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Hampton Woods Nursing Center, INC

1525 East Western Reserve Road, Poland, OH 44514 · For profit - Individual · 70 certified beds · (330) 707-1300 Medicare & Medicaid certified

Call the home — (330) 707-1300 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citations on record (F0600, F0602) — most recent Apr 2026Resident-funds citation (F0569)2 actual-harm citations
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has abuse, neglect, or exploitation citations (F0600, F0602) — most recent Apr 2026
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — 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 (F0569)
  • it has 2 actual-harm citations
  • a high number of inspection citations overall (23) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure score sits well above its independent inspection score
  • nursing-staff turnover (58%) runs well above the national median (45%)

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.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 5 of 5

Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
8580 South Ave · (330) 758-2303 · Call to confirm hours
Pharmacy
9798 N Lima Rd · (330) 549-5522 · Call to confirm hours
Grocery
574 McClurg Rd · (330) 743-6050 · Call to confirm hours
Park
Moore Rd · (330) 726-8107 · Typically dawn to dusk
Place of worship
2250 E Western Reserve Rd · (330) 757-0727

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 5 of 5
Long-stay residentspeople who live here 5 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 improved from 2 to 3 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.

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased0.0%5.3%15.4%check this — see note marked star below the table
Long-stay residents who lose too much weight4.7%6.2%5.4%better
Long-stay residents with a catheter left in their bladder0.0%0.2%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection0.0%0.4%2.0%better than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms25.9%30.1%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury9.2%3.2%3.3%worse
Long-stay residents whose ability to walk worsened0.0%6.1%16.1%check this — see note marked star below the table
Long-stay residents on antianxiety or hypnotic medication14.1%25.5%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%94.5%95.3%typical
Long-stay residents with pressure ulcers1.7%3.4%4.7%better
Long-stay residents with worsening bladder/bowel control19.6%21.4%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table9.2%8.8%17.1%better
Short-stay residents who newly got an antipsychotic medication0.0%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine95.4%75.6%79.4%better

* 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.

53.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 40 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

53.2%U.S. median 51.5%
Got home and stayed home
11.9%U.S. median 10.7%
Went back to hospital
0.33U.S. median 0.31
Therapy hours / resident / day
0.19hours / resident / day
Physical therapy
0.11hours / resident / day
Occupational therapy
0.03hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.33 therapist hours per resident per day in 2026Q1 — more than 55% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 11% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. 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
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF53.2%CMS range 41.0–65.651.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.9%CMS range 8.2–16.810.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at dischargenot 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 dischargenot 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 dischargenot 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 identifiednot 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 settingnot 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 dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF staynot 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 worsenednot 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 hospitalizationnot 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 SNFs0.811.02Oct 2022–Sep 2024CMS makes no comparison for this 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

0.42
RN hours/ resident / day
1.64
LPN hours/ resident / day
2.48
Aide hours/ resident / day
4.54
Total nurse hours/ resident / day
0.31
RN hoursweekends
57.6%
Total nursing turnover
33.3%
RN turnover

How full it usually is: this home is certified for 70 beds and averages 54.4 residents a day — about 78% occupied, or roughly 16 beds typically open. It usually has some room. 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 4.54 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.42 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.48 is at or above 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 3.98 hrs/resident/day on weekends vs 4.76 on weekdays — 16% thinner on weekends. RN hours go from 0.46 to 0.31 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 58% is well above 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

1
deficiencies at the latest standard inspection (2026-03-12)
11
at the previous standard inspection (2024-10-10)

Deficiencies are fewer than at the previous inspection — improving. 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.

ABCDEFGHIJKL

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.

23 citations, most serious first. The 12 most serious are shown; the remaining 11 are one tap away and print in full.

  • Actual harm · G2023-11-21 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    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, record review, interview, facility policy and procedure review, self-reported incident (SRI) review, and facility investigation review the facility failed to prevent an incident of neglect when Resident #42 was not properly assisted with activities of daily living (ADL) including bed mobility, bathing, and incontinence care according to the resident care card to prevent an injury. Actual Harm occurred on 10/27/23 during the 7:00 P.M. to 7:00 A.M. shift when Resident #42, who was dependent on staff for ADLs, including two-person assistance for bed mobility, bathing, and toileting, was found with significant bruising including deep purple bruises on her forehead, under her left and right eyes, and on the outside of her left eye. The injuries were determined by the facility to be the result of Agency State Tested Nursing Assistant (STNA) #611 providing care without another staff member assisting on 10/27/23 during the 7:00 P.M. to 7:00 A.M. shift for the resident including a bed bath, changing…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Actual harm · G2023-11-21 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    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, record review, review of the facility policy and interview the facility failed to ensure timely assessments were completed and adequate interventions were implemented to prevent the development of a pressure ulcer for Resident #14. Actual Harm occurred on 10/03/23 when Resident #14, who was totally dependent on staff for activities of daily living (ADL) including bed mobility, toileting, and transfers was found to have an unstageable (full thickness tissue loss in which the actual depth of the ulcer was obscured by slough/ dead skin) pressure ulcer to his left gluteal (buttock) area. There was no documented evidence of adequate intervention(s) or monitoring to prevent the development of this wound or to ensure the pressure ulcer was identified prior to being unstageable. This affected one resident (#14) of two residents reviewed for pressure ulcers. The facility census was 62. Findings include: Review of the medical record for Resident #14 revealed an admission date of 06/28/23 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-04-06 · tag F0602 — failed to protect residents from theft of their belongings — isolated
    Protect each resident from the wrongful use of the resident's belongings or money.
    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 reviews, self-reported incident (SRI) review, facility policy review and interview, the facility failed to prevent the tampering with and possible diversion of resident liquid morphine. This failure had the potential to affect three residents (#18, #32, and #36) who were receiving morphine at the time of the incident of three residents reviewed for abuse, neglect and misappropriation. The facility census was 60.Findings include:1. A review of medical records for Resident #18 revealed a date of admission of 08/16/21. Significant diagnoses included senile degeneration of the brain and end stage heart failure. The resident was admitted to hospice care with a diagnosis of congestive heart failure (CHF) on 05/19/21. Resident #18 had physician's orders for Acetaminophen 650 milligrams (analgesic) by mouth every four hours as needed for pain, Morphine sulfate 20 milligrams per milliliter (opioid pain medication), give 0.5 milliliters by mouth every four hours as needed for pain and give 0.5 milliliters…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-03-12 · tag F0578 — failed to honor advance directives / code status — isolated
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    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 #63 had an accurate advanced directive on file. This affected one resident (#63) of two residents reviewed for advanced directives. The facility census was 52.Findings include:Review of the medical record revealed Resident #63 was admitted [DATE] with diagnoses of acute kidney failure, muscle weakness, chronic diastolic congestive heart failure, and diabetes mellitus without complications. Review of the physician orders revealed Resident #63 had an order for do not resuscitate comfort care arrest (DNR CCA) which allowed for full medical treatment to be provided up until the point a patients' heart or breathing stops.Review of the Resident Care Card dated 03/04/26 revealed Resident #63 code status was DNR CCA.Further review of the electronic record revealed it did not contain a signed advanced directive, living will, or healthcare power of attorney determining the code status would be DNR CCA. Observation on…

    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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-01-29 · tag F0760 — failed to prevent significant medication errors — isolated
    Ensure that residents are free from significant medication errors.
    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 and family interview, staff interview, review of facility medication incident report, record review, and facility policy review, the facility failed to ensure residents were free of significant medication errors. This affected one resident (Resident #9) out of four residents reviewed for medication administration. The facility census was 53.Findings include:Review of the medical record for Resident #9 revealed an admission date of 05/23/25 with diagnoses including hypertension, hypothyroidism, hyperlipidemia, anemia, history of falls and history of fracture of right femur. Review of the facility document titled Medication Incident Report dated 07/14/25 at 10:45 A.M. revealed Registered Nurse (RN) #805 gave Resident #9 the wrong medications during their 9:00 A.M. medication pass. RN #805 did not verify she had the right resident and RN #805 administered the following wrong medications: Amlodipine (treats high blood pressure), Bupropion (antidepressant), Lisinopril (treats high blood pressure),…

    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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-12-03 · tag F0849 — isolated
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
    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 timely notify the hospice provider of Resident #62's change in condition, resulting in an unwanted transfer to the Emergency Department (ED). This affected one resident (Resident #62) of three residents reviewed for falls. The facility census was 61. Findings include: Review of the medical record for Resident #62 revealed an admission date of 08/07/19 and a discharge date of 11/11/24. Diagnoses included Alzheimer's disease, muscle weakness, altered mental status, hypertension, and congestive heart failure. Review of the comprehensive Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #62 was severely cognitively impaired. She required supervision for eating, partial to moderate assistance for oral and personal hygiene, substantial to maximum assistance for toileting, dressing, and was dependent for showering. She received hospice services. Review of the nurses' note dated 10/01/24 at 12:53 P.M. revealed Resident #62 was admitted to…

    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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2024-10-10 · tag F0809 — failed to serve meals on a reasonable schedule — widespread
    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
    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, staff and resident interviews, and review of facility mealtimes, the facility failed to ensure residents were offered a snack as required when there was greater than 14 hours between dinner and breakfast. This had the potential to affect all residents except for one resident (#44) identified by the facility as receiving nothing by mouth. The facility census was 60. Findings include: Interview on 10/08/24 at 11:52 A.M. with Resident #15 revealed the staff only bring snacks if you ask for them, and he gets hungry some nights. Interview on 10/08/24 at 11:54 A.M. with Resident #16 revealed she gets hungry at night, and the staff don't come around to ask if we want snacks. Observations during dinner time on 10/08/24 revealed Resident #6 received dinner at approximately 5:03 P.M. and breakfast on 10/09/24 at approximately 8:15 A.M., which was approximately 15 hours from dinner to breakfast, Review of undated facility document titled Hampton Woods Mealtimes revealed there were 15 hours between…

    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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2024-10-10 · tag F0842 — failed to keep accurate, complete medical records — widespread
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and interview, the facility failed to ensure the Tuberculosis (TB) Risk Assessment was completed in an accurate manner. This had the potential to affect all residents who resided in the facility. The facility census was 60. Findings include: Review of the facility provided TB Risk Assessment revealed the assessment was completed on 01/2023. On 10/08/24 at 10:15 A.M. the Administrator was made aware that the TB Risk assessment provided was dated 01/2023 and was asked to provide an updated TB Risk Assessment. Review of updated facility provided TB Risk Assessment revealed a completion date of 01/2024. Interview on 10/08/24 at 11:45 A.M. with the Director of Nursing (DON) revealed the updated TB Risk Assessment was completed on 10/07/24. The DON further stated when she had gone through the state readiness binder to ensure everything was completed, she found that there was not an up-to-date TB Risk Assessment. The DON stated that was when she completed the TB Risk Assessment and dated it as completed 01/2024 when it was actually completed on 10/07/24.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-10 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor 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 observation, interview, record review and review of the facility policy, the facility failed to ensure Resident #7 was fed in a dignified manner. This affected one resident (#7) out of five residents in the facility identified as needing physical assistance with meals. The facility census was 60. Findings include: Review of the medical record revealed Resident #7 was admitted to the facility on [DATE]. Medical diagnoses included wedge compression fracture of unspecified thoracic vertebra, essential primary hypertension, moderate protein calorie malnutrition, malaise, major depressive disorder, and unspecified dementia. Review of the care plan dated 08/26/22 revealed Resident #7 was at risk for dehydration and weight loss related to dementia, malnutrition, mechanically altered diet, history of decreased appetite and not wanting supplements. Interventions included assisting with meals as needed, and encouraging completion of meals and fluids daily. Review of the annual Minimum Data Set (MDS) assessment…

    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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-10-10 · tag F0578 — failed to honor advance directives / code status — isolated
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    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 interviews, the facility failed to ensure resident Do Not Resuscitate forms were appropriately filled out for Residents #262 and #15. This finding affected two residents (#262 and #15) out of two residents reviewed for advanced directives. The facility census was 60. Findings include: 1. Review of the medical record revealed Resident #262 was admitted to the facility on [DATE]. Medical diagnoses included acute kidney failure, calculus of kidney, obstructive and reflux uropathy, cognitive communication deficit, peripheral vascular disease, and occlusion and stenosis of bilateral carotid arteries. Review of Resident #262 physician orders revealed an order that stated Do Not Resuscitate Comfort Care Arrest (DNR-CCA) dated 09/18/24. Review of Resident #262's care plan dated 09/19/24 revealed the care plan did not include advanced directives. Review of the Medicare Five-Day Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #262 was severely cognitively impaired. Resident #262…

    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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-10 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the 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 record review, interview, and review of the facility policy the facility failed to ensure the physician was notified of daily weight gains of two or more pounds in a day or of blood sugar over 300 per physician order. This affected one resident (#23) of one resident reviewed for daily weights and had the potential to affect nine residents (#1, #4, #6, #13, #16, #20, #35, #43, and #47) who had orders for daily weights. This also affected one resident (#27) out of one resident reviewed for blood sugars and had the potential to affect 12 residents (#1, #2, #10, #16, #17, #21, #24, #27, #45, #47, #52, #164) who received blood glucose monitoring. The facility census was 60. Findings include: 1. Review of the medical record for Resident #27 revealed an admission date of 12/28/20 with diagnoses including diabetes, congestive heart failure, chronic kidney disease, and altered mental status. Review of the care plan dated 12/08/23 revealed Resident #27 had diabetes. Interventions included medication as ordered,…

    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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-10 · tag F0640 — isolated
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, review of the Internet Quality Improvement and Evaluation System (iQIES) Minimum Data Set (MDS) 3.0 Validation Report, staff interview, and facility policy review the facility failed to ensure Resident #19's MDS assessments were submitted in a timely manner. This affected one resident (#19) out of 23 residents reviewed for MDS submission. The facility census was 60. Findings include: Review of medical record for Resident #19 revealed an admission date of 06/23/24. Diagnoses included multiple sclerosis, depressive disorder, primary osteoarthritis, disorder of thyroid, anxiety disorder, essential hypertension (high blood pressure), and atrial fibrillation (irregular heart rhythm). Review of Resident #19's medical record revealed the 08/11/24 quarterly MDS 3.0 assessment had been completed, but there was no indication it had been submitted to the Centers for Medicare and Medicaid (CMS) as required. Review of the IQIES MDS Final Validation Report submitted on 10/08/24 at 3:49 P.M. revealed Resident #19's quarterly MDS assessment, dated 08/11/24, was submitted to…

    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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
Show the remaining 11 citations
  • Potential for harm · D2024-10-10 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    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 review of the facility policy, the facility failed to ensure comprehensive care plans reflected advanced directives and indwelling urinary catheter use for Resident #262 and advanced directives and fluid restriction for Resident #15. This affected two residents (#15 and #262) out of 22 residents reviewed for care plans. The facility census was 60. Findings include: 1. Review of the medical record revealed Resident #262 was admitted to the facility on [DATE]. Medical diagnoses included acute kidney failure, calculus of kidney, obstructive and reflux uropathy, cognitive communication deficit, peripheral vascular disease, and occlusion and stenosis of bilateral carotid arteries. Review of the Medicare Five-Day Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #262 was severely cognitively impaired. Resident #262 was independent with eating, required setup or clean-up assistance with oral hygiene, partial to moderate assistance with upper body dressing and was…

    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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-10-10 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, staff interview, and review of the facility policy, the facility failed to ensure Resident #16's medication was not left at bedside unsecured. This affected one resident (#16) out of five residents reviewed for medication administration. The facility census was 60. Findings include: Review of the medical record for Resident #16 revealed an admission date of 05/31/22. Diagnoses included local infection of the skin and subcutaneous (under the skin) tissue, atherosclerotic heart disease, type two diabetes, chronic (congestive) heart failure (CHF), chronic kidney disease, permanent atrial fibrillation (irregular heart rhythm), schizoaffective disorder depressive type (involves both schizophrenia and a mood disorder). Review of Resident #16's physician orders reveal an order dated 09/10/24 for Potassium Chloride Extended Release 20 milliequivalent (mEq) give two tablets by mouth three times a day for health maintenance. Observation and Interview on 10/07/24 at 11:13 A.M. revealed there was a medicine cup with a one white pill sitting on Resident #16's…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-10 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, staff and resident interviews, medical record review, and facility policy review, the facility failed to track fluids consumed for Resident #15 as ordered by the physician. This affected one resident (#15) out of one resident reviewed for fluid restriction. The facility identified three residents (#15, #17, and #214) with physician's orders for fluid restrictions. The facility census was 60. Findings include: Review of the medical record for Resident #15 revealed an admission date of 05/14/24. Diagnoses included other pulmonary embolism (blood clot in lung) without acute cor pulmonale (serious heart condition that develops as a complication of advanced lung disease), presence of cardiac pacemaker, type two diabetes mellitus with ketoacidosis (complication from having very high blood sugars) without coma, hypo-osmolality (condition of having abnormally low osmolality in the body fluids) and hyponatremia (concentration of sodium in blood is abnormally low), acute ischemic heart disease, and conduction disorder. Review of the physician progress note dated 05/13/24…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-10 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide 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, record review, and review of the facility policy, the facility failed to ensure masks or pipes for the nebulizer (a machine that turns liquid medication into a fine mist) were covered when not in use for Resident #16 and #35. This affected two residents (#16 and #35) out of three residents reviewed for respiratory care. The facility identified 16 residents (#3, # 9, #10, #16, #20, #35, #39, #42, #44, #45, #50, #163, #164, #214, #215, #263) who used nebulizers. The facility census was 60. Findings include: 1. Review of the medical record for Resident #16 revealed an admission date of 05/31/22. Diagnoses included chronic diastolic (congestive) heart failure (CHF), schizoaffective disorder-depressive type, other disorders of the lung, and depression. Review of the quarterly [NAME] Data Set (MDS) assessment dated [DATE] revealed Resident #16 was cognitively intact, required partial/moderate assistance from staff for most activities of daily living, including transfers, and supervision or touch…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-10 · tag F0880 — failed to prevent and control infections — isolated
    Provide 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 interviews, observation, record review, review of the memorandum, QSO-24-08-NH, entitled Enhanced Barrier Precautions in Nursing Homes and review of facility policy, the facility failed to ensure enhanced barrier precautions (EBP) were utilized during high contact resident care. This affected three residents (#54, #164, and #262) out of five residents observed for EBP. This had the potential to affect 22 residents (#1, #2, #3, #4, #7, #16, #21, #22, #27, #33, #37, #42, #44, #46, #54, #162, #164, #212, #214, #213, #262, and #264) who had orders for enhanced barriers. The facility census was 60. Findings included: 1. Review of the medical record for Resident #164 revealed an admission date of 03/11/24 with diagnoses including hypertension, neoplasm of the kidney, hydronephrosis (swelling of one or both kidneys due to urine build up), diabetes, neuromuscular dysfunction of the bladder, presence of nephrostomy and percutaneous endoscopic gastrostomy (PEG) tube. Review of the undated care plan 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-11-21 · tag F0609 — failed to report abuse allegations — isolated
    Timely 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, interview, facility policy and procedure review, self-reported incident (SRI) review, and facility investigation review the facility failed to ensure an injury of unknown origin resulting in serious bodily injury for Resident #42 was timely reported to the State agency, within two hours and failed to ensure law enforcement was notified. This affected one resident (#42) of one resident reviewed for abuse. The facility census was 62. Findings include: Review of the medical record for Resident #42 revealed an admission date of 03/03/16 with diagnoses including Alzheimer's disease, psychotic disturbance, and diabetes. Review of the care plan dated 03/10/16 revealed Resident #42 had an activities of daily living (ADL) self-care performance deficit related to weakness, decreased mobility, and alteration in cognition. Interventions included bed mobility and transfer with staff assistance (refer to resident care card). Review of the quarterly Minimum Data Set (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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-11-21 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    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, record review, and review of the facility policy the facility failed to obtain daily weights as ordered. This affected two residents (#39 and #58) out of three residents reviewed for daily weights. This had the potential to affect eight residents (#7, #13, #16, #19, #25, #39, #48, and #58) who had orders for daily weights. Findings include: 1. Review of the medical record for Resident #39 revealed an admission date of 07/20/23 with diagnoses including congestive heart failure (CHF), diabetes, hypertension, and acute kidney failure. Review of the care plan dated 07/21/23 revealed Resident #39 had an alteration in nutrition related to CHF. Interventions included obtaining a daily weight, monitoring her appetite and weight, and diet as ordered. Review of the Medicare Five-Day Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #39 had impaired cognition. Her weight was 194 pounds with no weight loss. Review of the October 2023 and November 2023 physician's orders revealed Resident…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-11-21 · tag F0760 — failed to prevent significant medication errors — isolated
    Ensure that residents are free from significant medication errors.
    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, observation, record review, and facility policy review the facility failed to ensure Resident #39 was free from significant medication errors. This affected one resident (#39) out of two residents reviewed for insulin administration. This had the potential to affect 15 residents (#12, #13, #14, #16, #17, #23, #27, #29, #31, #35, #39, #43, #46, #48, and #52) with orders for insulin. In addition, the facility did not ensure Resident #39 was not administered two glucagon kits (a subcutaneous injection that worked by triggering the liver to release stored sugar to raise the blood sugar) without a physician order affecting one resident (#39) out of three residents reviewed for medication administration. The facility census was 62. Findings include: 1. Review of the medical record for Resident #39 revealed an admission date of 07/20/23 with diagnoses including diabetes, acute kidney failure, and congestive heart failure (CHF). Review of the care plan dated 07/21/23 revealed Resident #39 had…

    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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-11-21 · tag F0761 — failed to label and store drugs safely — isolated
    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.
    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, observation, record review, and pharmacy guidelines review the facility failed to ensure Resident #39's insulin was not expired upon administration. This affected one resident (#39) out of two residents reviewed for insulin administration. This had the potential to affect 15 residents (#12, #13, #14, #16, #17, #23, #27, #29, #31, #35, #39, #43, #46, #48, and #52) with orders for insulin. Findings include: Review of the medical record for Resident #39 revealed an admission date of [DATE] with diagnoses including diabetes, acute kidney failure, and congestive heart failure (CHF). Review of the care plan dated [DATE] revealed Resident #39 had alteration in nutrition due to diabetes. Interventions included diet per order and encourage completion of meals. There was nothing in her care plan related to the administration of her insulin. Review of the Medicare Five-Day Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #39 had impaired cognition and received seven days of insulin…

    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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-04-28 · tag F0569 — isolated
    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to notify residents with a Medicaid payor source and/or their representatives when their resident fund balances reached two hundred dollars ($200.00) less than the resource limit to prevent the potential loss of eligibility for Medicaid services. This finding affected three (Residents #10, #15 and #19) of four residents reviewed for resident fund accounts. The facility census was 48. Findings include: Review of the facility Resident Trust Account Balance form dated 04/26/22 revealed Resident #10 had a balance of two thousand, four hundred, seventy dollars and twenty-eight cents ($2,470.28); Resident #15 had a balance of two thousand, four hundred, twenty-one dollars and eight-eight cents ($2,421.88); and Resident #19 had a balance of four thousand, two hundred, forty-one dollars and fifty-one cents ($4,241.51) in their resident fund accounts. Review of Residents #10, #15 and #19's medical records revealed the payor source was Medicaid. Interview on 04/26/22 at 10:40 A.M. with Medical Records #810 confirmed Residents #10, #15…

    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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-04-28 · tag F0761 — failed to label and store drugs safely — isolated
    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.
    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 properly store and dispose of loose or expired medications and expired glucometer control solutions as well as expired disinfectant wipes used to clean the medication carts and glucometers. This finding affected five residents (Residents #1, #4, #22, #32, and #147) who received blood glucose testing (BGTs) on the 300 and 400 halls and one resident (Resident #4) of one resident reviewed for expired glucagon (medication for low blood sugar) who resides on the 400 hall. The facility census was 48. Findings include: Observation on 04/27/22 at 10:50 A.M. on the 300 hall with Registered Nurse (RN) #828 during medication storage review revealed five loose medications in the medication cart. There was one yellow tablet, three white tablets, and one pink tablet. There was a bottle of disinfectant wipes with an expiration date of 10/21 stored in the cart and used to clean the glucometers after each use. There was glucometer control solution with an expiration date of 02/22 stored in the medication cart with the…

    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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction

“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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • 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.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

Owner / managerTypeRoleShareSince
PRASAD HOLDING COMPANYOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 01/01/2026
DECLARATION OF TRUST NO. 2 OF KATHLEEN A. PRASAD DATED JULY 26, 2018Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 01/01/2026
PRASAD, KATHYIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; CORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL100%since 01/01/2026
ANTALOCY, FRANKIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 06/01/2005

CMS files one row per role, so the 8 rows in the source record cover these 4 parties — each is shown once here with every role it holds. Nothing is omitted.

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$6.6M
Net patient revenuemost recent cost report
-15.9%
Operating marginrevenue minus expenses
$742K
Related-party expense10% of expenses
Who pays — share of resident-days
Medicaid 22%Medicare 2%Other / private 76%

This home reported $742K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$343per resident / day
operating cost
$10,434per month
≈ monthly operating cost
$296per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in OH

Paying with Medicaid

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.

Typical monthly cost in Ohio
$9,186/mo
Nursing home (semi-private)
$10,389/mo
Nursing home (private)
$6,103/mo
Assisted living

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 366329. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-03-12, 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.

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