Alexander "Sandy" Nininger State Veterans Nursing

Certification

Medicare-certified.

Ratings

Inspection history (23)

Records from May 2022 to July 2025.

• July 2, 2025

  Tag F0684

  Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 7, 2025.

• January 9, 2025

  Tag F0804

  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 14, 2025.

• January 9, 2025

  Tag F0684

  Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 14, 2025.

• January 9, 2025

  Tag F0561

  Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 9, 2025.

• January 9, 2025

  Tag F0755

  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 14, 2025.

• January 9, 2025

  Tag F0689

  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 14, 2025.

• January 9, 2025

  Tag F0803

  Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 14, 2025.

• January 9, 2025

  Tag F0805

  Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 14, 2025.

• January 9, 2025

  Tag F0812

  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 14, 2025.

• January 9, 2025

  Tag F0919

  Make sure that a working call system is available in each resident's bathroom and bathing area.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 14, 2025.

• January 9, 2025

  Tag F0585

  Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 9, 2025.

• January 9, 2025

  Tag F0688

  Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 14, 2025.

• January 9, 2025

  Tag F0692

  Provide enough food/fluids to maintain a resident's health.

  Severity G: isolated, actual harm. Corrected February 14, 2025.

• January 9, 2025

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 14, 2025.

• January 9, 2025

  Tag F0761

  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 14, 2025.

• April 23, 2024

  Tag F0684

  Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 23, 2024.

• September 14, 2023

  Tag F0759

  Ensure medication error rates are not 5 percent or greater.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 14, 2023.

• September 14, 2023

  Tag F0690

  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 14, 2023.

• May 5, 2022

  Tag F0758

  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is l….

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 5, 2022.

• May 5, 2022

  Tag F0732

  Post nurse staffing information every day.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 5, 2022.

Penalties (1)

Total fines: $38,659

• January 9, 2025 · Fine

  CMS recorded a civil money penalty of $38,659 against this nursing home on January 9, 2025.

Staffing

5.85 nurse hours per resident per day in Q2 2026, up from 5.62 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

Government - State