Above average — CMS composite of the measures below.
A standard survey is most likely before around October 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Altercare Of Bucyrus Center Fo during CMS and state inspections, most recent first.
A resident with dementia, Alzheimer's disease, type 2 DM, pseudobulbar affect, and chronic kidney disease, who depended on staff for bathing and toileting, was found to have a bathroom with a black substance around the toilet base and significant water-damaged wood under the sink vanity, including a large hole exposing the floor and additional black discoloration. The Maintenance Coordinator acknowledged the black substance but did not believe it was mold, and a CNA reported the vanity damage and discoloration had been present since she started working there over a year earlier. These conditions conflicted with the facility’s Environmental Service policy requiring a clean and sanitary resident environment.
A resident with moderate cognitive impairment and multiple serious cardiac, vascular, and renal conditions was assessed and care planned to use bilateral half enabler bars/side rails for weakness and to assist with bed mobility and ADLs. Physician orders also specified bilateral assist bars/side rails for bed mobility. However, the bed in the resident’s room did not have any side rails or enabler bars in place, and an LPN confirmed the resident never had enabler bars on the bed. The Maintenance Director reported he never received a work order to install enabler bars after the resident transferred from the skilled unit to the LTC unit and therefore did not apply them, despite facility policy requiring assessed side rail use for mobility to be addressed in the plan of care and implemented.
A resident with dementia and psychiatric conditions, identified as a moderate elopement and high fall risk, was able to leave the facility unsupervised during a night shift when staff left their assigned area without authorization. The resident exited through an alarmed door, remained unattended for several minutes, and was later found outside with injuries from a fall, including a nasal fracture and a right humerus fracture. Staff interviews and records confirmed that required supervision and monitoring were not provided, and facility policies regarding staff breaks and resident checks were not followed.
The facility failed to provide a safe smoking area for all residents. Observation showed the smoking shack did not have posted smoking times, and numerous cigarette butts were found on the ground outside the smoke shack, on the concrete, and in the landscaping mulch, with one half-smoked cigarette beside the ashtray receptacle. The DON confirmed no smoking times were posted, and the facility policy required signage with designated smoking times so nonsmokers could avoid the area.
Unsafe hot water temperatures were found in resident bathrooms on the 300-hall and secured memory care unit, with multiple readings ranging from 122 to 132 degrees F and direct observations confirming temperatures above the facility’s stated limit of 120 degrees F. The MDS verified the issue had been ongoing for weeks after plumbing work, with no additional plumbing vendor contacted and no measures implemented to protect residents while the water remained too hot.
Failure to Follow Ordered Oxygen Rates: Two residents receiving O2 had their nasal cannula flow rates set below the physician-ordered amounts. One resident with COPD was ordered continuous O2 at 1 L/min but was observed at 0.5 L/min, and an LPN confirmed the mismatch. Another resident ordered 2 L/min for comfort was observed at 1 L/min, and the DON confirmed the incorrect setting. Facility policy required verifying a physician order for service.
Hand hygiene was not performed during a medication pass when an LPN touched one resident and then returned to the med cart to prepare medication for another resident without sanitizing hands. The LPN confirmed the omission, and facility policy requires hand sanitation when returning to the cart and at regular intervals during the med pass.
A resident with multiple medical conditions sustained a tibia fracture after falling from a mechanical lift during a transfer when a shoulder bolt fell out due to inadequate inspection and failure to identify equipment defects. Two CNAs were present at the time, and staff interviews revealed concerns about maintenance practices. Facility records showed incomplete documentation of lift inspections, and manufacturer guidelines for regular checks were not fully met, resulting in actual harm to the resident.
Failure to Maintain Clean and Safe Resident Bathroom Environment
Penalty
Summary
The facility failed to maintain a safe, clean, and homelike environment in a resident bathroom. A resident with Alzheimer's disease, unspecified dementia, type 2 DM, pseudobulbar affect, and chronic kidney disease, admitted on 06/15/21, was dependent on staff for showering/bathing and toileting hygiene per a quarterly MDS. During observation of this resident’s bathroom, surveyors noted a black substance around the base of the toilet. The vanity beneath the sink showed apparent water damage, including a large hole in the wood through which the facility floor was visible, and multiple areas of black substance on the damaged wood. During a concurrent interview, the Maintenance Coordinator confirmed the presence of the black substance around the toilet and under the sink in the vanity, though he stated he did not think it was mold. A CNA who had worked at the facility for over a year and a half reported that the wood at the bottom of the vanity had been damaged and discolored since she began working there. Email documentation from 03/12/26 referenced a prior resident room bathroom project quote from 2016 for 25 resident rooms. The facility’s Environmental Service policy, last updated 07/01/25, stated it was the facility’s policy to maintain the resident environment in a clean and sanitary condition. This deficiency was cited under Complaint Number 2800297.
Failure to Implement Ordered Enabler Bars for Bed Mobility
Penalty
Summary
The deficiency involves the facility’s failure to implement ordered enabler bars/side rails for a resident to assist with bed mobility as assessed and care planned by the facility. The resident was admitted with multiple serious diagnoses, including cellulitis with gangrene of both great toes, peripheral vascular disease, bacteremia, significant coronary artery disease, heart failure with preserved ejection fraction, end stage renal disease requiring hemodialysis, chronic combined systolic and diastolic CHF, angina, and multiple coronary stent placements. An admission MDS showed moderate cognitive impairment. An enabler assessment documented an order for half enabler bars on both sides of the bed for weakness, with stated benefits including aiding in maintenance of proper body alignment, posture for eating and breathing, appearance, and assistance with ADLs. The resident’s care plan included bilateral enabler bars for bed mobility, and physician orders for January documented bilateral assist bars/side rails to aid in bed mobility. Despite these assessments, care plan entries, and physician orders, the enabler bars were not implemented on the resident’s bed. Observation of the former room after the resident’s discharge showed the bed had no side rails or enabler bars in place. An LPN reported that the resident did not have enabler bars on the bed while residing at the facility. The Maintenance Director stated he had not received a work order to apply enabler bars after the resident transferred from the skilled unit to the LTC unit and confirmed he did not apply them. A RN confirmed the transfer date from the skilled unit to the LTC unit. The facility’s policy on proper use of side rails stated that side rails may be used to assist in mobility and transfer, that an assessment would determine the reason for use, and that use of side rails as an assist device would be addressed in the plan of care, which had been done for this resident but not carried out in practice.
Resident Elopement and Injury Due to Inadequate Supervision
Penalty
Summary
A deficiency occurred when a resident with a history of dementia, schizoaffective disorder, and other psychiatric diagnoses eloped from the facility without staff knowledge, resulting in actual harm. The resident, who was assessed as a moderate elopement risk and a high fall risk, was able to leave the building during the night shift when staff coverage was inadequate. The care plan for the resident included interventions for fall risk but did not address elopement risk, despite multiple assessments identifying this risk. On the night of the incident, staffing assignments left the resident's hallway unattended when a CNA went to relieve another CNA for a break, and the assigned LPN and another CNA left the premises without authorization. During this period, the resident exited the facility through an employee entrance, triggering a door alarm. The alarm sounded for approximately five minutes without response, as the only staff member present in the area could not leave her post, and another staff member who heard the alarm was not on duty and did not respond. The resident was found outside in the parking lot, inadequately dressed for the weather, after having fallen and sustained a nondisplaced nasal fracture and a right humerus fracture. Interviews with staff confirmed that the hallway was left without supervision, and the resident was not monitored as required. The facility's policies required routine resident checks every two hours and prohibited staff from leaving the property during breaks without supervisor permission. However, these policies were not followed, and the lack of supervision directly contributed to the resident's elopement and subsequent injury.
Unsafe Smoking Area and Missing Posted Smoking Times
Penalty
Summary
The facility failed to provide a safe smoking area for all residents. Observation on 07/30/25 at 10:55 A.M. showed the smoking shack did not have designated smoking times posted to allow nonsmokers to avoid the area during posted times. The same observation also found numerous cigarette butts on the ground outside the smoke shack, on the concrete, and in the landscaping mulch, along with one half-smoked cigarette beside the ashtray receptacle in the smoke shack. The DON confirmed at 11:00 A.M. that no smoking times were posted and that numerous cigarette butts were on the ground. Review of the undated Smoking-Resident policy stated that the designated smoking area will be posted with proper signage identifying it as a smoking area and including designated smoking times so nonsmokers can avoid the area during those times.
Unsafe Hot Water Temperatures in Resident Bathrooms
Penalty
Summary
The facility failed to maintain safe hot water temperatures in resident bathrooms on the 300-hall, the secured memory care unit on the 400-hall, and in rooms located near each end of the 300-hall. Review of hot water temperature logs showed multiple readings above 120 degrees Fahrenheit, including temperatures of 122, 123, 124, 125, 127, 128, and 130 degrees Fahrenheit in resident rooms. Direct observations on 07/28/25 found hot water temperatures in bathrooms on the 400-hall ranging from 130 to 132 degrees Fahrenheit, and bathrooms on the 300-hall at 130 degrees Fahrenheit. The facility census was 66, and the affected residents included those residing on the 300-hall, the 400-hall, and in the rooms identified in the report. Maintenance Director #530 verified that the hot water temperatures on the 300-hall and 400-hall had been running high for several weeks and were supposed to be below 120 degrees Fahrenheit. The director reported plumbing work completed on 07/02/25 was followed by the elevated temperatures, that the original plumbing company had not returned consistently, and that no second plumbing company had been contacted. The director also reported no measures had been implemented to protect residents while the water temperatures remained high and stated there was no way for the facility to physically turn the temperatures down at that time. Facility policy stated patient room temperatures were to be between 105 and 120 degrees in Ohio.
Failure to Follow Ordered Oxygen Rates
Penalty
Summary
The facility failed to follow physician orders for oxygen administration for two residents who were receiving oxygen therapy. Resident #34 was admitted with COPD, bipolar disorder, and neuromuscular dysfunction of the bladder, and the medical record showed an order for continuous oxygen at 1 liter per minute via nasal cannula, indicated for COPD exacerbation with instructions to keep oxygen saturation above 90% and check twice a day. During observation, Resident #34 was wearing a nasal cannula with oxygen running at 0.5 liters per minute, and an LPN confirmed the oxygen was set below the ordered rate. Resident #28 was admitted with post polio, Type II diabetes, rheumatoid arthritis, a chronic ulcer of the right lower leg, and sequela of a lumbar compression fracture. The physician order called for oxygen at 2 liters per nasal cannula for resident comfort with checks twice a day. During observation, Resident #28 was wearing a nasal cannula with oxygen running at 1 liter per minute, and the DON confirmed the oxygen was set below the ordered rate. Facility policy titled Oxygen Administration stated to verify there is a physician's order for service.
Hand Hygiene Not Performed During Medication Pass
Penalty
Summary
Infection control standards were not implemented and maintained during medication administration. During an observed medication pass, an LPN entered Resident #21's room, placed a right hand on the resident's shoulder, and then returned to the medication cart to prepare medication for Resident #62 without sanitizing hands between tasks. The observation showed the LPN moving from direct resident contact back to medication preparation without hand hygiene. During interview, the LPN confirmed that no hand sanitization was completed between the medication pass for Resident #21 and Resident #62. Facility policy titled Medication Administration-General Guidelines, dated May 2020, states that hand sanitation is to be completed when returning to the medication cart and at regular intervals during the medication pass, such as after each room.
Resident Injury Due to Mechanical Lift Failure and Inadequate Inspection
Penalty
Summary
A deficiency occurred when a resident was being transferred from bed to recliner using a mechanical (Hoyer) lift that had not been properly inspected according to manufacturer instructions, nor was it identified as defective by facility staff. During the transfer, the shoulder bolt of the lift fell out, causing the resident to drop to the floor from approximately four feet in the air and land on top of the lift legs. The incident resulted in the resident complaining of pain in the right leg and right knee, and subsequent hospital evaluation revealed a displaced bicondylar fracture of the right tibia. The resident involved had multiple medical diagnoses, including cerebral palsy, heart failure, hypercapnia, hypoxemia, esophageal stenosis, and contracture of muscle in the right lower leg. The care plan indicated the resident was at risk for falls and injuries, requiring the use of a stand-up lift for transfers, and was dependent on staff for all activities of daily living. On the day of the incident, two CNAs were present during the transfer, and both reported that the lift's bolt snapped or fell out, resulting in the resident's fall. Staff interviews revealed concerns about the frequency and adequacy of lift maintenance, with one CNA stating she did not often see maintenance personnel and questioned whether the equipment was properly maintained. Review of facility records showed that monthly inspections of the lifts were documented, but the inspection prior to the incident did not specify whether the lift passed or failed, only that it was inspected. Manufacturer guidelines required monthly and semi-annual inspections of specific lift components, including bolts and mounting brackets. The failed lift was later observed to have a severely bent mounting bracket, and correspondence with the contracted medical equipment company indicated that the lift design made it prone to screws coming loose, which could lead to failure under pressure. The facility's policy was to use Hoyer lifts in accordance with professional standards, but the lack of proper inspection and failure to identify the defect led directly to the resident's injury.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Bucyrus
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Unger Park Post Acute | 2.5 mi | ★★★★★ | 19 | 0 |
| Galion Pointe, Llc | 8.6 mi | — | 0 | 0 |
| Galion Meadows Skilled Nursing And Rehabilitation | 8.9 mi | ★★★★★ | 38 | 0 |
| Mill Creek Nursing & Rehabilitation | 9.1 mi | ★★★★★ | 0 | 0 |
| Crestline Rehabilitation And Nursing Center | 11.5 mi | ★★★★★ | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.