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 Canterbury Of Twinsburg during CMS and state inspections, most recent first.
A hospice nurse aide performed a Hoyer lift transfer of a resident without the required second staff member, despite physician orders and facility policy. The resident, who had significant mobility limitations and required total assistance, suffered a fractured right arm during the transfer. The aide did not seek help, failed to respond to the resident's pain, and dismissed the injury as dramatics. The incident was confirmed by video footage and subsequent medical assessment.
A resident with difficulty walking and urinary incontinence experienced significant delays in call light response times, with one instance taking 25 minutes and another taking 58 minutes. The resident reported waiting one to two hours for assistance. The facility's administrator confirmed the delays, noting staff were occupied with other duties. The facility's policy required prompt response to call lights, which was not followed in these cases.
A resident in a persistent vegetative state fell out of bed due to inadequate supervision and failure to follow fall prevention protocols. Despite being dependent on staff for all activities, the resident was left unattended in a high-angle bed position, leading to a gradual shift and eventual fall. Surveillance footage and staff interviews confirmed the lack of repositioning, resulting in a deficiency in care.
A CNA failed to follow proper infection control procedures during incontinence care for a resident with osteoarthritis and incontinence issues. The CNA did not change gloves after handling soiled items and touched various surfaces in the resident's room with contaminated gloves, contrary to the facility's policy requiring glove changes to prevent infection.
A facility failed to uphold a resident's dignity when an STNA took an unauthorized photograph of a cognitively intact resident, who was partially undressed, and sent it to a surveyor. The facility's policy prohibits such actions, and the incident was confirmed through staff interviews. This deficiency was identified during a complaint investigation.
Failure to Provide Required Assistance During Hoyer Lift Transfer Resulting in Resident Harm
Penalty
Summary
A deficiency occurred when a hospice nurse aide (HNA) performed a Hoyer lift transfer of a resident without the required assistance of a second staff member, contrary to physician orders and facility policy. The resident, who had multiple complex medical conditions including multiple myeloma, paraplegia, and severe muscle weakness, required total assistance for transfers and had a specific order for two-person Hoyer lift transfers. Despite this, the HNA proceeded alone, did not activate the call light for help, and expressed impatience about waiting for additional staff. During the transfer, the resident expressed fear and questioned whether two people were needed, but the HNA insisted on proceeding alone. The resident attempted to stabilize herself by grabbing a bed grab bar, and during the maneuver, a loud popping sound was heard, after which the resident's right arm became limp and she immediately reported it felt broken. The HNA dismissed the resident's complaints as being dramatic and did not seek immediate assistance or report the injury to nursing staff. The resident was left in pain and distress, with her arm visibly deformed and nonfunctional. Subsequent assessment by facility staff revealed significant swelling and discoloration of the resident's right arm, and an x-ray confirmed a displaced, separated, and overriding oblique fracture of the midshaft of the right humerus. The incident was captured on video, which showed the HNA performing the transfer alone, failing to control the resident's movement in the lift, and not responding appropriately to the resident's pain or injury. The HNA later admitted to not following policy and not requesting help, citing impatience and a belief that she could manage alone.
Delayed Call Light Response for Resident
Penalty
Summary
The facility failed to ensure timely response to a resident's call light, affecting one resident out of three reviewed for call light response times. The resident, who was admitted with diagnoses including difficulty walking, anxiety, obsessive-compulsive disorder, and urinary incontinence, had intact cognition and required assistance for toileting hygiene and transfers. The alarm event report showed significant delays in response times, with one instance taking 25 minutes and another taking 58 minutes. The resident reported waiting one to two hours for assistance after activating the call light. The facility's administrator confirmed the delayed response times and noted that staff were occupied with other duties during these incidents. The facility's policy stated that staff should answer call lights as soon as possible, but this was not adhered to in the reported cases.
Failure to Prevent Fall for Dependent Resident
Penalty
Summary
The facility failed to prevent a fall for a resident who was completely dependent on staff for fall prevention. The resident, who was in a persistent vegetative state with diagnoses including brain damage and dementia, was found on the floor by a staff member. The resident was supposed to be monitored closely due to her condition and medication use, which increased her fall risk. Despite being dependent on staff for all activities of daily living, including transfers and mobility, the resident was left unattended in a position that allowed her to slide out of bed. The incident occurred when the resident was left in bed at a high angle, contrary to the physician's order to keep the head of the bed at a 30-degree angle. Surveillance footage revealed that the resident gradually shifted over several hours until she fell out of bed. Staff failed to reposition the resident during routine checks, and the resident was not centered in the bed, leading to her fall. The facility's policy on fall risk management was not adequately followed, as the resident was not repositioned to prevent the fall. Interviews with staff and review of video footage confirmed that the resident was not repositioned despite being visibly uncentered in the bed. The resident's Power of Attorney provided video evidence showing the resident's gradual movement towards the edge of the bed, culminating in the fall. The facility's failure to provide adequate supervision and adhere to fall prevention protocols resulted in the resident's fall, highlighting a deficiency in the care provided to this vulnerable resident.
Infection Control Breach During Incontinence Care
Penalty
Summary
The facility failed to ensure appropriate infection control practices during incontinence care for a resident. The resident, who was cognitively intact, required substantial to maximal assistance with activities of daily living due to osteoarthritis and was frequently incontinent of bowel and always incontinent of urine. The care plan for the resident included checking every two hours and changing as needed for incontinence, as well as using enhanced barrier precautions due to CRE in urine. However, during an observation, a CNA did not follow proper infection control procedures while providing incontinence care. The CNA donned an isolation gown and gloves before starting the incontinence care but failed to change her gloves after handling soiled items. After cleaning the resident, the CNA continued to touch various surfaces in the resident's room, including the bed linens, light switch, and remote controls, with the contaminated gloves. The CNA confirmed in an interview that she did not change her gloves after providing care, which was against the facility's policy for incontinence care. This policy emphasized the importance of changing gloves if they become grossly contaminated to prevent skin breakdown and potential infection.
Unauthorized Photograph of Resident Violates Dignity Policy
Penalty
Summary
The facility failed to ensure that a resident was treated with dignity and respect, as evidenced by a staff member taking an unauthorized photograph of the resident. The resident, who was cognitively intact and had multiple diagnoses including schizoaffective disorder bipolar type and diabetes mellitus, was photographed wearing a pink shirt, a brief, and no pants. This photograph was taken by a State tested Nurse Aide (STNA) after providing care to the resident, and it was sent to a surveyor via text message. The facility's policy on dignity, revised in August 2009, mandates that residents should be treated with dignity and respect at all times. Additionally, the employee handbook explicitly prohibits the use of mobile phones to record voices or images of residents or staff on the property. The incident was confirmed through interviews with the STNA and the facility's Administrator, who verified the identity of the resident in the photograph. This deficiency was discovered during the investigation of a complaint.
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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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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Twinsburg
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Manor Of Grande Village | 2.1 mi | ★★★★★ | 0 | 0 |
| Twinsburg Post Acute | 2.7 mi | ★★★★★ | 19 | 0 |
| Anna Maria Of Aurora | 3.5 mi | ★★★★★ | 12 | 0 |
| Kensington At Anna Maria | 3.6 mi | ★★★★★ | 9 | 0 |
| Heritage Health Care Center | 3.9 mi | ★★★★★ | 1 | 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.