Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 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 Independence Care Center Of Perry County during CMS and state inspections, most recent first.
The facility failed to assess and document the use of position change alarms for five residents, potentially classifying them as restraints. These alarms were used without obtaining a physician's order or conducting an assessment. Residents with conditions like Alzheimer's, dementia, and Parkinson's had alarms in place without proper documentation. Interviews revealed a lack of expectation for orders or assessments, relying on nurses' discretion.
The facility failed to provide written notifications to residents and/or their representatives for hospital transfers, affecting six residents. Despite the policy requiring written notice before transfers, the facility did not maintain documentation to confirm notices were sent. Interviews revealed that the facility mailed a combined Transfer Notice and bed hold information form but did not keep copies, leading to this deficiency.
The facility failed to provide written information about the bed hold policy to residents and their representatives during hospital transfers, as required by their policy. This deficiency was identified for seven residents, with no documentation in their medical records to confirm that the policy was communicated at the time of transfer. Interviews revealed that the facility mailed a Transfer Notice form but did not retain copies or require signatures for receipt confirmation.
A resident with multiple diagnoses, including Guillain-Barre Syndrome, was transferred without a gait belt by two CNAs, contrary to facility policy. The CNAs believed it was safe to transfer without a gait belt if two staff were present. Interviews with the DON and an LPN indicated an expectation for proper transfer techniques.
The facility failed to assess and document the risks and benefits of bed rail use for six residents, leading to a deficiency in safety protocols. Residents with cognitive and physical impairments were using bed rails without documented assessments or informed consent. Interviews confirmed the lack of a formal process for evaluating bed rail use.
The facility failed to adhere to infection control practices during wound and catheter care for two residents and while passing meal trays. Staff did not wear gowns as required by Enhanced Barrier Precautions and failed to perform hand hygiene after touching soiled surfaces. Misunderstandings about the need for precautions were evident among staff.
The facility failed to conduct regular inspections of bed frames, mattresses, and side rails for several residents, with no documentation of maintenance assessments. Observations showed residents in beds with various side rail configurations, but no evidence of regular checks for entrapment risks. Interviews revealed inconsistencies in maintenance practices, with no documentation of regular inspections despite expectations from the Administrator.
Improper Use of Position Change Alarms Without Physician Orders
Penalty
Summary
The facility failed to properly assess and document the use of position change alarms for five residents, potentially classifying them as restraints. These alarms were used without obtaining a physician's order or conducting an assessment to determine if they were necessary or if they constituted a restraint. The facility's policy on restraints did not identify position change alarms as potential restraints, leading to their use without proper documentation or consent. Resident #59, diagnosed with Alzheimer's disease and other conditions, had a chair alarm in place without a physician's order or assessment. Similarly, Resident #68, with severe cognitive impairment and multiple health issues, had a bed alarm that restricted movement, also lacking proper documentation. Resident #84, with Alzheimer's and dementia, had a bed alarm used as an intervention without a physician's order or assessment. Resident #86, diagnosed with Parkinson's disease and dementia, and Resident #242, with senile degeneration of the brain and other conditions, both had alarms in place without the necessary documentation or physician's orders. Interviews with the DON and Administrator revealed a lack of expectation for orders or assessments for these alarms, relying instead on nurses' discretion, which contributed to the deficiency.
Failure to Provide Written Transfer Notifications
Penalty
Summary
The facility failed to provide written notification to residents and/or their representatives regarding facility-initiated transfers to the hospital for six residents. These residents were transferred for medical evaluations on various dates, but there was no documentation of written notifications being sent. The facility's policy requires that a written notice be sent to the resident and any representative before a transfer or discharge, but this was not adhered to in these cases. Interviews with the Director of Nursing and the Administrator revealed that the facility mailed a Transfer Notice form to the resident's representative, which included transfer notice and bed hold information. However, the facility did not keep copies of these forms, resulting in a lack of documentation to confirm that the notices were sent. This oversight affected six residents out of a sample of seven, with the facility's census being 91.
Failure to Provide Written Bed Hold Policy Information
Penalty
Summary
The facility failed to inform residents and their representatives in writing about the bed hold policy during transfers to the hospital or therapeutic leave, as required by their policy. This deficiency was identified for seven residents out of a sample of seven, with a facility census of 91. The facility's policy mandates that residents and their representatives receive written information about the state's bed hold duration and payment amount before transfer, and documentation of this notice should be included in the resident's medical record. However, reviews of the medical records for the seven residents showed no documentation that the residents or their representatives were informed in writing of the bed hold policy at the time of their transfers. Interviews with the Director of Nursing and the Administrator revealed that the facility mailed a Transfer Notice form, which included bed hold information, to the resident's representative but did not retain copies of these forms. Additionally, the facility did not require signatures to confirm receipt of the bed hold policy information. The Administrator stated that the bed hold policy was explained to residents or their representatives at admission and included in the admission handbook, but there was no documentation to verify that the policy was communicated at the time of transfer.
Improper Transfer Techniques Used for Resident
Penalty
Summary
The facility failed to ensure safe transfer techniques for a resident, leading to a deficiency in accident prevention and supervision. The resident, who was cognitively impaired and required the assistance of two staff members for transfers, was observed being transferred without the use of a gait belt, contrary to the facility's policy. The resident had multiple diagnoses, including Guillain-Barre Syndrome, muscle weakness, and was receiving hospice services, indicating a high level of care and assistance was necessary. During the transfer, two CNAs lifted the resident by placing their arms under the resident's upper arms and holding the back of the resident's pants, instead of using a gait belt as required. Both CNAs expressed that they felt it was safe to transfer residents without a gait belt if two staff members were present. Interviews with the DON and an LPN revealed that they expected staff to use proper transfer techniques, highlighting a discrepancy between staff actions and facility expectations.
Failure to Assess and Document Bed Rail Use Risks
Penalty
Summary
The facility failed to properly assess and document the risks and benefits of bed rail use for six residents, leading to a deficiency in compliance with safety protocols. The facility did not conduct entrapment assessments or obtain informed consent from the residents or their representatives before installing bed rails. This oversight was observed in the cases of six residents, each with varying degrees of cognitive and physical impairments, who were using bed rails without documented assessments or consents. Resident #1, diagnosed with quadriplegia and severe cognitive impairment, was observed with four padded half bed rails for seizure precautions, yet there was no documentation of informed consent or an entrapment assessment. Similarly, Resident #14, with quadriplegia and muscle weakness, used bed rails without documented consent or assessment, despite being dependent on bed mobility. Resident #19, with a history of falls and moderately impaired cognition, also used bed rails without the necessary documentation. Further observations revealed that Resident #40, with severe cognitive impairment and a high fall risk, had an assist bar attached to the bed without proper documentation. Resident #55, suffering from Alzheimer's and severe cognitive impairment, was observed with a half side rail and assist bar, again without documented consent or assessment. Lastly, Resident #68, with severe cognitive impairment and a high fall risk, used bed rails without the required documentation. Interviews with facility staff confirmed the lack of a formal process for assessing and documenting the risks and benefits of bed rail use.
Infection Control Deficiencies in Wound and Catheter Care
Penalty
Summary
The facility failed to maintain proper infection control practices during wound care and catheter care for two residents, as well as during meal tray delivery. For Resident #14, both the LPN and CNA did not wear gowns as required by Enhanced Barrier Precautions (EBP) while performing catheter and wound care. They leaned against the resident and the bed, further breaching infection control protocols. Interviews with the CNA and LPN revealed a misunderstanding of the need for EBP, as they believed extra precautions were only necessary if the resident had an infection. Additionally, during wound care for another resident, the LPN also failed to wear a gown, indicating a consistent issue with adherence to EBP. During meal service, staff members were observed touching trash can lids with bare hands and failing to perform hand hygiene before continuing to deliver meal trays and assist residents with eating. Interviews with staff members and the Director of Nursing confirmed that hand hygiene was expected after touching soiled surfaces, yet this practice was not consistently followed.
Failure to Conduct Regular Bed and Side Rail Inspections
Penalty
Summary
The facility staff failed to conduct regular inspections of bed frames, mattresses, and side rails for six residents out of a sample of 19, with a total facility census of 91. There was no documentation of maintenance assessments for side rails in the medical records of these residents. Observations revealed that residents were in beds with various configurations of side rails and assist bars, but there was no evidence of regular maintenance checks or assessments for entrapment risks. The facility did not provide any side rail maintenance policies. Interviews with the Maintenance Director, Director of Nursing (DON), and the Administrator revealed inconsistencies in the maintenance practices. The Maintenance Director stated that bed rails were installed after nursing assessments and replaced if reported loose, but no entrapment assessments were performed. The DON mentioned that side rails were checked regularly, but there was no documentation of these checks. The Administrator expected regular inspections for entrapment risks, but this expectation was not met, as evidenced by the lack of documentation and maintenance assessments.
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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 Perryville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Estates Of Perryville, Llc, The | 0.7 mi | — | 14 | 1 |
| Three Springs Sr Living & Rhab | 13.4 mi | — | 8 | 0 |
| Riverview At The Park Care And Rehabilitation Cent | 18.3 mi | — | 7 | 0 |
| St Genevieve Nursing | 19.1 mi | — | 0 | 0 |
| Claru Deville Nursing Center | 25.7 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.