Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Altercare Of Hartville Ctr For during CMS and state inspections, most recent first.
A resident with metabolic encephalopathy, muscle weakness, and a history of CVA experienced a fall in his room that was not documented in the medical record until the following morning as a late entry. Two RNs acknowledged that the fall was not recorded at the time it occurred and stated that fall incidents should be documented as soon as possible after the event, resulting in a deficiency for failure to maintain timely, professionally standard medical records.
The facility failed to ensure the Infection Preventionist (IP) was physically present to conduct infection prevention and control duties as required. The IP was only in the building for limited hours over a three-week period, completing some duties remotely while at other facilities. This deficiency had the potential to affect all 75 residents.
A resident experienced discomfort due to cold room and bathroom temperatures, despite using blankets and requesting temperature adjustments. The room was controlled by a PTAC unit, which failed to maintain a comfortable temperature, particularly in the bathroom, leading the resident to avoid using it.
The facility failed to provide appropriate wound and skin care for two residents. One resident did not receive prescribed pin care for a leg fracture, with inconsistencies in the Treatment Administration Records. Another resident with a rash on the left hand did not receive the ordered triamcinolone acetonide cream, as confirmed by observations and interviews. These deficiencies highlight lapses in following physician orders and facility policies.
A resident's eye surgery was canceled due to the facility's failure to arrange transportation. Despite being informed of the surgery time by the surgery center, the facility did not update transportation arrangements, leading to the resident missing the appointment. Staff interviews revealed a communication breakdown regarding responsibility for notifying transportation.
A facility failed to implement a fourteen-day stop date for a PRN psychotropic medication for a resident with multiple health issues, including schizoaffective disorder and heart failure. The resident had an open-ended order for Klonopin 0.5 mg, which was confirmed by a Regional RN during an interview.
A resident with multiple health conditions, including vascular dementia and diabetes, did not receive recommended oral surgery services despite a dental examination indicating the need for full mouth extraction and dentures. The facility failed to document any attempts to seek an oral surgeon, and by the time the resident was admitted to hospice, his dental condition had worsened, with missing and broken teeth. Staff confirmed the lack of action on the referral for oral surgery.
The facility failed to maintain the laundry room and washers in a clean working order, with a large buildup of lint found behind the washers. The Maintenance Coordinator and Environmental Service Coordinator were unaware of the requirement to clean behind the washers and dryers. The lint buildup was confirmed to be a potential fire hazard.
Untimely Documentation of Resident Fall Incident in Medical Record
Penalty
Summary
The deficiency involves the facility’s failure to document a resident’s fall incident in the medical record in a timely manner, in accordance with accepted professional standards. The resident was admitted with diagnoses including metabolic encephalopathy, muscle weakness, and cerebrovascular accident. According to the medical record, a progress note was entered as a late entry on 02/20/26 at 8:21 A.M., stating that the resident had suffered a fall in his room on 02/19/26 at 8:00 P.M. There was no evidence of any documentation of the fall incident entered in the medical record at the time of, or shortly after, the fall on 02/19/26 at 8:00 P.M. During an interview on 03/30/26 at 12:05 P.M., two RNs confirmed that the fall incident was not documented until the following morning and stated that fall incidents should be entered in the medical record as soon as possible following the event. This lack of timely documentation of the fall incident constituted non-compliance with requirements to safeguard resident-identifiable information and maintain medical records in accordance with professional standards.
Inadequate Presence of Infection Preventionist
Penalty
Summary
The facility failed to ensure that the designated Infection Preventionist (IP) was physically present in the building to conduct the responsibilities of the infection prevention and control program (IPCP) as required. The review of the employee schedule for Regional Nurse #916, who was in the role of IP, showed that the IP was only in the building for limited hours over a three-week period. Specifically, the IP was present for eight hours in the first week, sixteen hours in the second week, and eight hours in the third week. Interviews confirmed that the IP completed some duties remotely while at other facilities, and the facility considered part-time work as sixteen to twenty-nine hours per week. This deficiency had the potential to affect all 75 residents in the building.
Failure to Maintain Comfortable Room Temperatures
Penalty
Summary
The facility failed to maintain a comfortable environment for a resident, specifically regarding room temperatures. A resident was observed on multiple occasions expressing discomfort due to cold room and bathroom temperatures. Despite using blankets, the resident reported feeling cold and had to request staff to adjust the room temperature. Although adjustments were made, the comfortable temperature was not sustained, and the resident continued to feel cold, particularly in the bathroom. Interviews and observations revealed that the rooms on certain halls were controlled by a central heating source, while others, including the resident's room, were controlled by a packaged terminal air conditioner (PTAC) unit. The PTAC unit was responsible for heating both the room and the bathroom, with the bathroom lacking any additional heat source. Temperature checks confirmed that the room and bathroom temperatures were below comfortable levels, with the bathroom being particularly cold, leading the resident to avoid using it.
Deficiencies in Wound and Skin Care for Two Residents
Penalty
Summary
The facility failed to provide appropriate treatment and care for two residents, leading to deficiencies in wound and skin care. Resident #284, who had a history of tibia and fibular fractures, did not receive the prescribed pin care for his left lower leg. The physician's orders required pin care to be performed daily, but the Treatment Administration Records (TARS) showed inconsistencies and missing entries, indicating that the care was not completed as ordered. Interviews with the resident and the wound nurse confirmed the lack of evidence for the completion of the pin care, which was contrary to the facility's wound care policy. Resident #181, admitted with conditions including muscle weakness and acute kidney failure, had a physician's order for triamcinolone acetonide cream to be applied as needed for a rash on the left hand. However, the TARS did not show any evidence of the cream being applied from the time of the order. Observations revealed the resident's left hand was edematous with a reddened rash, and interviews with the resident and a Certified Occupational Therapy Assistant confirmed the absence of treatment. The manufacturer's directions for the cream indicated its use for inflammatory and pruritic skin conditions, yet the treatment was not administered as required.
Failure to Arrange Transportation for Resident's Eye Surgery
Penalty
Summary
The facility failed to arrange transportation for a resident's scheduled eye surgery, resulting in the surgery being canceled. The resident, who was cognitively intact and had impaired vision, was scheduled for cataract surgery. Despite having a physician's order for transportation to be updated for the surgery appointment, the facility did not ensure transportation was arranged. The resident was prepared for surgery by being NPO after midnight, but transportation did not arrive on the day of the surgery. Interviews with facility staff revealed a breakdown in communication and responsibility. The surgery center had informed the facility of the resident's arrival time for surgery, but the information was not properly communicated to the transportation service. An RN acknowledged receiving the surgery center's call but did not inform transportation, believing it was the responsibility of an LPN. The LPN confirmed the surgery had to be rescheduled due to transportation issues, and the surgery center confirmed the cancellation was due to the resident not showing up.
Failure to Implement Stop Date for PRN Psychotropic Medication
Penalty
Summary
The facility failed to ensure a fourteen-day stop date for a PRN psychotropic medication for Resident #289, which was identified during a record review and staff interview. Resident #289, who was admitted to the facility with multiple diagnoses including schizoaffective disorder, cardiomyopathy, heart failure, and enterocolitis due to Clostridium difficile, had a physician's order for Klonopin 0.5 mg to be administered once a day as needed (PRN). The order, which started on 02/20/2025, was found to be open-ended without a specified stop date. This was confirmed during an interview with Regional RN #916, who verified the absence of a stop date for the medication.
Failure to Implement Dental Recommendations for Resident
Penalty
Summary
The facility failed to implement dentist recommendations for oral surgery services for a resident with multiple health conditions, including difficulty swallowing, morbid obesity, type two diabetes mellitus, and vascular dementia. The resident's care plan, initiated in June 2021, included dental evaluations and necessary treatments. However, despite a dental examination in August 2024 that recommended full mouth extraction and dentures, there was no documentation indicating that the facility sought an oral surgeon or attempted to make an appointment for the resident. By November 2024, the resident was admitted to hospice, and a significant change in status assessment indicated the presence of obvious or likely cavities or broken teeth. An order was written in December 2024 to discontinue all upcoming appointments due to hospice care. In February 2025, the resident expressed concerns about his deteriorating dental condition, stating that his teeth were falling out and that he was informed of the need for an oral surgeon. The facility staff confirmed the lack of evidence that the referral for oral surgery was addressed, resulting in the resident having missing and broken teeth.
Failure to Maintain Clean Laundry Room
Penalty
Summary
The facility failed to maintain the laundry room and washers in a clean working order, which had the potential to affect all 75 residents. During an observation, a large buildup of lint was found behind the washers in the second laundry area, including on the cement floors, walls, pipes, and in the water drain. The Maintenance Coordinator (MC) and Environmental Service Coordinator (EC) were unaware that staff members were required to clean behind the washers and dryers. Although the dryer lint logs indicated that lint traps were cleaned daily and other areas weekly, there was no mention of checking behind the washers for lint buildup. Both the MC and EC confirmed that the lint buildup behind the washers had not been cleaned and was the responsibility of the maintenance department. A Regional Registered Nurse verified that the lint buildup could be a fire hazard.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 600 citations issued within 25 miles in the last 12 months — including the 4 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Hartville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Saint Luke Lutheran Home | 4.4 mi | ★★★★★ | 49 | 1 |
| Windsor Medical Center Inc | 4.8 mi | ★★★★★ | 1 | 0 |
| Altercare Of Louisville Ctr For Rehab & Nsg Care | 6.2 mi | ★★★★★ | 17 | 0 |
| Saint Joseph Care Center | 6.7 mi | ★★★★★ | 17 | 0 |
| Gardens Of Belden Village | 7.2 mi | ★★★★★ | 15 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Altercare Of Hartville Ctr For.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release June 2026) and official state health department websites.