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 Union Nursing during CMS and state inspections, most recent first.
Staff did not follow the abuse prevention policy during an investigation of a sexual abuse allegation involving a resident. The DON failed to suspend the accused CNA, did not notify the physician promptly, and did not collect written statements or questionnaires from staff on the relevant shift. The accused CNA continued to work with residents during the investigation, and key documentation steps outlined in policy were not completed.
Facility staff did not report an allegation of sexual abuse made by a resident to DHSS or local law enforcement within the required two-hour timeframe. The DON, responsible for reporting in the administrator's absence, chose not to report after determining the allegation was not true, despite facility policy requiring immediate notification.
The facility failed to employ a qualified Director of Food and Nutrition Services, as the dietary manager lacked necessary experience and certification. The DM started certification classes with a part-time consultant RD, but these were halted. The administrator acknowledged the DM's lack of qualifications and the absence of full-time certified nutritional staff, affecting all 53 residents.
Facility staff failed to store medications safely, with expired items and unlabeled medications found in two medication carts. Observations revealed expired adhesive tape remover pads, Eucerin cream, and Urea cream, along with Diclofenac gel and Albuterol tubes without labels. Medications like Acetaminophen suppositories were improperly stored. An RN admitted to not checking for expired medications frequently and noted the absence of a policy for this task. In another cart, several inhalers and a Latanoprost solution were opened without an open date, and 27 loose pills were found. A CMT highlighted the lack of a schedule for cleaning expired medications and inconsistent labeling practices.
Facility staff failed to provide continuous oxygen to a resident as ordered and did not store oxygen tubing and nebulizer masks properly, risking respiratory infection. Observations showed oxygen equipment left unbagged and uncovered, with staff unaware of proper procedures. The Director of Nursing acknowledged issues with maintaining bags for equipment storage.
Failure to Implement Abuse Policy During Sexual Abuse Investigation
Penalty
Summary
Facility staff failed to follow their abuse prevention and prohibition policy when investigating an allegation of sexual abuse involving a resident who was cognitively intact and had diagnoses including UTI, fractures, and multiple trauma. The Director of Nursing (DON) did not suspend the Certified Nurse Aide (CNA) accused of abuse, allowing the CNA to continue working and have contact with residents during the investigation. The investigation report lacked documentation of suspension, physician notification, and did not include completed questionnaires or written statements from staff who worked the relevant shift. Interviews revealed that staff who were present during the alleged incident were not asked to complete questionnaires or written statements, and the accused CNA was not informed of the allegation or suspension. The resident's physician was not notified of the allegation until several days after the incident, despite being present in the facility earlier. The administrator confirmed that the DON was responsible for suspending the CNA, notifying the physician, and ensuring all relevant staff were interviewed or provided statements, none of which were completed as required by policy.
Failure to Timely Report Alleged Sexual Abuse to Authorities
Penalty
Summary
Facility staff failed to report an allegation of sexual abuse involving a resident to both the Department of Health and Senior Services (DHSS) and local law enforcement within the required two-hour timeframe. According to the facility's Abuse, Prevention and Prohibition policy, any staff member made aware of abuse allegations is required to report the incident to the mandated state agency and law enforcement within two hours if the allegation involves abuse or results in serious bodily injury. The incident involved a resident who was assessed as cognitively intact and had diagnoses including urinary tract infection, fractures, and multiple trauma. The resident reported to staff and family that they had been sexually abused by a male aide the previous night. The Director of Nursing (DON) documented the resident's report but did not notify DHSS or law enforcement, as required by policy. The DON stated that after speaking with the resident and family, they determined the allegation was not true and therefore did not proceed with the mandated reporting. The facility's records and the DHSS complaint database confirmed that no report was made within the required timeframe. The administrator confirmed that in their absence, the DON was responsible for reporting such allegations, but was unsure why the reporting did not occur.
Lack of Qualified Director of Food and Nutrition Services
Penalty
Summary
The facility failed to designate a qualified Director of Food and Nutrition Services, as they did not employ a full-time qualified dietitian or other clinically qualified nutrition professional. The dietary manager (DM) was hired without prior experience in a nursing facility and lacked the necessary certification or education for the position. The DM had started certification classes with the facility's part-time consultant registered dietitian (RD) but only completed two or three classes before the RD had to stop the classes for unknown reasons. The facility's policies did not include qualifications for the Director of Food and Nutrition Services. The administrator acknowledged that the DM had been serving as the interim DM since the previous DM left, but was not officially appointed until January 2024. Despite efforts to find a qualified DM, the facility had not succeeded in hiring one. The administrator was aware that the DM did not meet the qualifications required for the position, and the facility lacked any certified or clinically qualified nutritional staff employed full-time. This deficiency has the potential to affect all 53 residents in the facility.
Unsafe Medication Storage Practices
Penalty
Summary
Facility staff failed to store medications safely, as evidenced by the presence of expired medications and supplies mixed with current resident medications in two out of four medication carts. Observations revealed that the 200 hall medication cart contained expired items such as adhesive tape remover pads, Eucerin topical cream, and Urea 20 intensive hydrating cream. Additionally, medications like Diclofenac Sodium gel and Albuterol sulfate/Ipratropium Bromide tubes were found without labels, and some medications were stored improperly, such as Acetaminophen suppositories lying loose in a drawer. The RN interviewed admitted to not checking the medication cart frequently enough for expired medications and acknowledged the lack of a policy for this task. The RN also noted that medications should remain in their original packaging until used, which was not the case. Further observations of the 100/300 medication cart showed several inhalers and a Latanoprost solution opened without an open date, along with 27 unidentified loose pills in the drawer. A CMT interviewed stated there was no schedule for cleaning out expired medications and mentioned that staff were supposed to put open dates on eye drops and inhalers, but this was not consistently done. The CMT also noted that prescription creams should have dividers to prevent them from touching each other, and medications should remain in their original boxes to ensure proper identification. The lack of adherence to these practices contributed to the unsafe storage of medications in the facility.
Failure to Provide Continuous Oxygen and Proper Storage of Respiratory Equipment
Penalty
Summary
The facility staff failed to ensure that a resident who required continuous oxygen received it as ordered by the physician. The resident, who had a diagnosis of dementia, asthma, and respiratory failure, was observed multiple times without oxygen, despite physician orders for continuous oxygen at two liters per minute. The resident's care plan did not address the use of oxygen or nebulizer, and staff were observed leaving the resident without oxygen, leading to the resident experiencing shortness of breath and gasping for air. Additionally, the facility staff did not store oxygen tubing and nebulizer masks in a manner to prevent respiratory infection for two residents. Observations showed that oxygen tubing and nasal cannulas were left unbagged and uncovered, often placed on dirty surfaces such as bed sheets or the floor. Staff interviews revealed a lack of knowledge and communication regarding the proper storage of oxygen equipment, with some staff unaware of the need to bag or cover the equipment to prevent contamination. The Director of Nursing acknowledged the absence of bags for oxygen tubing and nebulizer masks in resident rooms and stated that there was a problem with maintaining bags in the rooms. Despite the facility's policies requiring oxygen and nebulizer equipment to be stored in plastic bags, staff consistently failed to comply, increasing the risk of infection for residents who were already vulnerable due to their medical conditions.
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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 Union
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Sunset Health Care Center | 3.5 mi | — | 0 | 0 |
| St Clair Nursing Center | 5.5 mi | — | 1 | 0 |
| Grandview Healthcare Center | 10.1 mi | — | 16 | 0 |
| Pacific Care Center | 11.5 mi | — | 21 | 0 |
| Arbor View Nursing And Rehabilitation | 17.4 mi | — | 1 | 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.