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 Jamestown Place Health And Rehab during CMS and state inspections, most recent first.
Multiple areas of the facility, including hallways, the dining room, and kitchen, were found with stained and bulging ceiling tiles, active leaks, and dirty air vents containing dust and debris. Staff interviews confirmed ongoing water damage and unaddressed leaks, with damaged wallboard and open areas around plumbing. These conditions did not meet the facility's policy for a safe and clean environment and had the potential to affect all residents.
Multiple residents experienced persistent environmental issues, including leaking faucets, inadequate hot water, and noisy bathroom lights, with staff aware but not resolving the problems. Additional hazards such as cracked parking lots and broken sidewalks were observed, and maintenance staff confirmed the concerns. The facility did not provide a specific maintenance policy when requested.
The facility did not ensure that multiple residents, including those with cognitive impairment and significant medical needs, received the required two showers per week. Medical records, staff and resident interviews, and observations confirmed that several residents missed scheduled showers, with some citing insufficient aide staffing as a reason. Facility policy requires regular bathing for cleanliness and comfort, but this standard was not met.
Surveyors found that several residents did not receive fresh water throughout the day, with staff only providing water upon request rather than routinely. In addition, a resident with significant weight loss did not receive a prescribed nutritional supplement at lunch because staff were unaware of the order. These deficiencies were confirmed through observations, interviews, and record reviews.
Three residents with significant cognitive or physical impairments were not promptly assisted with eating during a meal service. One resident waited 45 minutes before being served and assisted, another waited to be fed, and a third was not seated properly and needed repeated cues to eat. Only one CNA was present to assist multiple residents, resulting in delays and a lack of dignified care, contrary to facility policy.
The facility did not resolve repeated resident council complaints about cracks and holes in the driveway, resulting in incidents where residents in wheelchairs became stuck. Despite ongoing reports to administration and staff, concerns were not addressed in a timely manner, and residents felt their issues were ignored.
A resident with cognitive impairment and a history of elopement left the facility unsupervised, traveled to a nearby gas station, and was returned after intervention by a third party. Despite care plan interventions and facility policy requiring timely reporting, the administrator did not file a Self-Reported Incident with the state agency.
The facility did not ensure meaningful activities were provided as scheduled, with several activities not occurring and limited variety offered. Multiple cognitively intact residents expressed dissatisfaction with the lack of daily and weekend activities, and the Activity Director confirmed the absence of a formal activity policy and insufficient staffing contributed to the deficiency.
A resident with dementia, seizure disorder, and schizophrenia, who was identified as an elopement risk and had a wander guard device in place, was able to leave the facility undetected. Staff heard the door alarm but did not see the resident exit, and the wander guard alarm was only partially functional. The resident was later found at a nearby gas station and safely returned. The deficiency resulted from inadequate supervision and a malfunctioning wander guard alarm system.
A shortage of nursing staff resulted in delays and inadequate assistance for several residents who required help with eating. On the day reviewed, only one CNA was present in the dining area to assist residents, while others were occupied elsewhere, leading to prolonged wait times and improper positioning for residents dependent on staff for feeding. Staff confirmed that this staffing issue was a daily problem.
Failure to Maintain Safe and Clean Environment Due to Water Damage and Unclean Air Vents
Penalty
Summary
The facility failed to maintain a safe and clean environment, as evidenced by multiple observations of water damage, staining, and debris throughout various areas. Surveyors observed stained and bulging ceiling tiles, active leaks, and water dripping in the dining room, kitchen, and hallways. Air vents in several hallways were found to be dirty, with dust and debris present, and some ceiling tiles were bulging or had visible water damage. Staff interviews confirmed the presence of these issues, including active leaks in the kitchen and dining room, as well as ongoing water damage in the administrator's office. The wallboard under the kitchen sink was also damaged with open areas around the sink pipe. Review of facility policies indicated that residents are to be provided with a safe, clean, and comfortable environment, and have the right to a dignified existence. However, the observed conditions did not meet these standards, potentially affecting all 30 residents in the facility. The findings were corroborated by staff members, including CNAs, a physical therapy assistant, a dietary aide, an LPN, and the administrator, who all verified the ongoing issues with leaks, water damage, and unclean air vents.
Failure to Maintain Safe and Homelike Environment Due to Environmental Deficiencies
Penalty
Summary
The facility failed to provide a safe, clean, comfortable, and homelike environment for its residents, as evidenced by multiple environmental deficiencies observed and reported. In several resident rooms, bathroom lights made loud screeching noises, faucets leaked, and hot water temperatures were consistently below acceptable levels, ranging from 82.7 to 88.3 degrees Fahrenheit. Residents reported that these issues had persisted for several days to weeks, with staff aware of the problems but no effective resolution. Residents described receiving lukewarm washcloths for care due to the lack of hot water, and staff apologized for the inconvenience. The maintenance staff member confirmed the environmental concerns upon his return from a two-week absence, acknowledging he had received messages about the water temperature issues but could not recall to whom he reported them. Additional environmental hazards were identified in the facility's common areas, including cracks in the blacktop parking lot and broken, uneven sidewalks with loose chunks of cement, creating potential safety risks. The corporate RN verified the presence of these hazards and acknowledged that the parking lot and sidewalk conditions should have been addressed. The facility did not provide a specific policy regarding environmental maintenance, stating only that they follow standard protocol, which was not produced upon request. These findings affected all 11 residents reviewed for environmental conditions, with a total facility census of 34.
Failure to Provide Required Bathing Frequency
Penalty
Summary
The facility failed to ensure that residents received two showers per week as required, affecting five residents reviewed for bathing. Medical record reviews, observations, and interviews revealed that several residents, including those with severe cognitive impairment, dependence for activities of daily living, and significant medical conditions such as encephalopathy, dementia, end stage renal disease, and aftercare for fractures, did not receive the required number of showers. For example, one resident received only two showers out of eight opportunities, while another received only two out of eleven, with some refusals documented but most missed showers unexplained. Residents were not out to the hospital during these periods, indicating the missed showers occurred while in the facility. Interviews with residents and staff confirmed the lack of adequate bathing, with one resident reporting that showers were missed due to insufficient aide staffing, particularly at night, and being observed with an odor of urine and unkempt appearance. Review of facility policy indicated that bathing is intended to promote cleanliness, comfort, and skin observation, but documentation and staff interviews verified that the required bathing frequency was not maintained for the affected residents.
Failure to Provide Adequate Hydration and Nutritional Supplements
Penalty
Summary
The facility failed to ensure that residents received adequate hydration and nutritional supplements as ordered. Observations and interviews revealed that multiple residents did not have fresh water provided throughout the day. Specifically, four residents were found with either empty or outdated water cups in their rooms, and staff confirmed that water was only provided upon resident request rather than routinely. Residents reported that their water cups had not been refilled daily, and staff interviews corroborated that water was not consistently passed out unless specifically asked for by the resident. Additionally, the facility failed to provide a prescribed nutritional supplement to a resident with significant weight loss. The resident, who was severely cognitively impaired and dependent for eating, had a physician's order for a magic cup supplement to be given at lunch. Observations during a lunch meal showed that the supplement was not present on the resident's tray, and both the assigned CNA and the Dietary Manager were unaware of the order to provide the supplement at lunch. This oversight was confirmed through staff interviews and review of the resident's care plan and dietary orders. The deficiencies were identified through medical record reviews, resident and staff interviews, direct observations, and policy review. The facility's own policies required hydration support and implementation of interventions for weight loss, but these were not followed for the affected residents. The findings were documented under a specific complaint investigation, and the facility census at the time was 34.
Failure to Ensure Dignity and Timely Assistance During Meals
Penalty
Summary
The facility failed to ensure that residents who required assistance with eating were treated with dignity and respect. Three residents with significant cognitive and physical impairments were observed during a lunch period where their needs were not promptly or appropriately addressed. One resident, who was severely cognitively impaired and dependent for eating, was brought to the dining room but was not served lunch or assisted to eat until 45 minutes later. Another resident, who was cognitively intact but physically dependent for eating, was left waiting to be fed after being brought to the dining room. A third resident, with moderate cognitive impairment and requiring setup and cues for meals, was not seated close enough to the table and had to be prompted and physically moved to access her meal. A CNA confirmed she was the only aide present in the dining area and had to assist multiple residents with eating, resulting in delays and a lack of dignified care. The facility's policy required all employees to treat residents with kindness, respect, and dignity, but these standards were not met during the observed meal service. The findings were based on direct observation, staff interview, and policy review.
Failure to Address Resident Council Concerns About Unsafe Driveway
Penalty
Summary
The facility failed to address and resolve concerns raised by the resident council regarding the condition of the facility driveway, which was repeatedly reported as having cracks and holes. Resident council meeting minutes documented ongoing complaints over several months about the driveway's poor condition, including specific incidents where residents in wheelchairs became stuck in the cracks. Residents expressed frustration that their concerns were not being addressed or resolved by administration, despite being reported multiple times. Interviews with residents and staff confirmed that complaints submitted to the administration were not answered in a timely manner, if at all. The Activity Director, who facilitated the council meetings, stated that she relayed concerns to the Administrator but acknowledged that responses were lacking. The facility's policy indicated that resident council feedback should be reviewed by the QAPI committee, but there was no evidence that the concerns about the driveway were resolved or appropriately addressed.
Failure to Report Resident Elopement to State Agency
Penalty
Summary
The facility failed to report an incident of resident elopement to the state agency as required. A resident with diagnoses including non-Alzheimer's dementia, seizure disorder, and schizophrenia, who had a documented history of elopement and was identified as an elopement risk, left the facility without staff knowledge. The resident was supposed to be monitored with a wander guard device and redirected from exit areas, according to the care plan. Despite these interventions, the resident exited the facility, traveled to a nearby gas station, and entered a vehicle with a man known to the station manager. The manager, upon realizing the resident was from the facility, arranged for the resident to be returned. The administrator confirmed during an interview that a Self-Reported Incident (SRI) was not filed because she did not believe neglect had occurred, even though the resident was cognitively impaired and had left the facility unsupervised. Facility policy required reporting of such incidents within federally mandated timeframes, but this was not followed. The deficiency was identified during a complaint investigation and was based on medical record review, staff interview, and policy review.
Failure to Provide Meaningful and Scheduled Activities for Residents
Penalty
Summary
The facility failed to provide meaningful activities as scheduled for its residents, as evidenced by a review of the activity calendar, direct observation, staff and resident interviews, and medical record review. On the observed date, scheduled activities such as mail delivery and manicures did not occur, and bingo was conducted by a resident rather than staff. The activity calendar showed repetitive and limited activities, with mail delivery listed daily as an activity, which the Activity Director acknowledged was not meaningful. The Activity Director also confirmed that activities were not completed as scheduled due to the absence of an activity helper, and that weekends lacked any activities for residents. Three residents reviewed for activities, all of whom were cognitively intact, expressed dissatisfaction with the lack of variety and frequency of activities, particularly on weekends. One resident, who was dependent for most activities of daily living, wished for more than two days of activities per week. Another resident, who served as the council president and bingo caller, stated that more activities were needed and noted the recent absence of an activity helper. The facility did not have a formal activity policy and relied on standard practice, which contributed to the deficiency.
Failure to Prevent Elopement Due to Inadequate Supervision and Faulty Wander Guard Alarm
Penalty
Summary
A deficiency occurred when the facility failed to provide adequate interventions and supervision to prevent an elopement by a resident who was assessed as being at risk for elopement. The resident, who had diagnoses including non-Alzheimer's dementia, seizure disorder, and schizophrenia, had a documented history of eloping from home. Physician orders were in place for the resident to wear a wander guard alarming device, with instructions for staff to check its placement and function regularly. The care plan also included interventions such as monitoring the device, redirecting the resident from exit doors, and providing redirection when visitors were present. On the day of the incident, the resident was found to be missing from the facility. Staff statements indicated that the door alarm was heard and subsequently disarmed, but the resident was not immediately located. The wander guard alarm was reportedly only functioning on one side of the door, and staff did not hear it activate. The resident was later found at a nearby gas station and was being transported across town by an acquaintance when the gas station manager recognized the resident and contacted the facility. The resident was returned without injury. Documentation and interviews revealed that while the door alarm was functioning, the wander guard alarm was not fully operational at the main entrance and employee entrance. Staff were engaged in other duties at the time of the incident and did not immediately respond to the alarm or notice the resident's absence. The facility's policy required identification of residents at risk for elopement and implementation of safety interventions, but these measures were not sufficient to prevent the resident's elopement in this instance.
Insufficient Staffing Led to Delays in Resident Feeding Assistance
Penalty
Summary
The facility failed to provide sufficient nursing staff to meet the daily needs of all residents, specifically in assisting residents with eating. On the date reviewed, staffing records showed only two nurses and three CNAs were available to care for 34 residents, with one CNA out of the building accompanying a resident to dialysis. Observations and interviews confirmed that only one CNA was present in the dining area to assist residents who required help with eating, while other aides were occupied feeding residents in the hallways. This resulted in delays and inadequate assistance for residents who were dependent on staff for eating. Three residents were directly affected by this staffing shortage. One resident with severe cognitive impairment and total dependence for eating was not served or assisted with lunch until 45 minutes after being brought to the dining room. Another resident, who was cognitively intact but fully dependent for eating, waited in the dining room before being fed. A third resident with moderate cognitive impairment required cues and physical assistance to eat, but was not positioned properly at the table and had to wait until staff could help her. Staff interviews confirmed that insufficient staffing was a daily occurrence, impacting the timely feeding and care of 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 Jamestown
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Xenia Health And Rehab | 10.5 mi | — | 1 | 0 |
| Alpine Nursing And Rehabilitation Center | 10.5 mi | — | 0 | 0 |
| Atrium Nursing And Rehabilitation | 10.5 mi | — | 5 | 0 |
| Autumn Years Nursing Center | 12.2 mi | — | 0 | 0 |
| Friends Extended Care Center | 13.3 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.