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 July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Austinwoods Rehab Health Care during CMS and state inspections, most recent first.
A resident with a recent hip injury and surgery experienced moderate to severe pain on multiple occasions, but did not receive prescribed Tylenol as needed. During a medication pass, an LPN gave scheduled medications but omitted Tylenol, despite the resident reporting significant pain. The LPN incorrectly referenced other pain management methods that were not ordered or in use, and there was no documentation of non-pharmacological interventions, resident refusal, or provider notification. The lack of timely pain management and appropriate documentation resulted in a deficiency.
A medication pass observation revealed a 16% error rate, with two residents affected by missed doses, late administration, and inaccurate documentation. An LPN failed to administer all scheduled medications, gave some outside of prescribed timeframes, and signed for doses not actually given, resulting in noncompliance with medication administration policies.
A resident's blood glucose meter was not properly cleaned and disinfected between uses, as an LPN used only an alcohol wipe instead of following the required two-step process with EPA-registered disinfectant wipes. Additionally, another resident with an enteral feeding tube did not receive medication administration under enhanced barrier precautions, as the LPN failed to wear a gown as required by facility policy and CDC guidelines. Both deficiencies were confirmed through staff interviews and policy review.
Staff failed to perform hand hygiene during wound care and incontinence care for two residents, as observed when an LPN and CNA did not wash hands before or after glove use, handled soiled dressings and personal items, and touched various surfaces without proper hand hygiene. These actions were confirmed by staff interviews and were not in accordance with facility policy or CDC guidelines.
A resident with multiple chronic conditions, including heart disease and asthma, was observed receiving oxygen therapy without a physician's order. Review of the care plan and facility policy confirmed that oxygen administration required a physician's order, and an RN verified that no such order was present.
A resident with multiple chronic conditions was found with discontinued nasal sprays at her bedside, which she self-administered without a physician's order or care plan approval. Staff allowed this practice to promote independence, contrary to facility policy requiring secure storage and proper authorization for self-administration.
A resident with multiple medical conditions and a prosthetic infection was prescribed weekly CRP and SED Rate labs while receiving IV antibiotics. On one scheduled date, the facility failed to collect and process the required labs, as confirmed by the DON, resulting in a missed physician order.
Staff failed to perform hand hygiene during wound and incontinence care for two residents. An LPN and CNA did not wash hands before or after providing wound care to a resident with multiple pressure ulcers, handling both the resident and room items with contaminated gloves. In a separate incident, an LPN and CNA did not perform hand hygiene before or after incontinence care for another resident, touching various surfaces and supplies, including items contaminated with feces. Both staff confirmed the lapses, which were not in accordance with facility policy or CDC guidelines.
A resident with multiple medical conditions, including quadriplegia and osteoporosis, required two-person assistance for bed mobility. However, a single STNA attempted to assist the resident alone, resulting in a fractured hip. Despite the resident's complaints of severe pain, there was a delay in obtaining an x-ray and notifying the physician, contrary to facility policy. The deficiency was identified during a complaint investigation.
A resident's pressure ulcer worsened from Stage I to unstageable due to the facility's failure to implement an effective prevention program, including turning and repositioning every two hours. The wound nurse was unaware of the resident's condition until it had significantly deteriorated, and there was no communication with the dialysis center regarding necessary interventions.
A resident with a complex medical history requested to go to the hospital for a CT scan due to concerns about a possible stroke. Despite this request, the nursing staff did not immediately inform the physician or facilitate the transfer. The resident was eventually sent to the hospital later that morning, diagnosed with a urinary tract infection, and received treatment before returning to the facility.
A facility failed to obtain timely laboratory tests for a resident with multiple serious health conditions, resulting in a significant delay in identifying critical lab values. Despite a STAT order for a CBC and CMP, the lab did not receive the order, and the bloodwork was not drawn until the following day, leading to the resident's transfer to the emergency room for further evaluation and treatment.
The facility failed to ensure that NPs provided visit notes in a timely manner and dated notes consistently, affecting a resident with a complex medical history. The DON confirmed that multiple notes were undated, violating the facility's Physician Services Policy.
The facility failed to implement Enhanced Barrier Precautions and proper PPE use for two residents. One resident with an unstageable pressure ulcer did not receive appropriate gown use during wound and incontinence care, and another resident with a feeding tube had a gown reused for multiple encounters, contrary to CDC guidelines.
Failure to Timely and Appropriately Address Resident Pain
Penalty
Summary
A deficiency was identified when a resident with a history of right hip dislocation, recent surgical intervention, and multiple comorbidities was not provided timely and appropriate pain management. The resident was admitted for post-surgical care and had an order for Tylenol 650 mg every four hours as needed for pain. Despite documented pain assessments indicating moderate to severe pain, the baseline care plan did not include interventions for pain related to the hip injury or surgery, and pain assessments were inconsistently documented. On several occasions, the resident reported moderate to severe pain, including two instances of severe pain, but did not receive Tylenol as ordered. During a medication pass, an LPN administered scheduled medications but did not include Tylenol, despite the resident expressing significant pain and rating it as an eight out of ten. The LPN incorrectly informed the resident that another medication (meloxicam) was for her pain and referenced a pain patch that was not actually ordered or applied. No documentation was found to indicate that non-pharmacological interventions were offered, that the resident declined Tylenol, or that the provider was notified of the increased pain. Further review of the medical record revealed no additional pain assessments or administration of Tylenol after the resident's reports of severe pain. The facility's medication administration policy required medications to be given timely and as prescribed, based on resident need and benefit. The failure to address the resident's pain in a timely and appropriate manner, as well as the lack of documentation and follow-up, led to the cited deficiency.
Medication Error Rate Exceeds Acceptable Threshold
Penalty
Summary
The facility failed to maintain a medication error rate below five percent during a medication administration observation, resulting in a 16% error rate. This was identified through record reviews, direct observation, and staff interviews. Four errors were found out of 25 medication administration opportunities, affecting two residents. The errors included missed doses, incorrect documentation, and failure to administer medications within the prescribed timeframes or according to specific instructions. For one resident with multiple diagnoses including post-surgical needs, hypertension, and anemia, the LPN prepared and administered only nine out of thirteen scheduled morning medications. Some medications, such as Vitamin E, were not available and thus not given, while others like Culturelle were administered after the surveyor left. Additionally, niacin and cefadroxil were signed as given on the MAR, but physical counts of the medication packets indicated that not all signed doses had actually been dispensed. The LPN confirmed that some medications did not appear on the MAR at the time of administration, leading to missed doses and inaccurate documentation. Another resident with complex medical conditions, including end stage renal disease and diabetes, was scheduled to receive sevelamer before meals. However, the medication was administered more than 30 minutes after breakfast, outside the prescribed timeframe, and more than one hour after the scheduled time on the MAR. The LPN acknowledged that the medication was not given as ordered, and facility policy required medications to be administered within one hour of the prescribed time or according to specific instructions such as before meals. These actions and inactions directly contributed to the facility's failure to ensure safe and accurate medication administration.
Failure to Properly Disinfect Glucometer and Maintain Enhanced Barrier Precautions
Penalty
Summary
The facility failed to ensure proper cleaning and disinfection of a blood glucose meter (BGM) after use with a resident who had complex medical conditions, including diabetes mellitus and dependence on renal dialysis. An LPN was observed using a single alcohol wipe to briskly clean only the front of the BGM before returning it to the medication cart, rather than following the facility's policy and the manufacturer's instructions, which require a two-step process using approved EPA-registered disinfectant wipes and a specified wet contact time. The LPN also demonstrated a lack of knowledge regarding the correct cleaning procedure, and the DON confirmed that the observed method was not compliant with facility policy or manufacturer guidelines. Additionally, the facility did not maintain enhanced barrier precautions (EBP) during medication administration through an enteral feeding tube for a resident with multiple medical devices and severe cognitive impairment. An LPN administered medication via the feeding tube without wearing a gown, despite the resident being on EBP per CDC guidelines and the facility's policy, which require the use of gowns and gloves during care involving enteral feeding tubes. The LPN acknowledged awareness of the EBP requirement but did not don the appropriate personal protective equipment during the procedure. Both deficiencies were confirmed through interviews with the involved LPNs and the DON, as well as review of facility policies and manufacturer instructions. The findings were based on direct observations, record reviews, and staff interviews, and affected multiple residents who either had their blood sugar checked with the BGM or had enteral feeding tubes requiring EBP.
Failure to Perform Hand Hygiene During Resident Care
Penalty
Summary
Staff failed to perform proper hand hygiene during wound care and incontinence care for two residents, as observed and confirmed through interviews and record reviews. In the first instance, a resident with multiple complex medical conditions, including multiple sclerosis, quadriplegia, and several pressure ulcers, received wound care from an LPN and a CNA who did not perform hand hygiene before donning gloves, after removing soiled dressings, or before handling clean supplies and personal items. The LPN continued to use the same gloves to reposition the resident and handle various items in the room, and only changed gloves without performing hand hygiene before exiting the room. The CNA also failed to perform hand hygiene before and after assisting with the procedure and handling the resident's personal items. In the second instance, another resident with bowel and bladder incontinence and multiple diagnoses received incontinence care from an LPN who did not wash her hands before donning gloves or after removing them. The LPN touched various surfaces and items in the resident's room, including the call light, bed remote, and bedside drawer, and also touched the resident's bandage and bed linens without performing hand hygiene. The LPN handled a package of incontinence wipes contaminated with feces and placed it on top of the resident's clean clothing. A CNA who assisted with repositioning the resident also failed to perform hand hygiene before donning gloves. The LPN eventually performed hand hygiene only after leaving the resident's room and handling soiled items. Both incidents were verified through interviews with the involved staff, who acknowledged not performing hand hygiene as required. The facility's handwashing policy and CDC guidelines were reviewed, both of which require hand hygiene before and after resident contact, after contact with blood or body fluids, and after touching contaminated surfaces. The failure to follow these protocols resulted in a deficiency related to infection control practices.
Oxygen Therapy Administered Without Physician Order
Penalty
Summary
A resident with diagnoses including hypertensive heart disease with chronic kidney disease, dementia, type 2 diabetes mellitus, and asthma was observed using an oxygen concentrator over a period of nearly two hours. Review of the resident's medical record and physician's orders revealed there was no physician's order for oxygen therapy, despite the resident actively receiving oxygen. The resident's care plan indicated that oxygen should be administered as ordered by a physician, and the facility's policy required verification of a physician's order for oxygen use. An RN confirmed that the resident did not have a physician's order for oxygen therapy at the time of the observation.
Improper Storage and Unauthorized Self-Administration of Discontinued Medications
Penalty
Summary
Facility staff failed to ensure that drugs and biologicals were properly stored and labeled according to professional standards. Specifically, a resident with diagnoses including type two diabetes mellitus, major depressive disorder, and hypertension was found to have two nasal sprays—Flonase and ipratropium bromide—at her bedside. Both medications had been discontinued by the physician, and there was no physician order permitting the resident to self-administer these medications or to keep them at her bedside. The care plan did not address self-administration, and the facility's own policy required a physician's order and interdisciplinary team decision for self-administration, as well as secure storage of medications accessible only to authorized personnel. Interviews with the resident and a registered nurse confirmed that the resident was allowed to keep and self-administer the nasal sprays, with staff stating this was to promote independence. However, the nurse later acknowledged that there was no order for self-administration and that the medications had been discontinued. The medications were subsequently removed from the bedside and returned to secure storage, but the initial failure to follow policy and physician orders resulted in the deficiency.
Failure to Obtain Ordered Laboratory Testing for a Resident
Penalty
Summary
A deficiency occurred when the facility failed to obtain physician-ordered laboratory testing for a resident with multiple medical conditions, including infection and inflammatory reaction due to a knee prosthesis, atrial fibrillation, peripheral vascular disease, rhabdomyolysis, venous thrombosis, and cognitive deficit. The resident was receiving intravenous antibiotics for a prosthetic infection, and there was a standing physician order for weekly C-Reactive Protein (CRP) and erythrocyte sedimentation rate (SED Rate) tests every Monday, with results to be faxed to infectious disease. Record review showed that while laboratory results were available for two Mondays, there were no results for one of the scheduled dates. The Director of Nursing confirmed that no lab specimen was collected on that date, and thus no results were available. Facility policy required licensed nursing professionals to be aware of and follow all physician orders as written, but this order was not followed for the specified date.
Failure to Perform Hand Hygiene During Resident Care
Penalty
Summary
Staff failed to perform proper hand hygiene during wound care and incontinence care for two residents, as observed by surveyors. In the first instance, a resident with multiple complex medical conditions, including quadriplegia and multiple pressure ulcers, received wound care from an LPN and a CNA who did not perform hand hygiene before donning gloves, after removing soiled dressings, or after removing gloves. The staff handled various items in the resident's environment, such as the call light and bed remote, without changing gloves or performing hand hygiene, and exited the room with clean supplies without sanitizing their hands. In the second instance, another resident requiring maximum assistance with toileting due to bowel and bladder incontinence was provided incontinence care by an LPN who also failed to wash hands before donning gloves, after removing gloves, and after cleaning the resident. The LPN touched multiple surfaces and personal items in the resident's room, including the call light, bed linens, and a package of incontinence wipes contaminated with feces, without performing hand hygiene. A CNA who assisted with repositioning the resident also failed to perform hand hygiene before donning gloves. Both staff members involved in each incident confirmed during interviews that they did not perform hand hygiene as required. The facility's handwashing policy and CDC guidelines were not followed, which require hand hygiene before and after resident contact, after contact with body fluids, and after touching contaminated surfaces.
Failure to Provide Adequate Assistance Leads to Resident Injury
Penalty
Summary
The facility failed to provide adequate two-person assistance with bed mobility for a resident, resulting in an injury. The resident, who had multiple medical conditions including multiple sclerosis, quadriplegia, and osteoporosis, was assessed to require two-person assistance for bed mobility. However, on the day of the incident, a single State Tested Nursing Assistant (STNA) attempted to assist the resident alone, leading to the resident experiencing extreme pain and subsequently being diagnosed with a fractured hip. The incident occurred when the STNA attempted to move the resident's pillow from one side to the other, lifting the resident's left side without assistance. Despite the resident's expression of severe pain, the STNA did not seek immediate medical evaluation. The resident continued to experience pain over the following days, and an x-ray was not performed until two days later, which confirmed the fracture. Interviews with staff revealed that the STNA was unaware of the two-person assistance requirement, and there was a lack of communication regarding the resident's condition and pain management. The facility's policy required communication with the physician and responsible parties in the event of a significant change in condition, which was not adequately followed. The resident reported the incident and pain to multiple staff members, but there was a delay in obtaining an x-ray and notifying the physician. The deficiency was identified during a complaint investigation, highlighting a failure in adhering to the resident's care plan and ensuring proper supervision to prevent accidents.
Failure to Implement Effective Pressure Ulcer Prevention Program
Penalty
Summary
The facility failed to develop and implement an effective and individualized pressure ulcer prevention program for Resident #37, leading to the worsening of a pressure ulcer on the coccyx. Resident #37 was admitted with a Stage I pressure ulcer, which deteriorated to an unstageable pressure ulcer. The facility did not ensure adequate interventions, such as turning and repositioning every two hours, were provided to prevent the deterioration of the ulcer. Additionally, there was no documented evidence of these interventions being performed, and the wound nurse was not aware of the resident's condition until it had significantly worsened. Resident #37 had multiple diagnoses, including end-stage renal disease, atrial fibrillation, and a recent hip fracture with surgical intervention. The resident was dependent on staff for mobility and had a care plan that included turning and repositioning every two hours, a pressure-reducing mattress, and a zinc cream with foam dressing for the coccyx wound. Despite these interventions being documented, there was no evidence that they were consistently implemented. The wound nurse did not assess the resident's wound until several days after being notified of concerns, and there was no communication with the dialysis center regarding the resident's pressure ulcer and necessary interventions. Interviews with staff and the resident's family revealed that the resident was compliant with turning and repositioning, but staff were not required to document these actions. The wound nurse and other staff members failed to perform comprehensive skin assessments and did not notify physicians of the resident's condition. The facility's policy on pressure ulcer identification and treatment was not followed, resulting in actual harm to Resident #37.
Failure to Honor Resident's Right to Choose Treatment
Penalty
Summary
The facility failed to honor a resident's right to choose their plan of treatment, specifically regarding the decision to go to the hospital. Resident #88, who had a complex medical history including acute pulmonary edema, type two diabetes mellitus, end stage renal disease, and other significant conditions, expressed a desire to go to the hospital for a CT scan due to concerns about a possible stroke. Despite this request, the nursing staff did not immediately inform the physician or facilitate the transfer to the hospital, as was discussed with the nurse practitioner the previous day. The resident's request was documented in the nursing notes, but there was no indication that the physician was made aware of the request at that time. The resident continued to insist on being sent to the hospital, and it was not until later that morning that the transfer was arranged. Upon evaluation at the hospital, the resident was diagnosed with a urinary tract infection and received treatment before being transferred back to the facility. The facility's failure to promptly respond to the resident's request to go to the hospital, as outlined in the Nursing Home Resident's Bill of Rights, constituted a deficiency in honoring the resident's right to choose their plan of treatment.
Failure to Obtain Timely Laboratory Tests
Penalty
Summary
The facility failed to obtain laboratory tests in a timely manner for a resident with multiple serious health conditions, including acute pulmonary edema, type two diabetes mellitus, and end stage renal disease. On 03/01/24, a STAT order was written for a Complete Blood Count (CBC) and Comprehensive Metabolic Panel (CMP) due to the resident's complaints of pain and nausea, and concerns about low sodium levels. Despite the urgency, the lab did not receive the order, and the bloodwork was not drawn until 4:50 P.M. on 03/02/24, well beyond the expected four-hour window for STAT orders as per the facility's Laboratory Services Agreement. The delay in obtaining the lab results led to a significant delay in identifying critical lab values, including a hemoglobin value of 6.2 grams per deciliter and a hematocrit of 20.3%, which necessitated the resident's transfer to the emergency room for further evaluation and treatment. The Director of Nursing (DON) confirmed that the STAT labs ordered on 03/01/24 were not obtained in a timely manner, as they were not drawn until the following day. The facility's Laboratory Services Agreement, effective since 05/02/22, stipulated that STAT phlebotomy services should be available 24/7 and provided within four hours of the request. The failure to adhere to this agreement and the delay in obtaining the necessary lab tests resulted in a significant lapse in the resident's care, as evidenced by the delayed response to the resident's critical condition.
Failure to Ensure Timely and Dated Visit Notes by Nurse Practitioners
Penalty
Summary
The facility failed to ensure that nurse practitioners provided visit notes in a timely manner and dated notes consistently to determine when the visits were made. This deficiency affected one resident, who had a complex medical history including acute pulmonary edema, type two diabetes mellitus, end stage renal disease, and other serious conditions. During an interview, the Director of Nursing (DON) confirmed that there was only one progress note from the nurse practitioner (NP) in the medical record, despite knowing that the NP had visited the resident more frequently. The DON had to call the NP to load additional notes into the electronic health record, but several of these notes did not contain the dates of the visits. The facility's Physician Services Policy required physicians to sign and date all orders and progress notes at each visit to ensure care and services were provided according to the most recent order. However, multiple notes from the NP were found to be undated, which was verified by the DON. This deficiency was identified during the investigation of a master complaint and highlighted the facility's failure to maintain accurate and timely medical records in accordance with accepted professional standards.
Failure to Implement Enhanced Barrier Precautions and Proper PPE Use
Penalty
Summary
The facility failed to implement Enhanced Barrier Precautions while providing wound care and incontinence care for Resident #37 and failed to appropriately use Personal Protective Equipment (PPE) while caring for Resident #44. Resident #37, who had diagnoses including end-stage renal disease and dependence on renal dialysis, had an order for wound care on an unstageable pressure ulcer. During an observation, a State tested Nursing Assistant (STNA) and a Licensed Practical Nurse (LPN) did not wear gowns while providing incontinence care and changing the dressing on Resident #37's wound, despite CDC guidelines requiring gowns and gloves for such high-contact care activities. Additionally, Resident #44, who had a feeding tube and was on enhanced barrier precautions, was observed with a non-pervious gown hanging on the door for multiple uses by staff. The LPN indicated that the facility believed CDC guidance was unclear regarding the re-use of gowns. However, CDC guidelines clearly state that gowns and gloves should be removed and discarded after each resident care encounter. The facility's Administrator insisted on the re-use of gowns, leading to non-compliance with infection control protocols.
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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 Austintown
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Briarfield Manor | 2.1 mi | ★★★★★ | 5 | 0 |
| Canfield Healthcare Center | 2.2 mi | ★★★★★ | 29 | 3 |
| Austintown Healthcare Center | 2.4 mi | ★★★★★ | 11 | 0 |
| Briarfield At Ashley Circle | 3.4 mi | ★★★★★ | 6 | 0 |
| Omni Manor Nursing Home | 3.9 mi | ★★★★★ | 0 | 0 |
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