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 7 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
3D
2E
0F
Potential for minimal harm
0A
0B
1C
October 31, 2024Standard inspection · 0 citations
April 8, 2024Complaint inspection · 1 citation
- G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review, observation, staff interview, and review of the facility policy, the facility failed to provide adequate supervision to prevent falls with injury. This resulted in Actual Harm to dependent Resident #20 when a staff member who was providing incontinence care to the resident without additional staff assistance turned away from the resident to discard cleaning materials and the resident fell from the bed. Resident #20 sustained the following injuries from the fall from the bed: a scalp laceration which required repair with sutures, a sternal fracture, a fracture of the left clavicle, a fracture of the second rib on the left side, a closed fracture of the spinous process of the thoracic vertebra and the transverse process of the lumbar vertebra. This affected one (Resident #20) of three residents reviewed for falls. The facility census was 66.
October 18, 2021Standard inspection · 3 citations
- E
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, review of facility policy, and review of online resources per the Centers for Disease Control (CDC) and the Centers for Medicare and Medicaid Services (CMS) the facility failed to ensure staff wore appropriate personal protective equipment (PPE) to prevent the spread of Coronavirus (COVID-19). This had the potential to affect 13 (Residents #4, #7, #10, #20, #21, #25, #31, #32, #34, #41, #44, #53 and #54)residing on the Five South Unit; and failed to ensure staff practiced appropriate hand hygiene during meal service. This affected three (Residents #3, #14 and #28) of 18 residents observed for meal service on the Four North Unit. The census was 63.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review, observation and interview, the facility failed to ensure a dependent resident's wheelchair was equipped with a calf board and foot rests. This affected one (Resident #2) of three residents reviewed for activities of daily living assistance. The census was 63.
- D
Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on record review, observation, interview and policy review, the facility failed to ensure residents were assisted with placement of hearing aids. This affected one (Resident #34) of three residents reviewed for hearing impairment. The census was 63.
March 14, 2019Standard inspection · 3 citations
- E
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.
Inspectors wroteBased on observation, staff interview, pharmacy Recommended Minimum Medication Storage Parameters, and Aplisol manufacturing recommendations for storage, the facility failed to properly store, label, and dispose open vials of medications. This had the potential to affect 22 new admissions within the last 30 days. The facility census was 69.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observations, record review, review of facility policy and staff interviews, the facility failed to ensure staff provided a dignified dining experience while feeding Resident #56 during meal time. This affected one (#56) of four residents who were total dependent for assistance in eating on the fifth floor. The facility census was 69.
- C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Inspectors wroteBased on observations and staff interview, the facility failed to display the Ohio Department of Health survey results, where residents and visitors could visibly access them. This had the potential to affect all 69 residents residing in the facility.
Fire safety inspections
12 fire safety citations on file: 1 on October 31, 2024, 7 on October 18, 2021, 4 on March 14, 2019.
Every fire safety citation12 citations
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · October 31, 2024 · Corrected (the home has a date of correction)
- F
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · October 18, 2021 · Corrected (the home has a date of correction)
- F
Provide a written emergency evacuation plan.
K 711 · October 18, 2021 · Corrected (the home has a date of correction)
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
K 914 · October 18, 2021 · Corrected (the home has a date of correction)
- F
Have generator or other power source capable of supplying service within 10 seconds.
K 918 · October 18, 2021 · Corrected (the home has a date of correction)
- F
Have proper medical gas storage and administration areas.
K 923 · October 18, 2021 · Corrected (the home has a date of correction)
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K 321 · October 18, 2021 · Waiver
- E
Provide properly protected cooking facilities.
K 324 · October 18, 2021 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · March 14, 2019 · 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 · March 14, 2019 · Corrected (the home has a date of correction)
- F
Provide a written emergency evacuation plan.
K 711 · March 14, 2019 · Corrected (the home has a date of correction)
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
K 761 · March 14, 2019 · Corrected (the home has a date of correction)