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 Overbrook Center during CMS and state inspections, most recent first.
The facility failed to provide the required 48-hour notice to residents before the end of their Medicare Part A skilled nursing services, affecting three residents. Additionally, the facility did not issue Advanced Beneficiary Notices (ABN) to residents who remained in the facility after their skilled services ended, assuming all charges would be covered by Medicare. The Business Office Manager confirmed the oversight, and the facility lacked a policy to guide staff on completing liability notices.
A resident with dementia and dependent on staff for ADLs did not receive timely nail care, as observed during a survey. The resident's care plan required regular nail maintenance to prevent skin injury, but observations showed long, jagged nails with debris and dried blood at the mouth, likely from scratching. An LPN confirmed the need for nail trimming and cleaning.
A resident with a history of stroke and other health issues developed a pressure ulcer on the left heel, which was not assessed weekly as required by the care plan. The facility's wound nurse confirmed a 15-day gap between assessments, and the DON acknowledged the lack of a policy for ongoing monitoring of pressure ulcers.
A facility failed to change a resident's oxygen tubing weekly as ordered by the physician. The resident, with respiratory conditions, had tubing dated two months prior, contrary to the care plan. The resident could not recall the last change, and the Unit Manager confirmed the oversight.
The facility failed to manage psychotropic medications properly for two residents. One resident received Ativan without a stop date, and another was prescribed Risperidone without an appropriate diagnosis. These deficiencies were confirmed by staff interviews.
Failure to Provide Required Medicare Notices
Penalty
Summary
The facility failed to provide residents with the required 48-hour notice of the end of their Medicare Part A skilled nursing services, affecting three residents. Resident #1 did not receive the notice until the same day her skilled services ended, and the notice lacked details about which services were ending and why. Additionally, the facility did not provide an Advanced Beneficiary Notice (ABN) to residents #1, #17, and #56, who remained in the facility after their skilled services ended, as required. The facility assumed all charges would be covered by Medicare, which was not the intended use of the ABN. The Business Office Manager confirmed that the facility did not provide the necessary ABN forms to the residents, acknowledging that the ABN allows residents to decide whether to continue receiving services while appealing the decision to end coverage. The facility's administrator admitted there was no policy in place to guide staff on completing liability notices when a resident's Medicare Part A services ended. This lack of policy and oversight led to the deficiency in notifying residents of their potential financial liability for services not covered by Medicare.
Failure to Provide Adequate Nail Care for Resident
Penalty
Summary
The facility failed to provide timely and adequate nail care for a resident who was dependent on staff for activities of daily living (ADLs). The resident, who had diagnoses including senile degeneration of the brain and dementia, was assessed to be rarely or never understood and dependent on staff for personal hygiene. The care plan indicated the need for showers twice a week with hair and nail care, and to keep the resident's nails cut short to prevent skin injury. However, the resident's representative confirmed that the facility staff did not trim and clean the resident's fingernails, and the family had been unable to visit for almost three weeks due to medical issues. Observations during the survey revealed that the resident had long, jagged fingernails with dark brown debris underneath. The resident was seen eating with bare fingers, and later, a small area of dried blood was observed at the corner of the resident's mouth, likely caused by scratching or picking. An LPN confirmed the condition of the resident's nails and the presence of dried blood, indicating a failure to adhere to the care plan interventions for nail care and skin protection.
Failure to Conduct Weekly Pressure Ulcer Assessments
Penalty
Summary
The facility failed to ensure that a resident's pressure ulcer was assessed weekly for signs of healing or infection, as required by the resident's plan of care. The resident, who had a history of stroke with hemiplegia, peripheral vascular disease, and other significant health issues, was admitted without any known pressure ulcers. However, a suspected deep tissue injury was identified on the resident's left heel, which was documented on a skin observation tool. Despite the care plan's requirement for weekly assessments, there was a 15-day gap between the initial assessment and the next documented assessment, with no evidence of an assessment during the week of 07/22/24. The facility's wound nurse, responsible for conducting weekly wound assessments, confirmed the lapse in documentation and could not explain the 15-day gap. The Director of Nursing acknowledged the absence of a policy guiding the ongoing monitoring of pressure ulcers through weekly assessments. This deficiency affected the resident's care, as the facility did not adhere to the established plan of care for monitoring the pressure ulcer's healing and potential infection.
Failure to Change Oxygen Tubing as Ordered
Penalty
Summary
The facility failed to adhere to physician orders regarding the timely change of oxygen tubing for a resident. Resident #43, who was admitted with diagnoses including acute and chronic respiratory failure with hypercapnia, chronic obstructive pulmonary disease, and muscle weakness, was affected by this deficiency. The resident's care plan included oxygen administration at two to four liters per minute by nasal cannula, with an active physician order to change the oxygen tubing weekly on the night shift. However, during an observation on 07/29/24, it was noted that the oxygen tubing had a piece of tape with a date of 05/30/24, indicating it had not been changed as per the order. The resident confirmed that staff changed the tubing but could not recall the last change. The Unit Manager confirmed the outdated tubing and stated it would be changed immediately.
Deficiencies in Psychotropic Medication Management
Penalty
Summary
The facility failed to ensure proper management of psychotropic medications for two residents, leading to deficiencies identified during the annual survey. For Resident #18, the facility did not include a stop date for an as-needed order of Ativan, an anti-anxiety medication. The resident, who was rarely or never understood and had diagnoses including senile degeneration of the brain and dementia, was receiving anti-anxiety medications without a specified duration of therapy. This oversight was confirmed by the Unit Manager during an interview. For Resident #25, the facility administered Risperidone, an antipsychotic medication, without an appropriate diagnosis. The resident, who had moderate cognitive impairment and multiple medical conditions, was prescribed Risperidone for unspecified dementia, which is not an acceptable diagnosis for this medication. This was verified by both a Registered Nurse and the Director of Nursing, who confirmed that Risperidone should be prescribed for an actual diagnosis rather than symptoms like agitation.
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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 Middleport
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Majestic Care Of Lakin | 3 mi | — | 0 | 0 |
| Arbors At Pomeroy | 8 mi | — | 0 | 0 |
| Pleasant Valley Healthcare Center | 8.8 mi | — | 0 | 0 |
| Holzer Senior Care Center | 13.9 mi | — | 0 | 0 |
| Abbyshire Place Health And Rehabilitation Center L | 14.6 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.