Singleton Health Care Center
1867 East 82nd Street, Cleveland, OH 44103 · For profit - Corporation · 50 certified beds · (216) 231-8467 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- no federal fines or payment denials on record
- it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0607, F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- it has a citation for mishandling residents’ money or property (F0568)
- a high number of inspection citations overall (24) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 4 of 5 |
| StaffingFrom payroll records (PBJ) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 4 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 4 of 5 |
| Long-stay residentspeople who live here | 4 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 5 to 4 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 5.0% | 5.3% | 15.4% | typical for the state‡ — see note marked double-dagger below the table |
| Long-stay residents who lose too much weight | 5.2% | 6.2% | 5.4% | typical |
| Long-stay residents with a catheter left in their bladder | 2.0% | 0.2% | 0.9% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 1.7% | 0.4% | 2.0% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents with depressive symptoms | 0.0% | 30.1% | 6.5% | check this* — see note marked star below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 6.1% | 3.2% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 5.1% | 6.1% | 16.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents on antianxiety or hypnotic medication | 14.2% | 25.5% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 95.7% | 94.5% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 1.8% | 3.4% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 11.2% | 21.4% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 1.3% | 8.8% | 17.1% | better |
| Long-stay hospitalizations per 1,000 resident days | 3.40 | 1.73 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 2.99 | 1.80 | 1.80 | worse |
* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
Therapy staffing: this home’s payroll records show 0.25 therapist hours per resident per day in 2026Q1 — more than 33% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 4% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not reported — Newly certified nursing home with less than 12-15 months of data available or the nursing home opened less than 6 months ago, and there were no data to submit or claims for this measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 50 beds and averages 47.0 residents a day — about 94% occupied, or roughly 3 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.28 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.32 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.02 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 2.82 hrs/resident/day on weekends vs 3.46 on weekdays — 19% thinner on weekends. RN hours go from 0.35 to 0.24 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 40% is about the same as the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are unchanged from the previous inspection. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
24 citations, most serious first. The 10 most serious are shown; the remaining 14 are one tap away and print in full.
- Potential for harm · E2026-02-27 · tag F0568 — patternProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, financial record review, staff interview, and facility policy review, the facility failed to ensure financial records were timely update. This affected 14 (Residents #50, #7, #8, #51, #13, #16, #21, #22, #52, #31, #35, #36, #46, and #53) of 14 resident financial records reviewed. The census was 49.Findings Include:Resident #50 was admitted to the facility on [DATE]. His diagnoses were hypertension, sepsis, and paranoid schizophrenia. Review of Resident #50's minimum data set (MDS) assessment revealed his cognitive status had not been completed.Review of Resident #50's resident trust account information, dated 02/27/26, revealed he had a negative balance in his account of -$970.99.Resident #7 was admitted to the facility on [DATE]. Her diagnoses were major depressive disorder, dementia, dysphagia, allergic rhinitis, osteoporosis, valgus deformity, slow transit constipation, disorder of thyroid, alcohol dependence, hyperlipidemia, and anemia. Review of her MDS assessment, dated…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-02-27 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and staff interview, the facility failed to ensure resident records were complete and accurate. This affected one (Resident #46) of three resident records reviewed. The census was 49.Findings Include:Resident #46 was admitted to the facility on [DATE]. His diagnoses were type II diabetes, hydrocephalus, spondylosis, cognitive communication deficit, vitamin D deficiency, insomnia, vascular dementia, hypertension, hyperlipidemia, chronic obstructive pulmonary disease, alcohol abuse, atherosclerotic heart disease, alcohol abuse, and chronic kidney disease. Review of his minimum data set (MDS) assessment, dated 01/15/26, revealed he had a severe cognitive impairment. Review of Resident #46 progress notes found no evidence of any psychiatric evaluations or notes regarding meetings they have had in the last 12 months. There was no documentation to support his Veteran's Administration (VA) psychiatric physician was consulted or was made aware of any pharmacy recommendations regarding his…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-11-18 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on resident record review, resident interview, staff interview and facility policy review, the facility failed to ensure Resident #42 was treated with respect and dignity. This affected one resident (#42) of two residents reviewed for respect and dignity. The facility census was 48. Findings include: Review of the medical record for Resident #42 revealed she was admitted to the facility on [DATE] with diagnoses including Alzheimer's disease, dementia, schizophrenia, and schizoaffective disorder. Review of the care plan dated 02/14/22, revealed Resident #42 behaved in a problematic manner characterized by ineffective coping with paranoia and suspicious behaviors related to psychiatric illness. Interventions included reassuring safety and talking in a low pitch, calm voice to decrease and/or eliminate undesired behaviors and provide diversional activities. Review of the Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #42 had a Brief Interview for Mental Status (BIMS) score of three,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-11-18 · tag F0655 — isolatedCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview and facility policy review, the facility failed to ensure Resident #200's baseline care plan was completed timely. This affected one resident (#200) of two residents reviewed for baseline care plans. The facility census was 48. Findings include: Review of the medical record for Resident #200 revealed an admission date of 10/05/24 with diagnoses including diabetes mellitus and malignant neoplasm of pancreas (cancer). Resident #200 was discharged to the hospital on [DATE] and did not return to the facility. Review of the baseline care plan in the electronic health record dated 10/07/24 revealed it was blank and had not been completed. Interview on 11/14/24 at 9:48 A.M. with Licensed Practical Nurse (LPN) #569 revealed she assisted in completing the baseline care plans. She stated Resident #200 was admitted on [DATE] and was discharged on 10/10/24. She stated she had initiated the baseline care plan, printed it out, and then began filling in the information by hand on the form with…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-11-18 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interviews and facility policy review, the facility failed to ensure fall prevention interventions were documented on the Kardex, failed to ensure an accurate falls risk assessment, and failed to do post fall assessments for 72 hours according to the facility policy for Resident #34. In addition, the facility failed to ensure safety of Resident #200 during care. This affected two residents (#34 and #200) of two residents reviewed for accidents. The facility census was 48. Findings include: 1. Review of the medical record revealed Resident #34 was admitted to the facility on [DATE] with diagnoses including epilepsy, hypertension, bradycardia, conversion disorder with seizures, cognitive communication deficit, dementia with behaviors, schizophrenia, cardiomyopathy, congestive heart failure, and vitamin B12 deficiency. Review of Resident #34's medication orders for July 2024 through September 2024 revealed orders for Norvasc, Losartan Potassium, Metoprolol Succinate ER (antihypertensives),…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-11-18 · tag F0756 — failed to review each resident's drug regimen — isolatedEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure pharmacy recommendations were followed up on for Resident #1. This affected one resident (Residents #1) of five residents reviewed for unnecessary medications. The facility census was 48. Findings include: Review of the medical record for Resident #1 revealed an admission date of 09/18/19 with diagnoses including arthritis, schizophrenia and insomnia. Review of the quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #1 was cognitively intact. She required set up assistance for eating and oral hygiene and substantial or maximum assistance for dressing, toileting, showering and personal hygiene. Review of the Medication Administration Record (MAR) for July 2024 revealed an order for Haldol (an antipsychotic medication) 0.5 milligrams (mg) intramuscularly (IM) every six hours as needed (prn). The order began on 07/22/24 and was discontinued on 08/29/24. Review of the document titled Note to Attending Physician/Prescriber…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-11-18 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure fall risk assessments were documented accurately for Resident #34 who was at risk of falls. This affected one resident (Resident #34) of three residents reviewed for falls. The facility census was 48. Findings include: Review of the medical record revealed Resident #34 was admitted to the facility on [DATE] with diagnoses including epilepsy, hypertension, bradycardia, conversion disorder with seizures, cognitive communication deficit, dementia with behaviors, schizophrenia, cardiomyopathy, congestive heart failure, and vitamin B12 deficiency. Review of Resident #34's medication orders for July 2024 through September 2024 revealed orders for Norvasc, Losartan Potassium, Metoprolol Succinate ER (antihypertensives), Torsemide, hydralazine HCL, Furosemide, spironolactone (diuretics) and Depakote ER and Keppra (anti-seizure medications). Review of the fall risk assessments dated 07/05/24 and 10/02/24 for Resident #34 revealed under section G.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · F2022-05-26 · tag F0607 — failed to have anti-abuse policies — widespreadDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review, facility policy and procedure review and interview the facility failed to ensure all employees were checked against the Ohio Nurse Aide Registry (NAR) prior to or on their first day of work/hire to ensure the employee did not have a finding entered into the State nurse aide registry concerning abuse, neglect, exploitation, mistreatment of residents or misappropriation of their property as required. This had the potential to affect all 49 residents residing in the facility. Findings include: Review of the personnel file for Registered Nurse (RN) #260 revealed a hire date of 05/02/22. There was no printed evidence of RN #260 being checked against the NAR. Review of the personnel file for Housekeeper #262 revealed a hire date of 02/02/22. There was no evidence of Housekeeper #262 being checked against the NAR. Review of the personnel file for Licensed Practical Nurse (LPN) #218 revealed a hire date of 04/21/22. There was no printed evidence of LPN #218 being checked against the NAR. Review of the personnel file for State Tested Nursing Assistant (STNA) #202…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · F2022-05-26 · tag F0835 — failed to run the facility competently — widespreadAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review, observations, and interviews the facility administration failed to ensure its resources were effectively and efficiently managed to attain and maintain the highest practicable physical, mental, and psychosocial well-being of all 48 residents residing in the facility. The facility census was 49. Findings include: The following concerns were identified during the annual survey: 1. Review of the medical records of Residents #26 and #31 revealed documentation Resident #24 was witnessed hitting Resident #31. Interview on 05/25/22 at 11:53 A.M. with the Administrator revealed the Director of Nursing (DON) reported the physical altercation to the Administrator on 03/26/22 by phone who received the report from Licensed Practical Nurse (LPN) #252 on 03/25/22 after the incident occurred. The Administrator confirmed not reporting the allegation of physical abuse to the State agency or conducting a thorough investigation as required. There were no witness statements obtained from the perpetrator, victim, or witnesses. 2. Review of facility personnel files revealed…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Fcited before2022-05-26 · tag F0880 — failed to prevent and control infections — widespreadProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, facility policy review, and review of guidelines from the Centers for Disease Control and Prevention, the facility failed to maintain infection control practices to prevent the spread of infectious diseases by failing to ensure the appropriate storage of clean linen and handling of soiled linen. This had the potential to affect all 49 residents who resided in the facility. Findings include: 1. Observation on 05/23/22 at 12:23 P.M. revealed a clean linen cart with three shelves located next to room [ROOM NUMBER]. Each shelf was stocked with bed linens, incontinence pads, gowns, washcloths, and briefs. There was one sheet applied to the highest shelf which left the lower two shelves with clean linen exposed. Interview at the time of the observation with the Director of Nursing (DON) verified the clean linen cart located next to room [ROOM NUMBER] was not covered as required. Observation on 05/23/22 at 12:25 P.M. revealed a clean linen cart with three shelves located…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 14 citations
- Potential for harm · D2022-05-26 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review, interview and facility policy review, the facility failed to report to the State agency an alleged violation involving physical abuse between Residents #24 and #31. This affected two residents (#24 and #31) of five residents (#24, #26, #31, #48 and #148) reviewed for abuse, neglect, exploitation, and misappropriation. The facility census was 49. Findings include: Review of the medical record for Resident #24 revealed an admission date of 09/16/17. Diagnoses included schizoaffective disorder bipolar type, vascular dementia without behavioral disturbance, and bipolar disorder. Review of the nursing progress note dated 03/26/22 at 2:35 P.M. by Registered Nurse (RN) #212 revealed Resident #24 was going into the B side television room at 11:00 P.M. when he was witnessed hitting another resident. Resident #24 stated he was defending himself because another resident was the aggressor. Interview on 05/24/22 at 11:24 A.M. with the Administrator verified Resident #24 had a physical altercation with Resident #31 on 03/25/22. The Administrator confirmed there was no…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-05-26 · tag F0610 — failed to investigate and act on abuse reports — isolatedRespond appropriately to all alleged violations.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review, interview and facility policy review, the facility failed to complete a thorough investigation involving an alleged violation of physical abuse between Residents #24 and #31. This affected two residents (#24 and #31) of five residents (#24, #26, #31, #48 and #148) reviewed for abuse, neglect, exploitation, and misappropriation. The facility census was 49. Findings include: Review of the medical record for Resident #24 revealed an admission date of 09/16/17. Diagnoses included schizoaffective disorder bipolar type, vascular dementia without behavioral disturbance, and bipolar disorder. Review of the nursing progress note dated 03/26/22 at 2:35 P.M. by Registered Nurse (RN) #212 revealed Resident #24 was going into the B side television room at 11:00 P.M. when he was witnessed hitting another resident. Resident #24 stated he was defending himself because another resident was the aggressor. Interview on 05/24/22 at 11:24 A.M. with the Administrator verified Resident #24 had a physical altercation with Resident #31 on 03/25/22. The Administrator confirmed there…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2019-07-03 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation and interview, the facility failed to ensure residents were treated with respect and dignity. This affected one resident (Resident #14) of 48 residents living in the facility at the time of the survey. Findings include: Observation of the A-section dining room on 07/01/19 at 12:07 P.M. revealed Resident #14 wheeled up to State Tested Nursing Aide (STNA) #203 and announced I don't want nothing to eat. STNA #203 walked past the resident and called over her shoulder with her back to the resident, You don't want nothing to eat? as she delivered a meal tray to a different resident. STNA #203 then turned back to Resident #14 and began walking towards him and the resident said again, I don't want nothing to eat, as STNA #203 walked past him again. STNA #203 again called over her shoulder, You don't want nothing to eat? STNA #203 continued serving food to other residents, and did not return to Resident #14's side or further acknowledge him. Resident #14 then wheeled himself out of the dining room. The above observations were confirmed with STNA #203 on 07/01/19 at 12:14…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-07-03 · tag F0558 — failed to accommodate residents' needs and preferences — isolatedReasonably accommodate the needs and preferences of each resident.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure a table was provided in a timely manner for Resident #298's suction machine. This affected one of one resident reviewed for tracheostomy care. The facility census was 48. Findings include: Review of Resident #198's medical record revealed the resident was admitted to the facility 02/06/19 and readmitted on [DATE] with diagnoses of anxiety disorder, depressed disorder, tracheostomy, chronic obstructive pulmonary disease (COPD), schizophrenia and ataxia. Review of Resident #198's admission Minimum Data Set 3.0 assessment dated [DATE] revealed the resident was independent and required set up only for all areas of activities of daily living. Review of Resident #198's plan of care dated 06/22/19 revealed the resident had a tracheostomy related to impaired breathing mechanics. Interventions included: ensure that trach ties are always secured. Monitor/document for restlessness, agitation, confusion, increased heart rate (tachycardia), and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-07-03 · tag F0583 — failed to protect personal privacy — isolatedKeep residents' personal and medical records private and confidential.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure Resident #37 was provided privacy during incontinence care. this affected one resident observed for incontinence care. The facility census was 48. Findings include: Review of Resident #37's medical record revealed the resident was admitted to the facility on [DATE] with diagnoses including schizoaffective disorder, dementia with behavioral disturbance, paranoid schizophrenia, lymphedema, and insomnia. Review of Resident #37's quarterly Minimum Data Set 3.0 assessment dated [DATE] revealed the resident required extensive assist of two persons for bed mobility and transfers. Resident #37 required and extensive assist of one person for dressing, toilet use and personal hygiene. Review of Resident #37's plan of care dated 07/02/19 revealed the resident had a behavior problem related to exposing self and urinating on the floor. Interventions included: administer medications as ordered. Monitor/document for side effects and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-07-03 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to implement Resident #37's plan of care to ensure his wheelchair brakes could be locked to prevent the wheelchair from pushing backward when the resident stood up. This affected one of four residents observed for wheelchair brakes in good repair. The facility census was 48. Finding include: Review of Resident #37's medical record revealed the resident was admitted to the facility on [DATE] with diagnoses including schizoaffective disorder, dementia with behavioral disturbance, paranoid schizophrenia, lymphedema, and insomnia. Review of Resident #37's quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed the resident required an extensive assist of two persons for bed mobility and transfers. Resident #37 required extensive assist of one person for dressing, toilet use and personal hygiene. Resident #37's MDS 3.0 dated 05/14/19 also revealed the resident had unsteady balance when moving from a seated position to a standing…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-07-03 · tag F0661 — isolatedEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
What the surveyor found here — the official record, unedited, may be distressing
Based on record review and interview, the facility failed to ensure residents received all required information upon their discharge. This affected one (Resident #49) of one resident reviewed for appropriate discharge. The total census was 48. Findings include: Record review of Resident #49 revealed the resident was admitted to the facility 10/17/18 and had diagnoses including hemiplegia, post-traumatic seizures, and other specified mental disorders. He was discharged from the facility on 05/06/19. His discharge instructions dated 05/06/19 revealed that he was discharged to a group home, was to follow up with his primary care provider, and had medications called in to a pharmacy. No evidence could be found in the instructions or elsewhere that the resident received discharge information including a summary of his stay or status, reconciliation of the discharge medications, a post-discharge plan or care, or instructions clarifying any specifics of his care needs. Interview with Assistant Administrator #202 on 07/03/19 at 8:56 A.M. confirmed the above findings.
- Potential for harm · Dcited before2019-07-03 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to provide supervision to prevent Resident #11 from obtaining a lighter. This affected one of five residents identified as residents who smoked. The facility census was 48. Findings include: Review of Resident #11's medical record revealed the resident was admitted to the facility on [DATE] with diagnoses including Huntington's Disease, chorea, convulsions, aphasia, intracranial injury without loss of consciousness, atherosclerotic heart disease and nicotine dependence. Review of Resident #11's quarterly Minimum Data Set 3.0 assessment dated [DATE] revealed the resident was independent and required no set up for bed mobility, transfers, dressing, eating, toilet use and personal hygiene. Review of Resident #11's plan of care dated 04/03/19 revealed the resident was a smoker. Goals included the resident would always be kept safe while smoking. Interventions included resident was not to have any lighters or matches in his or her possession.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-07-03 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure Resident #36's oxygen tank was handled appropriately and was not empty while in use. This affected one of three residents observed in the dining room with a portable oxygen tank in use. The facility census was 48. Findings include: Review of Resident #36's medical record revealed the resident was admitted to the facility on [DATE] with diagnoses including heart failure, acute respiratory failure, chronic obstructive pulmonary disease COPD), dysphagia, multiple myeloma, and insomnia. Review of Resident #36's 14-day Minimum Data Set assessment dated [DATE] revealed the resident required limited assistance from one person for bed mobility, transfers, dressing, toilet use and personal hygiene. Review of Resident #36's plan of care dated 05/03/19 revealed the resident had COPD related to smoking. Interventions included check resident Pulse-oximetery every shift to ensure greater than 90%. Educate resident on the risk factors of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-07-03 · tag F0700 — isolatedTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
What the surveyor found here — the official record, unedited, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to ensure bed rails were only applied for residents with appropriate consent, assessment, and documentation. This affected one (Resident #43) of one resident reviewed for restraints. The total census was 48. Findings include: Observation of Resident #43 on 07/01/19 at 2:47 revealed he had two quarter-length bedrails pulled up on each side of his bed. Record review of Resident #43 revealed he was admitted to the facility on [DATE], and was identified by the facility as having severe cognitive impairment, and required supervision for bed mobility and transfers. He had diagnoses including hallucinations and vascular dementia. The review revealed no evidence of any orders or care plan for bed rails, no signs of an assessment for risk of entrapment or restraint, no evidence of informed consent for bed rails, and no mention of their use in the progress notes. These findings were confirmed with the Director of Nursing on 07/02/19 at 11:37 A.M.
- Potential for harm · D2019-07-03 · tag F0759 — failed to keep medication error rate low — isolatedEnsure medication error rates are not 5 percent or greater.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview, the facility failed to ensure medications were administered with an error rate of less than 5%. This affected one (Resident #35) of four residents observed during medication administration. Two errors occurred within 27 observed opportunities for error, creating a medication error rate of 7.4%. The total census was 48. Findings include: Observation of a medication pass for Resident #35 by Registered Nurse (RN) #201 on 07/02/19 at 8:14 A.M. revealed the nurse administered one tablet of hydrochlorothiazide (a diuretic) 25 milligrams (mg), and one tablet of vitamin D3 2000 international units (iu) to the resident. Record review of Resident #35 revealed no order for hydrochlorothiazide at a dose of 25 mg, but there was an active order dated 05/17/19 in place for it to be given at a dose of 50 mg once per day. There was also no active order for vitamin D3, however there was one in place dated 12/05/18 for vitamin D2 to be given at 2000 iu once per day. Neither order included mention of any allowance for substitutions. Interview with RN…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-07-03 · tag F0812 — failed to store, cook, and serve food safely — isolatedProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — the official record, unedited, may be distressing
Based on observation and interview, the facility failed to ensure staff did not handle resident food with their bare hands. This affected one resident (Resident #32) of 48 residents who consumed food prepared and handled by facility staff. The total census was 48. Findings include: Observation of the A-section dining room on 07/01/19 at 12:31 P.M. revealed State Tested Nursing Aide (STNA) #204 to assist with the feeding of Resident #32. During the process, STNA #204 picked up a grilled cheese sandwich with her bare hands and held it up for Resident #32 to take bites. Interview with STNA #204 immediately following the above observation confirmed she had helped feed the resident by picking up food with bare hands. Record review of the facility's food safety policy dated 04/11/18 revealed no specific prohibition of staff touching food with bare hands.
- Potential for harm · Dcited before2019-07-03 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility did not ensure Resident #4's medical record was accurate. This affected one of 16 residents reviewed. The facility census was 48. Findings include: Review of Resident #4's medical record revealed the resident was admitted to the facility on [DATE] with diagnoses including cognitive impairment, depression, retention of urine, diabetes type II, alcohol induced chronic pancreatitis and dementia. Review of Resident #4's quarterly minimum data Set 3.0 assessment dated [DATE] revealed the resident required limited assistance and set up for all activities of daily living skills. Review of Resident #4's plan of care (no date) revealed the resident had a problematic manner in which the resident acts are characterized by ineffective coping; verbal/ physical aggression related to: yelling at and threatening staff. Interventions included approach the resident slowly and from the front; be sure you have the resident's attention before speaking or touching;…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2019-07-03 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility did not ensure Resident #198's suction machine was kept in a sanitary manner. This affected one of one resident observed requiring a suction machine for emergency tracheostomy suctioning. The facility census was 48. Findings include: Review of Resident #198's medical record revealed the resident was admitted to the facility 02/06/19 and readmitted on [DATE] with diagnoses of anxiety disorder, depressed disorder, tracheostomy, chronic obstructive pulmonary disease (COPD), schizophrenia and ataxia. Review of Resident #198's admission Minimum Data Set 3.0 assessment dated [DATE] revealed the resident was independent and required set up only for all areas of activities of daily living. Review of Resident #198's plan of care dated 06/22/19 revealed the resident had a tracheostomy related to impaired breathing mechanics. Interventions included: ensure that trach ties always secured. Monitor/document for restlessness, agitation, confusion, increased heart…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| IRELAND, CHANNA | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; W-2 MANAGING EMPLOYEE; CORPORATE DIRECTOR; ADP OF THE SNF | 50% | since 12/01/2001 |
| IRELAND, JOSEPH | Individual | DIRECT OWNERSHIP INTEREST; W-2 MANAGING EMPLOYEE; CORPORATE DIRECTOR; CORPORATE OFFICER; ADP OF THE SNF | — | since 11/30/2001 |
CMS files one row per role, so the 9 rows in the source record cover these 2 parties — each is shown once here with every role it holds. Nothing is omitted.
What families pay in OH
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Ohio Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 366355. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-11-18, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.