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 Pinnacle Health & Rehab Canton during CMS and state inspections, most recent first.
A resident with a documented fall risk experienced an unwitnessed fall when their call bell was not within reach, contrary to care plan interventions requiring staff to ensure accessibility and encourage its use.
A facility failed to maintain a resident's dignity by not grooming them properly over three days, despite their dependency on staff for daily living activities. Additionally, an RN incorrectly identified a medication during a pass, telling a resident that a PreserVision ARDES 2 tablet was TUMS. The DON confirmed these practices were unacceptable.
The facility failed to maintain a sanitary and comfortable environment, as observed during a tour. Issues included dirty floors, stained tiles, and uncleanable surfaces on equipment and wheelchairs. These deficiencies were confirmed by the Maintenance Director and Administrator.
The facility failed to update and implement care plans for residents, leading to deficiencies in care. Two residents had call bells out of reach, contrary to their care plans. Another resident with PTSD lacked an updated trauma-informed care plan, and a resident with dementia had no goals or interventions for behaviors in their care plan.
The facility failed to properly label and remove expired medications from a medication cart and did not maintain appropriate storage temperatures for biologicals in two refrigerators. Insulin pens were found expired or without opened dates, and medications like Ozempic and Trulicity were stored at incorrect temperatures due to ice buildup in the refrigerators.
The facility did not conduct PASRR Level II evaluations for two residents with mental health diagnoses whose stays extended beyond 30 days. Both residents were initially admitted for short-term convalescence, but their stays became long-term without the necessary PASRR Level II referrals. This was confirmed by the Social Service Director and discussed with the DON.
A facility failed to implement a baseline care plan within 48 hours for a resident with COPD. Despite having active medication orders for respiratory issues, the care plan lacked goals and interventions for the resident's condition. This deficiency was confirmed during a record review with a surveyor.
A resident with cerebral palsy had a care plan that was not updated to reflect the discontinuation of a wrist brace. Despite observations and staff interviews confirming the resident had not used a brace for over a year, the care plan still included outdated information. The DON confirmed the care plan was incorrect.
A patient lift in the hallway was found missing a sling bar safety clip, posing a potential accident hazard. The DON confirmed the deficiency during the survey.
A facility failed to provide trauma-informed care for a resident with PTSD, who was cognitively intact and distressed by loud noises. The resident's care plan did not include identification of PTSD triggers, as required by facility policy. The LSW admitted that while new residents had trauma-informed care plans, long-term residents like this one had not been updated.
Surveyors found deficiencies in kitchen safety and temperature monitoring, including improper facial hair protection and missing temperature logs for dish machines and refrigeration units.
The facility failed to properly contain garbage, as observed by surveyors during a kitchen tour. Trash was stored in an open-top cart outside the kitchen, leaving it exposed and potentially attracting pests. The Food Service Director confirmed the practice of keeping trash in the open bin before moving it to a larger trash trailer.
The facility's kitchen walk-in freezer was not maintained in good repair, with a significant ice build-up preventing the left fan from running and causing the right fan to make noise. The Food Service Director confirmed these issues, noting that the freezer had been worked on earlier in the year but continued to malfunction.
Failure to Ensure Call Bell Accessibility for Resident at Risk for Falls
Penalty
Summary
A resident who was identified as being at risk for falls experienced an unwitnessed fall and was found in front of their wheelchair next to their bed. Review of the resident's care plan indicated that staff were required to ensure the call light was within reach and to encourage the resident to use it for assistance as needed. However, documentation from the post-fall assessment confirmed that the call bell was not within the resident's reach at the time of the incident. This failure to follow the care plan intervention contributed to the resident's fall.
Deficiencies in Resident Grooming and Medication Identification
Penalty
Summary
The facility failed to maintain the dignity and respect of a resident, identified as Resident #31, who was dependent on staff for all activities of daily living due to a diagnosis of dementia. Over three consecutive survey days, the resident was observed with long facial and chin hair, indicating a lack of grooming. Despite the facility's policy that residents should be shaved daily, interviews with CNAs revealed that if a resident refuses grooming, it should be documented, and the resident should be re-approached. However, the observations and interviews confirmed that Resident #31 was not groomed appropriately, as confirmed by the Director of Nursing. Additionally, the facility failed to correctly identify a medication for a resident, identified as Resident #242, during a medication pass. An RN incorrectly informed the resident that a PreserVision ARDES 2 chewable tablet was TUMS. The RN later admitted to the error, stating that the resident was particular about taking medications. The Director of Nursing confirmed with surveyors that providing incorrect information about medication was unacceptable practice.
Facility Fails to Maintain Sanitary and Comfortable Environment
Penalty
Summary
The facility failed to provide adequate housekeeping and maintenance services, resulting in an unsanitary and uncomfortable environment. During a facility environment tour, several deficiencies were observed. The bathroom across from the nurse's station had a dirty floor and stained tiles. A ceiling tile in the hallway had a large brown stain. A sit-to-stand patient lift had chipped paint and dirt, making it uncleanable. In various resident rooms, there were issues such as dust and debris in bathroom lights, dirty floors around toilets, and soiled wheelchairs with food debris. Additionally, a resident's reclining wheelchair had a torn footrest, creating an uncleanable surface. These findings were confirmed by the Maintenance Director and the Administrator during the tour.
Deficiencies in Care Plan Implementation and Updates
Penalty
Summary
The facility failed to update and implement care plans for several residents, leading to deficiencies in care. Resident #30 was observed in a wheelchair with the call bell out of reach, despite the care plan instructing that the call light should be within reach. Similarly, Resident #8, who requires a hoyer lift for transfers, had the call bell coiled up and out of reach, contrary to the care plan's instructions. These observations were confirmed by CNA #4, indicating a failure to adhere to the care plans designed to prevent falls and ensure prompt assistance. Additionally, the facility did not update the care plan for Resident #9, who was admitted with PTSD, to include trauma-informed care as required. The Licensed Social Worker acknowledged that while new residents had updated care plans, long-term residents like Resident #9 did not. Furthermore, Resident #31, who has dementia and exhibits physical and verbal behaviors, lacked a care plan with goals and interventions for mood and behaviors. This was confirmed during interviews with staff, highlighting a gap in addressing the resident's behavioral needs.
Medication Storage and Labeling Deficiencies
Penalty
Summary
The facility failed to ensure proper labeling and removal of expired medications from the medication cart, as well as maintaining appropriate storage temperatures for biologicals in the medication room refrigerators. During an observation, surveyors found several insulin pens, including Aspart, Basaglar, Lantus, and Lispro, that were either expired or lacked an opened date, contrary to the manufacturer's instructions. The Registered Nurse confirmed the expiration and removed the medications from availability. Additionally, the facility did not maintain the required temperature range for storing medications in two of the three refrigerators observed. The top refrigerator had excessive ice buildup, preventing the freezer door from closing, and contained medications like Ozempic, Trulicity, and Lorazepam, which were stored at incorrect temperatures. Similarly, the bottom refrigerator also had ice buildup and contained insulin pens, COVID-19 vaccines, and an unlabeled vial of Tuberculin, all stored at inappropriate temperatures. The temperature logs for both refrigerators showed that only two days in July had temperatures within the recommended range.
Failure to Conduct PASRR Level II Evaluations for Long-Term Residents
Penalty
Summary
The facility failed to ensure that two residents with specialized mental health diagnoses, whose stays extended beyond the expected 30 days, were referred for a PASRR Level II evaluation and determination. Resident #10 was admitted with a diagnosis of Schizophrenia and initially received a PASRR Level I determination indicating no further evaluation was needed due to a short-term convalescence admission. However, when Resident #10's stay transitioned to long-term, the facility did not forward the PASRR Level I to the State Mental Health Authority for a Level II evaluation. Similarly, Resident #15, admitted with Schizophrenia and Bipolar Disorder, also had a PASRR Level I determination that did not require further evaluation for a short-term stay. Like Resident #10, Resident #15's stay extended beyond the short-term period, and the facility failed to initiate a PASRR Level II evaluation. These findings were confirmed during interviews with the Social Service Director and discussed with the Director of Nursing.
Failure to Implement Baseline Care Plan for COPD Resident
Penalty
Summary
The facility failed to develop and implement a baseline care plan within 48 hours of admission for a resident with chronic obstructive pulmonary disease (COPD). The resident was admitted with active orders for medications including Advair, Ipratropium-Albuterol, Prednisone, and ProAir, all related to their COPD diagnosis. Despite these orders, the care plan initiated did not include necessary goals and interventions for the resident's respiratory concerns. This deficiency was confirmed during a review of the resident's clinical record with a surveyor, where it was noted that the care plan lacked evidence of addressing the resident's respiratory diagnoses within the required timeframe.
Failure to Update Care Plan for Discontinued Brace
Penalty
Summary
The facility failed to update the care plan for a resident with cerebral palsy, who was admitted with muscle wasting and atrophy, to reflect the discontinuation of a wrist brace. Observations revealed that the resident had bilateral hand/arm contractures and did not have a hand brace, nor did they want one. The clinical record showed an order for a brace to be worn as needed for positioning, which was discontinued, but the care plan was not updated to reflect this change. Care plan meetings were held on several occasions, yet the care plan still included outdated information about the use of braces and splints. Interviews with facility staff, including an occupational therapist, a certified nursing assistant, and a registered nurse, confirmed that the resident had not used a brace for at least a year, and the care plan was incorrect. The Director of Nursing also confirmed these findings, indicating a lapse in ensuring the care plan accurately reflected the resident's current needs and the discontinuation of the wrist brace.
Patient Lift Safety Deficiency
Penalty
Summary
The facility failed to ensure that the resident's environment was free of accident hazards due to a deficiency related to a patient lift. On July 29, 2024, at 9:35 a.m., two surveyors observed a patient lift in the hallway near a resident room that was missing a sling bar safety clip. This missing safety clip posed a risk as it could potentially allow the sling strap to come off during a lift or transfer. At 10:15 a.m., the Director of Nursing confirmed the absence of the safety clip on the patient lift during the surveyor's observation.
Failure to Provide Trauma-Informed Care for Resident with PTSD
Penalty
Summary
The facility failed to provide trauma-informed care for a resident with a current diagnosis of Post-Traumatic Stress Disorder (PTSD). The resident, who was admitted with multiple diagnoses including PTSD, paranoid schizophrenia, anxiety disorder, bipolar disorder, and major depressive disorder, was found to be cognitively intact with a mental status score of 15 out of 15. Despite this, the facility did not identify the resident's PTSD triggers or incorporate them into a care plan, as required by their policy on Trauma Informed Care. During interviews, the resident expressed that loud noises were particularly distressing, yet no staff had inquired about their triggers or how to assist them. The Licensed Social Worker (LSW) acknowledged that the resident's care plan lacked necessary measures for trauma-informed care, admitting that while new residents had these considerations included, long-term residents had not been updated accordingly. This oversight was confirmed during a review of the resident's care plan with a surveyor.
Deficiencies in Kitchen Safety and Temperature Monitoring
Penalty
Summary
The facility failed to adhere to its Refrigeration Policy and Dish Machine Temperature Log procedures during a kitchen tour conducted by surveyors. Observations revealed that a kitchen worker with facial hair was not wearing proper facial hair protection, as it was pulled down below the mouth while working. Additionally, another kitchen worker was observed without any facial hair protection. These observations were confirmed by the Food Service Director during an interview. Furthermore, the facility did not consistently monitor and record temperatures for the dish machine and refrigeration units. The Dish Machine Temperature Log was missing entries for several dates in April 2024, specifically for breakfast on the 5th, 19th, and 24th. Similarly, the Refrigerator/Freezer Temperature Log was missing entries for various times in July 2024, including the 4th, 24th, and 25th. These lapses in documentation were discussed with the Food Service Director by a surveyor.
Improper Garbage Containment
Penalty
Summary
The facility failed to ensure that garbage was properly contained, as observed during a survey. On July 29, 2024, from 9:40 a.m. to 10:10 a.m., two surveyors conducted an initial kitchen tour with the Food Service Director. During this tour, they observed trash being stored in an open-top cart outside the facility next to the kitchen area. This lack of proper containment left the garbage exposed, creating the potential for the harborage and feeding of pests. The Food Service Director confirmed that the trash is kept in the open bin and then wheeled to the large trash trailer later in the day.
Walk-in Freezer Maintenance Deficiency
Penalty
Summary
The facility failed to maintain the kitchen walk-in freezer in good repair and safe operating condition. During a kitchen tour conducted by two surveyors, it was observed that the walk-in freezer had a significant ice build-up, which prevented the left fan of the freezing unit from running. Additionally, the right fan was making a loud noise as it spun and hit the ice build-up nearby. The Food Service Director confirmed these observations and stated that the freezer had been worked on in February 2024 but had not functioned properly since then. Despite multiple repair attempts, the freezer continued to experience ice build-up issues.
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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 Canton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Rumford Community Home | 13.2 mi | — | 0 | 0 |
| Sandy River Center | 14.8 mi | — | 21 | 0 |
| Maine Veterans Home - So Paris | 16.8 mi | — | 5 | 0 |
| Market Square Health Care Center, Llc | 17.9 mi | — | 0 | 0 |
| Orchard Park Rehab & Living Center | 18.1 mi | — | 15 | 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.