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 Transitional Care Unit during CMS and state inspections, most recent first.
Surveyors determined that the facility did not comply with NFPA 101 and NFPA 72 requirements for fire alarm system maintenance when record review showed incomplete fire alarm inspection reports and no documentation of required semi-annual visual inspections of fire detection components. The Director of Maintenance confirmed that these six-month inspections had not been documented and reported being unaware of the requirement, creating a deficiency that had the potential to affect all four residents.
Failure to Perform and Document Semi-Annual Fire Alarm System Inspections
Penalty
Summary
Surveyors found that the facility failed to maintain its fire alarm system components in accordance with NFPA 101 and NFPA 72 requirements. During record review, surveyors noted that fire alarm system inspection reports were incomplete and specifically that there were no records demonstrating that required semi-annual visual inspections of the fire detection components had been performed. This deficiency had the potential to affect all four residents in the facility. At the time of the review, the Director of Maintenance confirmed the absence of documentation for the six-month inspections and stated that he was unaware of the requirement to complete semi-annual inspections of the fire detection components.
Plan Of Correction
This plan of correction constitutes my written allegation of compliance for the deficiencies cited. However, submission of this Plan of Correction is not an admission that a deficiency exits or that one was cited correctly. This Plan of Correction is submitted to meet the requirements established by state and federal law. It is the policy that Transitional Care Unit follows Life Safety State/Federal regulations. It is policy that we hold a semi-annual fire visual inspection. The Transitional Care Unit held an inspection in February of 2026 and has another one scheduled with SecurCom for August of 2026. The Life Safety Surveyors spoke directly to SecurCom on the day of survey to ensure things were scheduled appropriately going forward. Securcom, Transitional Care Unit, and Life Safety Surveyors are on the same page and have scheduled according to regulation. Bill Bergman (President of Securcom, Inc) contacted Dustin Buell to discuss the requirements of the semi-annual inspection. On 5/1/25 a Purchase Order was issued to Securcom, Inc for them to complete the semi-annual inspection. On 5/1/26 a semi-annual fire alarm system Preventative maintenance work order was developed in our maintenance management software. This will automatically kick out every August 1st of every year as a reminder to have the semi-annual inspection completed. This administrator has put it in as a quarterly QAPI follow up to ensure compliance maintains
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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 Saint Marys
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Vancrest Of St Mary's | 0.2 mi | — | 5 | 0 |
| Grande Lake Healthcare Center | 1.7 mi | — | 0 | 0 |
| Otterbein St Marys Retirement Community | 3.6 mi | — | 0 | 0 |
| Wapakoneta Manor | 9.1 mi | — | 0 | 0 |
| Gardens At Celina | 9.6 mi | — | 3 | 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.