Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
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 Hudson Elms Nursing Center during CMS and state inspections, most recent first.
Several residents with complex medical conditions did not consistently receive restorative nursing services as outlined in their care plans, including ambulation, ROM exercises, and ADL support. Documentation frequently showed missed or unperformed interventions, and staff interviews confirmed a lack of knowledge and inconsistent implementation, affecting the residents' functional maintenance.
The facility did not ensure that an area was free from accident hazards and failed to provide adequate supervision to prevent accidents. Surveyors observed environmental hazards and insufficient staff monitoring, increasing the risk of resident accidents.
A resident with a history of psychiatric disorders and self-harm accused an RN of abuse, but the allegation was not reported promptly as required by facility policy. The incident was only discovered days later after the resident was hospitalized for intentional self-harm and reported feeling abused. The RN did not report the comment, citing the resident's frequent similar remarks.
A resident with multiple health issues did not receive prescribed Lyrica for pain management due to unavailability upon admission. The resident missed three doses, causing distress, and the medication was only administered two days later. Staff interviews confirmed the delay and the resident's dissatisfaction.
A facility failed to ensure a resident had physician orders for BiPAP and did not schedule a diagnostic test for obstructive sleep apnea. Despite discussions and approvals during a care conference, the resident's BiPAP was not used, and the sleep study was not scheduled, leading to a lapse in respiratory care.
A resident with multiple health conditions alleged that an STNA hit him, but the facility's investigation was incomplete, lacking thorough documentation of resident and staff interviews. The facility's policy requires thorough investigation and documentation of such incidents, which was not met in this case.
Failure to Provide and Document Restorative Nursing Services per Care Plans
Penalty
Summary
The facility failed to provide restorative nursing services as outlined in the care plans for four residents who were at risk for decline in range of motion (ROM), mobility, and activities of daily living (ADL) performance. Each resident had individualized care plans and therapy discharge recommendations specifying daily restorative interventions such as ambulation with assistive devices, active and passive ROM exercises, and support with ADLs. Despite these documented interventions, point of care documentation revealed frequent omissions, with services marked as not applicable (N/A) or left blank on multiple days and shifts for all four residents. Interviews with staff, including CNAs and facility leadership, confirmed that restorative services were inconsistently provided. One CNA reported not performing restorative services due to a lack of knowledge and stated that there was no designated restorative aide. The Corporate Mobile DON and Regional Director of Clinical Services acknowledged ongoing inconsistencies in the provision and documentation of restorative care, attributing some of the lapses to agency staff, who were nonetheless expected to follow the care plans. Residents also reported that restorative exercises were not being performed as intended. The affected residents had significant medical histories, including Parkinson's disease, major depressive disorder, chronic obstructive pulmonary disease, muscle wasting, Alzheimer's disease, and dementia. Their care plans were designed to maintain or improve their functional abilities and prevent further decline. However, the facility's failure to consistently implement and document restorative nursing interventions as required by the care plans resulted in a deficiency affecting multiple residents.
Failure to Maintain Accident-Free Environment and Adequate Supervision
Penalty
Summary
The facility failed to ensure that an area was free from accident hazards and did not provide adequate supervision to prevent accidents. Surveyors observed that the environment contained hazards that could lead to resident accidents, and staff did not implement sufficient measures to monitor or protect residents from these risks. This deficiency was identified based on direct observations and findings during the survey, which indicated lapses in maintaining a safe environment and in providing necessary supervision to prevent accidents.
Failure to Timely Report Allegation of Abuse
Penalty
Summary
A deficiency occurred when the facility failed to report an allegation of abuse in a timely manner for a resident with multiple psychiatric diagnoses, including major depressive disorder, paranoid personality disorder, mild cognitive impairment, and delusional disorder. The resident, who had a history of self-harm and psychiatric conditions, accused a registered nurse of being a murderer and an abuser, as documented in a progress note. This allegation was not reported immediately as required by facility policy. The facility only became aware of the allegation several days later, after discovering the note in the resident's medical record. By that time, the resident had been hospitalized following an intentional ingestion of drain cleaner, reportedly due to feeling overwhelmed and abused at the facility. The registered nurse involved did not report the resident's comment, stating that such remarks were common from the resident. The facility's policy required timely reporting of all alleged violations, but this was not followed in this instance.
Failure to Provide Timely Pain Medication
Penalty
Summary
The facility failed to ensure that pain medication was available for a resident, leading to a deficiency in pharmaceutical services. Resident #39, who was admitted with multiple diagnoses including diabetes mellitus, anxiety disorder, and stage three kidney failure, had a physician's order for Lyrica to manage pain. However, upon admission, the resident missed three scheduled doses of Lyrica because the medication was not available. The Medication Administration Record (MAR) indicated that the resident did not receive Lyrica until two days after admission, causing distress to the resident. Interviews with staff and the resident confirmed the unavailability of Lyrica and the resident's dissatisfaction with the situation. The LPN acknowledged the missed doses and the resident's upset state, while the administrator confirmed communication with the physician to expedite the prescription. The pharmacist verified that the order was received and the medication was delivered after the delay. This deficiency was identified during an investigation under a specific complaint number.
Failure to Ensure Proper Respiratory Care and Schedule Diagnostic Test
Penalty
Summary
The facility failed to ensure that a resident had physician orders for BiPAP and did not schedule a diagnostic test for obstructive sleep apnea. The resident, who had diagnoses including obstructive sleep apnea, bipolar disorder, and major depressive disorder, did not have documented oxygen saturations checked from February 20, 2024, through May 1, 2024. Despite a care conference on February 22, 2024, where the use of CPAP was discussed and approved by the Medical Director, there were no subsequent physician orders for BiPAP or CPAP, and the ordered sleep study was not scheduled. Observations revealed that the resident had CPAP and BiPAP supplies in her room, but the Assistant Director of Nursing was unaware of their presence or necessity. Interviews with the Medical Director and the resident's power of attorney confirmed that the resident had been using BiPAP for many years and required it for proper sleep. However, the resident had not used BiPAP since being admitted to the skilled nursing facility, and the sleep study ordered on March 6, 2024, was never scheduled. The facility's policy on CPAP and BiPAP support was not followed, as evidenced by the lack of physician orders and the failure to schedule the sleep study. The Medical Director admitted to not writing orders for BiPAP and stated that the sleep study was deemed unnecessary only because it was never scheduled. The Social Services Designee and Assistant Director of Nursing were both unaware of the need to schedule the sleep study, leading to a lapse in the resident's respiratory care.
Incomplete Investigation of Abuse Allegation
Penalty
Summary
The facility failed to ensure a complete and thorough investigation was conducted for an allegation of neglect/mistreatment/abuse involving a resident. Resident #21, who had a medical history including COPD, atherosclerotic heart disease, chronic atrial fibrillation, hypertension, and hyperlipidemia, alleged that a State Tested Nursing Assistant (STNA) had hit him in the left shoulder. Although the resident did not believe the STNA intended harm and felt it was a joke, the facility's investigation was found to be incomplete. The investigation lacked documentation of which residents were interviewed and when, as well as which staff members were interviewed and when. Only a single witness statement from the Social Services Director was documented, and the Director of Nursing confirmed the lack of thorough documentation. The facility's undated Abuse Prohibition Policy and Procedure mandates that suspected or substantial cases of abuse, neglect, misappropriation of property, or mistreatment be thoroughly investigated, documented, and reported. However, the facility's investigation into the incident involving Resident #21 did not meet these requirements. This deficiency was identified during the investigation of Master Complaint Number OH00151845 and Complaint Number OH00151430, affecting the quality of care and safety assurance for the residents.
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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 Hudson
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Heritage Of Hudson | 0.5 mi | — | 0 | 0 |
| Crown Center At Laurel Lake | 1.3 mi | — | 0 | 0 |
| Seasons Nursing And Rehab | 2.1 mi | — | 0 | 0 |
| Wayside Farm Inc | 2.8 mi | — | 1 | 0 |
| Hudson Springs Nursing And Rehab | 3.6 mi | — | 10 | 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.