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 Mcv Health Care Facilities, Inc during CMS and state inspections, most recent first.
A resident with severe cognitive impairment, multiple comorbidities, documented gait and balance abnormalities, and a high fall risk was care planned and assessed by therapy to require contact guard assistance and use of a gait belt for transfers and ambulation. While being assisted by a CNA from a recliner to the bathroom with a walker, the CNA did not apply a gait belt, even though the resident had a known tendency to lean backward when standing. As the CNA reached to open the bathroom door, the resident lost balance and fell backward, striking the back of the head, and was later found by an LPN without a gait belt in place, contrary to the facility’s gait belt policy and the resident’s assessed needs.
Surveyors found that staff did not accurately document opioid pain medication administration for two hospice residents. For one cognitively impaired LTC resident with multiple chronic conditions, a scheduled morphine dose recorded on the eMAR was entered on the PRN morphine page of the controlled drug log instead of the scheduled page. For another resident with Alzheimer’s disease, cerebrovascular disease, and other comorbidities, several PRN oxycodone doses were recorded on the controlled drug log but had no corresponding entries on the eMAR, despite facility policy requiring electronic signing of the eMAR after medication administration.
Failure to Use Required Gait Belt During Ambulation Resulting in Resident Fall
Penalty
Summary
The deficiency involves the facility’s failure to ensure that a required gait belt was used while assisting a high fall‑risk resident with ambulation, resulting in a fall with head injury. The resident had multiple diagnoses including metabolic encephalopathy, hypertension, osteoarthritis, muscle weakness, gait and mobility abnormalities, major depressive disorder, anxiety, and visual hallucinations. Admission and subsequent MDS and fall risk assessments documented that the resident was severely cognitively impaired, required moderate to maximal assistance with transfers and ambulation, could not independently come to a standing position, exhibited loss of balance while standing, used an assistive device, and had decreased muscle coordination. The resident had a history of falls prior to admission and was assessed as being at high, later moderate, risk for falls. The resident’s fall care plan identified her as at risk for falls and included interventions such as providing maximum to moderate assistance with transfers and walking short distances, use of a walker and wheelchair, and following the facility’s fall protocol. Therapy notes and care conference documentation indicated that the resident leaned backwards when standing, required contact guard to minimal assistance for bed mobility and transfers, and needed constant verbal cueing for safe sequencing during toilet transfers. The physical therapist confirmed that the resident was to use a gait belt with staff when ambulating, and the DON verified that therapy had assessed the resident as requiring contact guard assistance and a gait belt for ambulation and transfers. On the day of the incident, a CNA was assisting the resident from her recliner to the bathroom using a walker. The CNA walked beside the resident, providing guidance and support, and reported having a hand on the resident while assisting her. As they approached the bathroom door, the CNA reached for the doorknob to open it, and at that moment the resident began to lose her balance and fell backwards to the floor, striking the back of her head. The nurse who responded found the resident on her back at the foot of the bed with her feet near the bathroom, noted a red raised area on the back of the head, and documented that the resident was not wearing a gait belt and that the gait belt was on the dresser. In the facility’s investigative summary and in interviews, the CNA acknowledged that she did not have a gait belt on the resident while ambulating her, despite the resident’s assessed need for hands‑on assistance and gait belt use per facility policy and the resident’s care and therapy plans.
Inaccurate Documentation of Opioid Pain Medication Administration
Penalty
Summary
Surveyors identified a failure to ensure accurate documentation of opioid pain medication administration for two residents receiving hospice care. For one cognitively impaired, long-term care resident with diagnoses including Parkinsonism, anemia, dementia, psychosis, hypertension, and anxiety, the eMAR showed an order for Morphine Sulfate oral solution 20 mg/mL, 0.25 mg by mouth every eight hours for pain, and a separate PRN order for 0.25 mg every two hours as needed for pain. The eMAR reflected a 0.25 mg dose given at 5:00 A.M. under the scheduled every-eight-hours order, but review of the Controlled Drug Log showed that this same 5:00 A.M. dose was documented on the PRN morphine log page instead of the scheduled morphine log page. The DON confirmed that the entry was made on the incorrect Controlled Drug Log page. For another resident with diagnoses including cerebral infarction, Alzheimer's disease, atrial fibrillation, anxiety disorder, Type II diabetes mellitus, dysphagia, and unspecified convulsions, who was also on hospice and later expired in the facility, there were discrepancies between the Controlled Drug Log and the eMAR for PRN oxycodone administration. The resident had orders for Oxycodone HCl 5 mg by mouth twice daily for pain and Oxycodone HCl 5 mg every four hours PRN for pain. The Controlled Drug Log showed PRN oxycodone 5 mg doses administered on two separate dates at multiple times (including 8:00 P.M., 1:00 A.M., and 11:00 P.M.), but the corresponding PRN administrations were missing from the eMAR on those dates. The DON verified that the PRN oxycodone doses were documented on the Controlled Drug Log under the PRN order page but were not documented on the eMAR, contrary to the facility’s Medication Administration Policy requiring the individual administering the medication to electronically sign the eMAR after giving the medication.
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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 Mason
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Majestic Care Of Cedar Village. | 0.6 mi | — | 0 | 0 |
| Chesterwood Atc | 2 mi | — | 0 | 0 |
| Mason Health Care Center | 2.5 mi | — | 0 | 0 |
| Heritagespring Healthcare Center Of West Chester | 2.6 mi | — | 3 | 1 |
| Lodge Nursing & Rehab Center | 3.8 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.