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 Preferred Care At Mercer during CMS and state inspections, most recent first.
The facility failed to provide wound care treatments as ordered by physicians for three residents with skin impairments. In each case, the treatment administration record was signed as if wound care was completed, but direct observation and record review showed that dressings were not changed as required. The DON confirmed that signing the TAR should indicate completion of care, but this was not consistently done.
A nurse administered the wrong IV antibiotic to a resident with multiple infections, including MRSA bacteremia, by failing to verify the medication before administration. The nurse brought two IV medications into the room, intended for different patients, and gave Ceftin instead of the prescribed Daptomycin. The error was discovered within minutes, and staff interviews confirmed that facility policy and the five rights of medication administration were not followed.
Surveyors found that the facility did not have an infection prevention and control program in place, indicating a lack of systematic measures to address infection risks for residents and staff.
A facility failed to ensure accurate MDS assessments for a resident with schizoaffective disorder, leading to repeated inaccuracies in the psychiatric/mood disorder section. The resident was incorrectly documented as having schizophrenia instead of schizoaffective disorder across multiple assessments. The DON acknowledged the discrepancies, noting the responsibility of the MDS coordinator to ensure accurate assessments.
A resident with heart failure and a physician's order for oxygen was observed receiving oxygen, but the use was not documented in the EMR as required. Interviews with staff confirmed the lack of documentation, which is against the facility's policy on oxygen administration.
Failure to Provide Physician-Ordered Wound Care Treatments
Penalty
Summary
The facility failed to provide necessary wound care treatments as ordered by physicians for three residents with documented skin impairments. For one resident with dementia and chronic kidney disease, physician orders required Medihoney and calcium alginate dressings to be applied every eight hours. However, the treatment administration record (TAR) was signed as completed for several shifts, but direct observation revealed the dressing had not been changed as indicated, with the dressing still dated from a previous shift. The unit manager confirmed the discrepancy between the TAR and the actual dressing date. Another resident with diabetes and a diabetic foot ulcer had physician orders for specific wound care, but the TAR was left blank on two occasions, indicating the treatment was not provided. A third resident with multiple sclerosis and impaired mobility had orders for calcium alginate dressings to be changed twice daily, but observation and TAR review showed the dressing was not changed as required, despite the TAR being signed. The director of nursing confirmed that signing the TAR should indicate the treatment was completed. Facility policy required wound treatments to be provided per physician orders, but this was not followed for these residents.
Medication Error: Incorrect IV Antibiotic Administered
Penalty
Summary
A deficiency occurred when a nurse administered the incorrect intravenous (IV) antibiotic medication to a resident who had been admitted with multiple serious infections, including a peritoneal abscess, sepsis, bacteremia, and pneumonia. The resident, who had intact cognition, was prescribed Daptomycin for IV therapy following a recent hospital stay for MRSA bacteremia. On the day of the incident, the nurse brought two IV medication bags into the resident's room—one intended for the resident and another for a different patient. The nurse verified the resident's identity but failed to verify the medication itself, resulting in the administration of Ceftin, which was not ordered for the resident, instead of the prescribed Daptomycin. The error was identified by the nurse within minutes, and the infusion was stopped shortly after it began. Review of the resident's orders confirmed that only Daptomycin was prescribed, with no order for Ceftin. Interviews with facility staff, including the nurse involved, the unit manager, and the director of nursing, confirmed that the facility's medication administration policy and the five rights of medication administration were not followed in this instance. The facility's policy requires verification of the medication against the electronic medication administration record (EMAR) prior to administration, which was not completed as required.
Failure to Implement Infection Prevention and Control Program
Penalty
Summary
The facility failed to provide and implement an infection prevention and control program. This deficiency was identified during the survey process, as the facility did not have an established or operational program to prevent and control infections among residents and staff. The absence of such a program was observed and documented by surveyors, indicating a lack of systematic measures to address infection risks within the facility. No specific residents, staff, or incidents were detailed in the report, and there were no direct observations of infection transmission or related outcomes included in the findings.
Inaccurate MDS Assessment for Resident with Schizoaffective Disorder
Penalty
Summary
The facility failed to ensure the accuracy of the Minimum Data Sets (MDS) for a resident, leading to a deficiency. The surveyor observed that the resident, who had a history of schizoaffective disorder, bipolar type, anoxic brain damage, and epilepsy, was inaccurately assessed in the MDS. The inaccuracies were found in the psychiatric/mood disorder section of the MDS, where the resident was incorrectly documented as having schizophrenia instead of schizoaffective disorder. This discrepancy was noted across multiple MDS assessments over a period of time. The Director of Nursing (DON) acknowledged the discrepancies and stated that the MDS coordinator was responsible for reviewing hospital records, nursing notes, diagnoses, and behaviors to ensure accurate assessments. However, the MDS nurse responsible for these assessments was no longer employed at the facility at the time of the survey. The facility's policy required the MDS coordinator to maintain current assessment data, but the inaccuracies in the resident's MDS indicated a failure to adhere to this policy.
Failure to Document Oxygen Use for Resident
Penalty
Summary
The facility failed to provide appropriate respiratory care for a resident by not documenting the use of oxygen in the Electronic Medical Record (EMR) for a resident who required such care. The resident, who was admitted with diagnoses including palliative care and heart failure, had a physician's order to receive oxygen at two liters per minute via nasal cannula as needed for shortness of breath. Despite observations on two separate occasions where the resident was receiving oxygen, there was no documentation of this in the Treatment Administration Record (TAR). Interviews with facility staff, including an LPN and the Director of Nursing (DON), confirmed that the oxygen use was not documented as required. The facility's policy on PRN medications and oxygen administration mandates documentation of the initiation and use of oxygen, including the time, flow, indication, and method, in the TAR or progress notes. However, this documentation was missing, leading to the deficiency noted by the surveyor.
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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 Ewing
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Greenwood House Home For The Jewish Aged | 0.1 mi | — | 12 | 0 |
| Belle Care Nursing And Rehabilitation Center | 2.6 mi | — | 18 | 0 |
| Avant Rehabilitation And Care Center | 3.2 mi | — | 0 | 0 |
| Lawrence Rehab & Hcc/the Meadows At Lawrence | 3.8 mi | — | 1 | 1 |
| Lawrence Rehabilitation Hospital | 3.9 mi | — | 30 | 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.