Practitioner to carry out the order but failed to do so. This lapse resulted in the resident not receiving the recommended pain management treatment.
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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 Pineville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Oaks Care Center | 2.6 mi | — | 7 | 0 |
| Hilltop Nursing & Rehabilitation Center | 4.4 mi | — | 13 | 0 |
| Matthews Memorial Health Care Center | 5.5 mi | — | 10 | 0 |
| Legacy Nursing At St. Christina | 6 mi | — | 17 | 0 |
| Lexington House | 7 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.