CARLETON-WILLARD VILLAGE RETIREMENT & NURSING CTR
State inspectors recorded 3 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2025-06-10 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-06-10 — IMMEDIATE JEOPARDY (tag F0600, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2025-06-10 — IMMEDIATE JEOPARDY (tag F0656, severity J)
Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2024-05-29 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-05-29 — ACTUAL HARM (tag F0656, severity G)
Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Staffing, from payroll records
Nursing hours / resident / day
4.68
state median 3.36
Weekend staffing gap
−2%
fewer nursing hours on weekends · state median −4%
RN hours / resident / day
0.66
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Nursing staff turnover
32%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
2 enforcement action(s), totaling $25,497 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-06-10 | Fine | $16,985 |
| 2024-05-29 | Fine | $8,512 |
Ownership
Ownership type: Non profit - Corporation.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2025-06-10 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2025-06-10 | F0656 | Resident Assessment and Care Planning Deficiencies | J | not recorded |
| 2025-06-10 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-02-07 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-02-07 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-05-29 | F0656 | Resident Assessment and Care Planning Deficiencies | G | not recorded |
| 2024-05-29 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-05-29 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2023-09-13 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-09-13 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-09-13 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |