Duncaster’s Caleb Hitchcock Health Center has a 2-star overall rating, with a 1-star health inspection rating but 5-star staffing and 4-star quality measures. It reported 5.91 nursing hours per resident per day versus the 4.1 federal benchmark, $55,350 in fines over the last 24 months, and a recent abuse citation.
Last inspection: November 25, 2025Penalties, last 24 months: $55,350recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.9071.
Staffing detail
Registered nurses
1.56
Licensed practical nurses
0.66
Nurse aides
3.68
Weekend nursing
5.64
Hours per resident per day.
Total staff turnover: 24%
Registered nurse turnover: 21%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
16.1%18.9%Worsening
Residents with a fall causing major injury
12.2%7.1%Improving
Residents with pressure ulcers (bedsores)
0%0%No change
Residents with a urinary tract infection
0%9.8%Worsening
Residents who lost too much weight
0%2.6%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
14.7%13.5%Improving
Residents whose ability to walk got worse
0%8.9%Worsening
Long-stay residents on antianxiety or sleep medication
10.5%5%Improving
Short-stay residents newly given an antipsychotic
3.7%0%Improving
Residents with a long-term catheter
0%2.1%Worsening
Residents with new or worsening incontinence
26.9%29%Worsening
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—97.5%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—90.7%—
Short-stay residents given the pneumonia vaccine
97.8%96.2%Worsening
What the inspectors found
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited November 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited November 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The nursing home failed to protect residents from abuse and neglect by others. Cited November 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The nursing home failed to ensure a qualified person was assigned to oversee infection prevention and control. Cited November 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 882 — 42 CFR §483.80 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
PENALTY
A federal fine of $23,240 was recorded.
INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $32,110 was recorded.
PENALTY
A federal fine of $49,400 was recorded.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $55,350 in total fines.
Federal fine
Nov 25, 2025
$23,240
Federal fine
Nov 17, 2025
$32,110
Operator & ownership
Ownership
Non profit - Corporation
Occupancy
50.3 residents on an average day (84% of 60 beds)
Medicare history
Certified for 42 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.