Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around November 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 Olney Rehabilitation And Care Center during CMS and state inspections, most recent first.
Two residents in an LTC facility were administered insulin without proper priming of the insulin pen, resulting in a medication error rate of 7.69%. The involved LVNs and DON were unaware of the need to prime the pens, leading to potential underdosing of insulin for residents with Type 2 Diabetes Mellitus.
The facility failed to secure medication and treatment carts, leaving them unlocked and unattended in hallways. This included a treatment cart with medicated dressings and a medication cart with prescription drugs. LVNs acknowledged their responsibility to lock the carts, and the DON and ADM confirmed the expectation for carts to be secured to prevent unauthorized access.
The facility failed to maintain cleanliness in the kitchen, with spilled dry milk and food crumbs observed in refrigerator #1 and dirt on the kitchen floor. The Dietary Manager, new to the role, did not ensure daily cleaning tasks were completed, as evidenced by missing initials on the cleaning schedule. The Administrator expected daily cleaning to prevent infection and pests, aligning with facility policy and FDA standards.
A resident with dementia and a urinary tract infection received incontinence care from an LVN who failed to change soiled gloves and perform hand hygiene, leading to a breach in infection control protocols. The DON confirmed the expectation for proper infection control techniques, which were not followed according to the facility's procedure manual.
A facility failed to ensure proper documentation of wound care for a resident with a diabetic foot ulcer. Nurses did not initial and date wound dressings, as observed during an interview with an LVN who admitted to forgetting this step. The DON emphasized the importance of this practice to verify wound care was performed. The resident, with a history of diabetes and other health issues, confirmed receiving daily care without pain.
Medication Error Due to Improper Insulin Pen Priming
Penalty
Summary
The facility failed to ensure that residents were free from a medication error rate of 5% or greater, with an observed rate of 7.69%. This deficiency involved two residents who were administered insulin without the proper priming of the insulin pen. Specifically, LVN A and LVN B did not prime the Fiasp flex touch pen before administering insulin to two residents, which could result in the residents not receiving the full dose of insulin as ordered. This oversight was observed during medication administration and was confirmed through interviews with the involved LVNs and the Director of Nursing (DON). The residents involved were both diagnosed with Type 2 Diabetes Mellitus and were receiving insulin as part of their treatment plan. Both residents were cognitively intact, as indicated by their BIMS scores. The facility's policy on insulin injection and medication administration was not followed, as it requires the expulsion of air from the syringe before administration. The DON and LVNs were unaware of the need to prime the insulin pens, which contributed to the medication errors observed.
Failure to Secure Medication and Treatment Carts
Penalty
Summary
The facility failed to ensure that drugs and biologicals were secured and stored according to accepted professional principles, as observed with the West Hall Medication Cart and Treatment Cart. On one occasion, a treatment cart was left open and unattended in a hallway corner near a bathroom, with a resident within six feet of the unsecured cart. The cart contained medicated dressings, prescription ointments, and creams. An interview with LVN B confirmed that both LVNs had keys to the treatment cart and were responsible for ensuring it was secure. LVN B acknowledged that the cart should be locked if not in use or within the nurse's sight, as failure to do so could allow residents access to medications and treatment dressings. Another observation revealed an unlocked and unattended medication cart in the middle of a hallway, while the nurse was in a resident's room and not in line of sight of the cart. This cart contained over-the-counter and prescription medications, with the narcotic drawer secured by one lock. LVN C stated that the medication cart should be locked at all times to prevent resident access to potentially harmful medications. Interviews with the DON and ADM confirmed the expectation that medication and treatment carts should always be locked when not in use, as unsecured carts could lead to drug diversion or residents accessing medications not prescribed to them. The facility's policy on medication administration also emphasized the importance of locking the medication cart before entering a resident's room and never leaving it open and unattended.
Deficiency in Kitchen Cleanliness and Food Safety Standards
Penalty
Summary
The facility failed to maintain food storage and preparation areas in accordance with professional standards for food service safety. During an initial tour of the kitchen, surveyors observed that refrigerator #1 had spilled dry milk on the bottom and underneath the shelves, with dust and food crumbs present in the corners and against the wall. The kitchen floor was also found to be dirty, with dirt, food crumbs, and trash underneath the shelves and along the walls. A follow-up observation confirmed that these conditions remained unchanged, despite a cleaning schedule being posted and initialed by the assigned staff as completed. Interviews with the Dietary Manager revealed that the refrigerators were supposed to be cleaned every Saturday by the evening cook, but this task was not completed as expected. The Dietary Manager, who was new to the job, stated that she was responsible for ensuring daily cleaning was done by checking the cleaning schedule for employee initials. However, a review of the dietary cleaning schedule showed several missing initials, indicating incomplete cleaning tasks. The Administrator expressed that it was his expectation for the kitchen to be cleaned daily and that any spills should be cleaned immediately to prevent infection and pests. The facility's policy on cleaning and disinfection, as well as the FDA Food Code, emphasized the importance of keeping nonfood-contact surfaces free of dust, dirt, and food residue.
Infection Control Breach During Resident Care
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by the actions of LVN C during incontinence care for a resident. The resident, an elderly female with diagnoses including unspecified dementia, urinary tract infection, obesity, and depression, required assistance with most activities of daily living and was frequently incontinent. During an observation, LVN C did not perform hand hygiene or change gloves after they became soiled with urine and fecal matter while providing perineal care. Instead, LVN C continued to handle the resident's clean brief with the contaminated gloves. In an interview, LVN C acknowledged that her gloves were dirty and admitted that mixing clean with dirty items constituted cross-contamination, which could lead to infections. The Director of Nursing (DON) confirmed that staff were expected to follow proper infection control techniques, including hand hygiene and glove changes, to prevent infections such as urinary tract infections. The facility's Perineal Care in Nursing Procedure Manual also outlined the necessity of removing gloves, washing hands, and applying clean gloves during care, which was not adhered to in this instance.
Failure to Document Wound Care Properly
Penalty
Summary
The facility failed to ensure that wound care for a resident was performed in accordance with professional standards and the comprehensive person-centered care plan. Specifically, the nurses did not initial and date the wound dressings after performing wound care on a resident with a diabetic foot ulcer. This oversight was observed during an interview and observation where a Licensed Vocational Nurse (LVN) admitted to forgetting to date and initial the dressing after performing wound care the previous day. The resident, who has a history of Type 1 and Type 2 Diabetes, anemia, protein-calorie malnutrition, hyperlipidemia, hypokalemia, and cerebrovascular disease, confirmed receiving daily wound care without experiencing pain. The Director of Nursing (DON) stated that the expectation was for staff to date and initial wound dressings to verify that wound care was performed. The facility's Dressing Change Procedure also required documentation of the date, time, and initials on a piece of tape placed on the dressing. The failure to date and initial the wound dressing could lead to uncertainty about whether wound care was performed as ordered, especially if different nurses were working or if the nurse was not present the following day. This deficiency was identified for one of the two residents reviewed for quality of care.
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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 Olney
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Graham Oaks Care Center | 21.9 mi | — | 4 | 2 |
| Avir At Graham | 22.6 mi | — | 0 | 0 |
| Seymour Rehabilitation And Healthcare | 32.9 mi | — | 1 | 0 |
| Advanced Rehabilitation And Healthcare Of Wichita | 36 mi | — | 0 | 0 |
| University Park Nursing And Rehabilitation | 36.5 mi | — | 0 | 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.