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 July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Austinburg Nsg And Rehab Ctr during CMS and state inspections, most recent first.
The facility failed to follow menu spreadsheets, resulting in inappropriate portion sizes for residents on pureed, regular, and mechanical soft diets. Residents on pureed diets received pureed chicken instead of chicken pot pie, and those on regular and mechanical soft diets received smaller portions than specified. Dietary staff confirmed these discrepancies, and the facility's policy on menu review was not followed.
The facility failed to maintain sanitary conditions in the kitchen and nourishment rooms, affecting all residents receiving meals. Issues included dust and debris on equipment, expired and unlabeled food items, and unsanitary meal delivery practices with uncovered food and beverages. These concerns were confirmed by the Dietary Supervisor and CNAs.
The facility failed to document meal intakes and implement dietary orders for several residents, affecting nutritional assessment and monitoring. A resident on a high potassium diet did not receive prescribed juice, while another on fluid restriction had unrestricted access to fluids. Meal intakes and weights were inconsistently recorded, impacting residents' nutritional care.
The facility failed to provide palatable and properly heated meals to residents, with issues such as bland chicken pot pie lacking biscuit, improperly heated food retention systems, and overly salty pureed green beans. Several residents expressed dissatisfaction with the taste and temperature of their meals.
A resident with severe cognitive impairment experienced a fall, and the facility failed to notify the resident's representative in a timely manner. The fall occurred while the resident was wandering and was found on the floor by an aide. Although the physician was informed and a medication adjustment was made, the resident's representative was not notified until ten days later, contrary to the facility's policy requiring immediate notification.
The facility failed to ensure the presence of the interdisciplinary team during care plan conferences for two residents. One resident, admitted with multiple diagnoses including cellulitis and diabetes, had care conferences attended only by a social services representative, an MDS RN, and a therapist. Another resident, with conditions such as major depressive disorder, also experienced care conferences lacking full team participation. The social services representative confirmed that not all required staff attended, and the meetings were informal and brief.
A facility failed to maintain a medication error rate below five percent, affecting a resident with COPD and other conditions. An LPN did not have the correct doses of coenzyme Q10 and vitamin E, marking them as held due to unavailability. Additionally, the LPN administered Trelegy Ellipta without instructing the resident to swish and spit, resulting in a medication error rate of 10.7%.
Inadequate Portion Sizes and Menu Adherence
Penalty
Summary
The facility failed to ensure that menu spreadsheets were followed to provide appropriate portion sizes to residents receiving pureed diets, as well as to other residents receiving meals from the kitchen. Specifically, residents identified as receiving pureed diets were served pureed chicken with gravy instead of the specified pureed chicken pot pie. The serving sizes provided were inconsistent with the menu specifications, as residents received one number six scoop of pureed chicken, one number eight scoop of mashed potatoes, and one number ten scoop of pureed broccoli, rather than the specified portions for pureed chicken pot pie and broccoli. This discrepancy was confirmed by dietary staff and the registered dietitian, who acknowledged that the menu did not clearly specify the serving size for the pureed chicken pot pie. Additionally, residents on regular and mechanical soft diets were served smaller portions than specified in the facility's menu. Observations revealed that these residents were served one number six scoop of chicken pot pie, whereas the menu indicated they should receive one eight-ounce ladle. The dietary supervisor confirmed the use of the smaller scoop, and the registered dietitian verified that the residents received less than the specified portion size. The facility's policy required employees to review the expanded menu at the beginning of their shift, and for the dietary manager or cook to go over the menu with tray line personnel before serving, which was not adhered to in this instance.
Sanitation Deficiencies in Kitchen and Meal Delivery
Penalty
Summary
The facility failed to maintain sanitary conditions in the kitchen and nourishment rooms, which had the potential to affect all residents receiving meals. During an inspection, several issues were identified, including a large industrial fan with dust and debris, a microwave with food particles and dried splatters, and a walk-in cooler with a white dried substance on the floor. Additionally, there was an unopened container of cottage cheese past its best-by date and a bag of diced chicken that was opened and resealed without a date. The industrial food mixer also had dried food splatters and dust buildup. These observations were confirmed by the Dietary Supervisor, who acknowledged the concerns. Further inspection of the unit refrigerators revealed additional sanitary issues. In the unit three nourishment room, there was an opened carton of med pass supplement without a lid, a sandwich without a name or date, and a pitcher of lemonade past its throw-out date. Other items included shredded cheese past its best-by date and a container resembling mayonnaise without a label. Similar issues were found in the unit one nourishment room, with items such as ice cream and a fast-food drink without names or dates, and juices past their throw-out dates. The Dietary Supervisor confirmed these concerns and stated that dietary staff were responsible for maintaining cleanliness and ensuring items were not outdated or unlabeled. The facility also failed to ensure that meal trays were delivered under sanitary conditions. Observations showed that Certified Nursing Assistants (CNAs) delivered meal trays with uncovered cake and beverages, walking extended distances down hallways. This practice was confirmed by the CNAs, who acknowledged the issue. A dietitian later confirmed that aides were supposed to keep meal delivery and beverage carts close to the rooms and not walk extended distances with uncovered items.
Deficiencies in Nutritional Care and Documentation
Penalty
Summary
The facility failed to ensure proper documentation and implementation of nutritional care for several residents, leading to deficiencies in nutritional assessment and monitoring. For Resident #66, the facility did not record meal intakes from January 1 to January 29, 2025, and failed to provide the prescribed high potassium diet, as evidenced by the absence of juice on meal trays. This resident, who was severely cognitively impaired and dependent on staff for eating, had a history of low potassium levels, necessitating a high potassium diet. Interviews with CNAs revealed that meal intakes were not documented due to time constraints, and the Registered Dietitian (RD) was unaware of the missing dietary components. Resident #65, who was on a fluid restriction due to low sodium levels, also experienced deficiencies in care. The facility did not record meal intakes from January 1 to January 30, 2025, and failed to adhere to the fluid restriction, as observed by the presence of a full water pitcher and unstrained soup on meal trays. The RD confirmed the fluid restriction and the need for specific dietary measures, which were not followed. CNAs admitted to not documenting meal intakes and being unaware of the fluid restriction, indicating a lack of communication and adherence to dietary orders. For Resident #13, the facility did not record meal intakes consistently and failed to obtain weekly weights as ordered. This resident, who was at nutritional risk due to a history of fractures and weight loss, had missing weight records and meal intake documentation, hindering proper nutritional monitoring. The RD confirmed the missing weights and meal intakes, relying on nursing staff for information. Similarly, Resident #18 had incomplete meal intake records, and Resident #41 had missing weekly weights, further highlighting the facility's failure to adhere to its policies on nutritional assessment and monitoring.
Deficiency in Meal Quality and Temperature
Penalty
Summary
The facility failed to ensure that meals served to residents were palatable, attractive, and at a safe and appetizing temperature. Observations on the tray line process revealed that the chicken pot pie served to residents had a very thin layer of biscuit, and some servings had very little biscuit. The facility's heat retention system was not used effectively, as metal pellets meant to keep the food hot were not adequately heated. As a result, the chicken pot pie and broccoli were served at temperatures lower than expected, and both were described as bland by residents and staff. Several residents expressed dissatisfaction with the meals served. Resident #32, who has chronic pulmonary disease and dysphagia, reported that the chicken pot pie did not taste good. Resident #21, with vascular dementia, stated that the chicken pot pie did not taste like it should and lacked sufficient biscuit. Resident #16, with mild cognitive impairment, also noted the lack of flavor and biscuit in the pot pie. Resident #73, who has chronic kidney disease and a significant weight loss, mentioned that the pot pie lacked flavor and biscuit. Resident #27, with congestive heart failure, described the pot pie as bland. Additionally, during the preparation of pureed green beans, it was observed that the final product was very salty, contrary to the recipe which did not call for salt. This was confirmed by both the Dietary Supervisor and the Registered Dietitian. Interviews with other residents during a council meeting revealed further concerns about hot foods being served cold and meals being bland or too salty. These findings indicate a failure in the facility's dietary services to provide meals that meet the residents' expectations and dietary needs.
Failure to Timely Notify Resident's Representative of Fall
Penalty
Summary
The facility failed to ensure timely notification of a resident's fall to the resident's representative. The resident, who had diagnoses including metabolic encephalopathy, cognitive communication deficit, and moderate vascular dementia with agitation, experienced a fall on January 13, 2025. The resident was found on the floor by an aide and was subsequently assisted into a wheelchair and brought to the common area. The physician was notified about the resident's increased behaviors, and a medication adjustment was made. However, the resident's representative was not informed of the fall until January 23, 2025, ten days after the incident. The delay in notification was attributed to the internet being down on the day of the fall, which prevented documentation. The Assistant Director of Nursing confirmed that the resident's representative was notified on January 23, 2025, but could not explain why it took ten days for the notification to occur. The facility's policy on Notification of Change, dated July 2017, requires immediate notification of the resident's physician and responsible party when an event involving the resident occurs. This policy was not adhered to in this instance, resulting in a deficiency.
Interdisciplinary Team Absence in Care Plan Conferences
Penalty
Summary
The facility failed to ensure the presence of the interdisciplinary team during care plan conferences for two residents, Resident #24 and Resident #75. Resident #24 was admitted with multiple diagnoses, including cellulitis, acute respiratory failure, and diabetes, and was cognitively intact according to the Minimum Data Set (MDS) assessment. The care conferences for Resident #24 on two occasions included only the resident, a social services representative, an MDS registered nurse, and a therapist, with no indication of other interdisciplinary team members' participation. Interviews revealed that the resident believed he had not had a proper care conference, and the social services representative confirmed that not all required team members attended these meetings. Similarly, Resident #75, who had intact cognition and was admitted with conditions such as major depressive disorder and hypertension, also experienced care conferences lacking full interdisciplinary team participation. The care conference for Resident #75 included only the resident, a social services representative, an MDS registered nurse, a therapist, and another nurse. The social services representative acknowledged that not all required staff members attended these meetings, despite sending out schedules in advance. The care conferences were described as informal and brief, potentially leading to residents misunderstanding them as general discussions rather than formal care planning sessions.
Medication Error Rate Exceeds Acceptable Threshold
Penalty
Summary
The facility failed to maintain a medication error rate below five percent, affecting one resident out of two reviewed for medication administration. Resident #435, who was admitted with diagnoses including chronic obstructive pulmonary disease (COPD), acute peptic ulcer with hemorrhage, and hypoxemia, had active medication orders for coenzyme Q10, vitamin E, and Trelegy Ellipta. During an observation of medication administration, the Licensed Practical Nurse (LPN) did not have the correct doses of coenzyme Q10 and vitamin E in the medication cart and marked them as held due to unavailability. Additionally, the LPN administered Trelegy Ellipta without instructing the resident to swish and spit as per the medication's instructions. These actions resulted in three errors out of 28 observed opportunities, leading to a medication error rate of 10.7%.
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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 Austinburg
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pine Grove Healthcare Center | 4.5 mi | ★★★★★ | 2 | 0 |
| Geneva Center For Rehabilitation And Nursing | 4.8 mi | ★★★★★ | 7 | 0 |
| Jefferson Healthcare Center | 5.6 mi | ★★★★★ | 0 | 0 |
| Rae Ann Geneva | 5.7 mi | ★★★★★ | 9 | 0 |
| Saybrook Landing | 6.9 mi | ★★★★★ | 0 | 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.