Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 13 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
7D
0E
2F
Potential for minimal harm
0A
1B
2C
April 10, 2025Standard inspection · 3 citations
- F
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure its arbitration agreement contained all necessary information. This had the potential to affect all residents. The facility census was 82.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure a follow-up to a pharmacy recommendation for Resident #51 was completed as required. This affected one (Resident #51) of five residents reviewed for unnecessary medications. The facility census was 82.
- C
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspectors wroteBased on record review and interview, the facility failed to ensure certified nurse aides (CNAs) received twelve hours of in-services on an annual basis. This affected one (CNA#546) of three CNAs reviewed for employee files. This had the potential to affect all residents. The facility census was 82.
October 5, 2023Complaint inspection · 2 citations
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on record review and interview the facility failed to ensure the physician was notified of an elevated lab value for Resident #5. This affected one resident (#5) of three residents reviewed for infections. The facility census was 69.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review and interview the facility did not ensure Resident #5 was adequately monitored after a change in condition. This affected one resident (#5) of three residents reviewed for change in condition. The facility census was 69.
August 4, 2022Standard inspection · 2 citations
- D
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Inspectors wroteBased on interview, record review, and facility procedure review the facility failed to provide copies of the medical record for Resident #222 after request. This affected one resident (Resident #222) of four residents (Resident's #31, #223, #224, and #225) reviewed for the facility honoring the right to have access and/ or purchase copies of medical records upon request. The facility census was 65.
- D
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.
Inspectors wroteBased on interview, observation, record review, and facility policy review the facility failed to ensure Resident #54's passive range of motion and splint for the right upper extremity was completed per the occupational therapy recommendation. This affected one resident (Resident #54) of one resident reviewed for use of splints. This had the potential to affect five residents (Resident's #1, #10, #18, #53, #54) that had occupational therapy recommendations for splints. The facility census was 65.
August 29, 2019Standard inspection · 6 citations
- G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure appropriate interventions to prevent a fall with injury for Resident #18. Actual Harm occurred when State Tested Nurse Aide (STNA) #301 propelled Resident #18 in a wheel chair, without footrests. The resident's foot dropped to the floor and she fell, resulting in a hematoma of the forehead and transfer to the hospital. This affected one resident (Resident #18) of one resident reviewed for falls.
- F
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Inspectors wroteBased on record review and staff interview the facility failed to check all potential new hires against the State Nurse Aide Registry (NAR) to ensure no employee had a finding entered into the NAR concerning abuse, neglect, exploitation, mistreatment of residents or misappropriation of their property. This had the potential to affect all 88 residents currently residing in the facility.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure Resident #7 received eating assistance promptly upon the delivery of her food, and had their clothing protector removed when the meal was over. This affected one of four residents reviewed for dignity concerns. The facility census was 88.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on record review, observation and interview, the facility failed to ensure Resident #41's care plan was revised and updated to meet her individual needs. This affected one (Resident #41) out of 27 residents whose care plans were reviewed.
- C
Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
Inspectors wroteBased on record review and interview, the facility failed to inform the Ohio Department of Health when it hired a new Director of Nursing (DON). The total census was 88.
- B
Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview, the facility failed to ensure comprehensive assessments were accurate. This affected three (Residents #19, Resident #46, and Resident #64) of four residents reviewed for Pre-admission Screen - Resident Review. The facility census was 88.
Fire safety inspections
12 fire safety citations on file: 7 on April 10, 2025, 3 on August 4, 2022, 2 on August 29, 2019.
Every fire safety citation12 citations
- F
Provide properly protected cooking facilities.
K 324 · April 10, 2025 · Corrected (the home has a date of correction)
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K 521 · April 10, 2025 · Corrected (the home has a date of correction)
- F
Have restrictions on the use of highly flammable decorations.
K 753 · April 10, 2025 · Corrected (the home has a date of correction)
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
K 761 · April 10, 2025 · Corrected (the home has a date of correction)
- F
Have generator or other power source capable of supplying service within 10 seconds.
K 918 · April 10, 2025 · Corrected (the home has a date of correction)
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K 372 · April 10, 2025 · Corrected (the home has a date of correction)
- E
Ensure proper usage of power strips and extension cords.
K 920 · April 10, 2025 · Corrected (the home has a date of correction)
- F
Install emergency lighting that can last at least 1 1/2 hours.
K 291 · August 4, 2022 · Corrected (the home has a date of correction)
- F
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · August 4, 2022 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · August 4, 2022 · Corrected (the home has a date of correction)
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
K 761 · August 29, 2019 · Corrected (the home has a date of correction)
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
K 222 · August 29, 2019 · Corrected (the home has a date of correction)