Old Vineyard Behavioral Health was cited by the Centers for Medicare and Medicaid Services (CMS) for failing to properly supervise and evaluate the care of patients. CMS found that the facility’s nursing staff failed to ensure that patient medications were administered according to physician orders and that nursing staff failed to notify a physician of critical laboratory results. In one case, a physician ordered a lab for the patient’s level of ammonia. Test results showed the result was returned the following day showing a potentially critical level. However, the physician was not notified of the result until 11 days later.