Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens 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 Smp Health - Ave Maria during CMS and state inspections, most recent first.
The facility failed to follow infection control practices, including hand hygiene, enhanced barrier precautions, and glucometer cleaning, affecting four residents. A CNA did not perform hand hygiene after glove removal, and a nurse did not disinfect a glucose meter before storage. Additionally, CNAs did not wear gowns during high-contact care for a resident under enhanced barrier precautions.
A resident with a wound vacuum was observed sitting in the hallway with the wound vacuum collection container visible, compromising their dignity. Despite a hand towel partially covering the canister during a second observation, the contents were still visible. An administrative nurse acknowledged that wound vacuum containers should be covered when residents are outside their rooms.
A facility failed to ensure accurate labeling of medications for a resident receiving insulin from an injector pen. A nurse prepared the insulin pen, which lacked a legible label with the resident's name or identifying information. This was confirmed by an administrative nurse, despite the facility's policy requiring proper labeling by the pharmacy or with resident identification if received from mail order pharmacies.
A resident with dementia and anxiety disorder was subjected to abuse by a CNA who placed a rag in her mouth to silence her. The resident, who exhibited behaviors such as moaning and nonsensical speech, was dependent and cognitively impaired. The CNA's actions were reported by other staff, revealing a failure to adhere to the facility's abuse policy and provide necessary services to avoid mental anguish.
Infection Control Deficiencies in Hand Hygiene and Equipment Cleaning
Penalty
Summary
The facility failed to adhere to infection control standards for hand hygiene, enhanced barrier precautions, and cleaning of a glucometer, affecting four residents. During observations, a CNA did not perform hand hygiene after removing gloves while assisting a resident with perineal care and other tasks. Similarly, a nurse failed to perform hand hygiene after removing soiled gloves and before donning clean gloves during a dressing change for another resident. These actions were contrary to the facility's hand hygiene policy, which mandates hand hygiene before applying and after removing gloves. Additionally, the facility did not comply with its enhanced barrier precautions policy. Two CNAs assisted a resident under enhanced barrier precautions without wearing the required gowns during high-contact care activities, such as changing briefs and transferring the resident. Furthermore, a nurse did not disinfect a glucose meter with an Oxivir wipe before placing it back in a Ziploc bag, as required by the facility's policy. These lapses in infection control practices were confirmed by an administrative nurse during interviews.
Failure to Maintain Resident Dignity with Wound Vacuum
Penalty
Summary
The facility failed to maintain the dignity of a resident with a wound vacuum by not adequately covering the wound vacuum collection container. Observations on two occasions showed the resident sitting in the hallway with the wound vacuum and its contents visible, which does not preserve the resident's personal dignity. On the second observation, a hand towel was partially covering the canister, but the contents remained visible. An administrative nurse confirmed that wound vacuum containers should be covered when residents are out of their rooms.
Medication Labeling Deficiency
Penalty
Summary
The facility failed to ensure accurate labeling of medications for a resident who was observed receiving medication from an injector pen. During an observation, a nurse prepared a Novolog insulin pen for administration to the resident, but the pen lacked a legible label with the resident's name or other identifying information. This was confirmed during an interview with an administrative nurse, who acknowledged the absence of a legible label on the insulin pen. The facility's policy on medication storage and labeling, revised in July 2024, requires that medications be labeled by the pharmacy or, if received from mail order pharmacies without individual labels, be labeled with resident identification information.
Resident Abuse by CNA
Penalty
Summary
The facility failed to protect a resident from mental and physical abuse, as evidenced by an incident involving a certified nurse aide (CNA) who placed a rag in the resident's mouth to silence her. The resident, who had diagnoses of dementia with agitation and anxiety disorder, exhibited behaviors such as moaning, groaning, and making nonsensical sounds, which were interpreted as signs of internal distress or confusion. Despite the resident's severe cognitive impairment and dependency, the CNA resorted to inappropriate and abusive actions to manage the resident's behavior, which was witnessed and reported by other staff members. The facility's policy on abuse clearly defines physical and mental abuse, yet the staff failed to adhere to these guidelines by not providing the necessary services to avoid mental anguish and emotional distress for the resident. The CNA's actions were reported by other CNAs, who described the abusive behavior and the CNA's admission of using a rag to silence the resident. This incident highlights a significant lapse in the facility's duty to ensure a safe and respectful environment for its residents, as the staff did not utilize appropriate interventions for managing the resident's behaviors.
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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 Jamestown
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Eventide Jamestown | 1.4 mi | — | 0 | 0 |
| Smp Health - St Raphael | 33 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.