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 Centerville Post Acute during CMS and state inspections, most recent first.
Surveyors found that the facility failed to ensure a clean and sanitary environment, with widespread soiling, staining, and deterioration of carpets in hallways, the lobby, and near the nurses' station. Staff interviews confirmed that reduced housekeeping hours and the poor condition of the carpets made effective cleaning impossible. A resident also reported significant soiling and dark stains in high-traffic areas, and the facility's own policy requires a clean and comfortable environment.
The facility failed to update the PASARR for several residents with new diagnoses and medications for serious mental illness. A resident with paranoid schizophrenia and bipolar disorder, another with delusional disorders and major depressive disorder, and others with similar conditions did not have their PASARR assessments updated. The Business Office Manager, not being clinical, did not attend meetings where such changes were discussed, leading to the oversight.
A resident with multiple health conditions was transported backwards in a shower chair by a CNA, violating the facility's dignity policy. The CNA was unaware that this method of transport was a dignity issue. The resident's care plan required assistance with ADLs but did not specify transport methods.
The facility failed to conduct quarterly care conferences for three residents, as required by policy. A resident with hemiplegia and major depressive disorder had not had a conference since March 2024, while another with diabetes and renal disease had not had one since October 2024. A third resident, severely cognitively impaired, had no conferences after August 2024. The DON confirmed these lapses.
A resident with severe cognitive impairment and a history of suicidal ideations eloped from the facility due to inadequate supervision. Despite having a care plan and a wanderguard, the resident managed to leave the premises unsupervised. The facility did not investigate the incident, including whether the wanderguard was in place or if the door alarm was triggered.
A resident with dysphagia did not receive a pureed diet as ordered, as observed during a meal where the pork loin was minced instead of pureed. The resident expressed difficulty swallowing, and a dietary technician confirmed the inconsistency, providing a pureed alternative. The facility's policy requires pureed foods to have a pudding-like texture.
A facility failed to change a resident's gastrostomy tube dressings as ordered, affecting their wound care. The resident, admitted with conditions including cancer and a g-tube, had a physician's order for daily dressing changes. However, an observation revealed the dressing was not changed daily, confirmed by an LPN. This deficiency was identified during a complaint investigation.
A resident with a history of hemiplegia and chronic pain reported a new wound, which was not promptly assessed or treated according to facility policy. An LPN initially noted the wound but did not obtain a new order for care, and the wound was not addressed until two days later by the wound team. Staff interviews revealed communication lapses, and the resident reported no dressing changes during this period.
A resident with severe cognitive impairment was subjected to inappropriate sexual contact by another resident, despite the facility's awareness of their relationship and the guardian's request for limited interactions. The accused resident admitted to the behavior, and the facility's measures to prevent such incidents were inadequate, resulting in a deficiency citation.
Failure to Maintain Clean and Sanitary Environment Due to Severely Soiled Carpets
Penalty
Summary
The facility failed to maintain a clean and sanitary environment, as evidenced by widespread soiling, staining, and deterioration of carpeted areas throughout the building. Observations revealed extensive discoloration, water damage, adhesive residue, and embedded grime on carpet tiles in multiple hallways, the front lobby, and areas near the nurses' station and dining room. Specific findings included large, dark stains, hardened adhesive buildup, fiber pilling, and visible signs of neglect and long-term accumulation of dirt. The condition of the carpets was consistently described as grimy, heavily trafficked, and unsalvageable by both staff and residents. Interviews with housekeeping staff, nursing staff, and maintenance personnel confirmed that the carpets had been in poor condition for an extended period. Housekeeping staff reported that reduced staffing hours had led to less frequent cleaning, and despite their efforts, the carpets could not be adequately maintained. Nursing staff and the DON acknowledged the persistent soiling and wear, noting that the issue had been ongoing since the facility's acquisition earlier in the year. Maintenance staff indicated that bids for carpet replacement were being collected, but no timeline for remediation was provided. Residents also reported dissatisfaction with the cleanliness of the environment, specifically mentioning significant soiling and dark stains in high-traffic areas such as hallways and near the elevator. Review of the facility's homelike policy confirmed the expectation of a clean, sanitary, and comfortable environment for residents, which was not met according to the observations and interviews conducted during the survey.
Failure to Update PASARR for Residents with New Diagnoses and Medications
Penalty
Summary
The facility failed to assess residents with new diagnoses and medications for serious mental illness for eligibility for Level II Pre-Admission Screening and Resident Review (PASARR) services. This deficiency affected four out of five residents sampled for PASARR, with a facility census of 96. The medical records of these residents revealed that they had been diagnosed with various mental health conditions and were prescribed psychotropic medications, yet their PASARR assessments were not updated to reflect these changes. Resident #34 was admitted with multiple diagnoses, including paranoid schizophrenia and bipolar disorder, and was prescribed several psychotropic medications. However, the PASARR assessment did not reflect these new diagnoses and medications. Similarly, Resident #55 had diagnoses of delusional disorders and major depressive disorder with psychotic features, along with active orders for psychotropic medications, but no new PASARR was completed since admission. Resident #19 had a diagnosis of delusional disorder that was not documented on the PASARR, and Resident #63 had anti-anxiety and mood-stabilizing medications that were not reflected in her PASARR. Interviews with the Business Office Manager (BOM) #138 revealed that she did not complete significant change PASARRs after residents had new diagnoses and medications initiated to treat serious mental illness. BOM #138 stated she was not clinical and did not attend clinical staff meetings where such information was shared. The facility's policy required reassessment and coordination with the state-designated authority for a Level II PASARR if a resident's condition changed significantly, but this was not adhered to in these cases.
Resident Transported in Undignified Manner
Penalty
Summary
The facility failed to ensure a resident was transported in a dignified manner, which is a violation of the resident's rights to dignity and self-determination. Resident #34, who has chronic obstructive pulmonary disease, type II diabetes, stage II chronic kidney failure, unspecified bipolar disorder, and paranoid schizophrenia, was observed being pulled backwards in a shower chair by CNA #8 in the hallway from the resident's room to the shower room. The resident's care plan indicated a need for assistance with activities of daily living, but did not specify the manner of transport. CNA #8 confirmed the action and stated she was unaware it was a dignity issue. The facility's policy on dignity, dated February 2021, prohibits demeaning practices and standards of care that compromise dignity.
Failure to Conduct Quarterly Care Conferences
Penalty
Summary
The facility failed to ensure quarterly care conferences were conducted with residents and their representatives, affecting three residents. Resident #41, who was admitted with conditions including hemiplegia and major depressive disorder, had not had a care conference since March 2024, despite being cognitively intact and having no behaviors that would prevent participation. This was confirmed by both the resident and the Director of Nursing (DON). Similarly, Resident #16, with diagnoses such as type II diabetes and end-stage renal disease, reported not having a care conference for four to five months, with the last documented conference occurring in October 2024. The DON verified this lapse in care planning. Resident #73, who was severely cognitively impaired and required extensive assistance, had care conferences documented up until August 2024, with no further conferences noted. The DON confirmed the absence of additional care conferences for this resident. The facility's policy, dated February 2021, mandates quarterly care planning meetings, which were not adhered to in these cases, leading to the identified deficiency.
Failure to Investigate Resident Elopement
Penalty
Summary
The facility failed to investigate an elopement incident involving a resident with a history of major depression, diabetes mellitus, congestive heart failure, suicidal ideations, and hypertension. The resident, who had severely impaired cognition and required assistance with daily activities, was identified as being at risk for elopement due to altered cognitive status and exit-seeking behaviors. Despite having a care plan in place that included checking the placement of a wanderguard every four hours, the resident managed to leave the facility unsupervised. On the day of the incident, the resident expressed a desire to leave the facility and made a threatening statement about playing in traffic. Although the police were notified and deemed the resident not suicidal, the resident later left the facility with his sister and returned the same day. After returning, the resident attempted to leave the facility again and was left unsupervised when both the nurse and aide went to assist other residents. The resident was found in the front parking lot and brought back into the facility. The facility did not investigate how the resident exited the building, whether the wanderguard was in place, or if the door alarm was triggered, as confirmed by interviews with the staff and administration.
Failure to Provide Mechanically Altered Diet as Ordered
Penalty
Summary
The facility failed to provide a mechanically altered diet as ordered for a resident, which was identified during an observation and interview process. The resident, who was cognitively intact and had medical diagnoses including dysphagia, was supposed to receive a pureed diet as per a physician's order. However, during a meal observation, it was noted that the pork loin on the resident's lunch tray was not pureed but rather minced, which was confirmed by an LPN. The mashed potatoes and vegetables on the tray were consistent with a pureed diet, but the pork loin did not meet the required texture. Further interviews revealed that the resident had expressed difficulty in swallowing some items and had not received meals as ordered at times. A dietary technician confirmed the inconsistency in the pork loin's texture and subsequently provided the resident with a bowl of pureed pork loin. The facility's policy on therapeutic and mechanically altered diets stated that pureed foods should have a pudding-like texture that does not require chewing, which was not adhered to in this instance.
Failure to Change Gastrostomy Tube Dressings as Ordered
Penalty
Summary
The facility failed to ensure that gastrostomy tube dressings were changed as ordered for a resident, which was identified during a complaint investigation. The resident, who was cognitively intact, had been admitted with medical diagnoses including aftercare following surgery for neoplasm, squamous cell cancer of the skin on the face, and a gastrostomy tube. A physician's order dated 03/12/25 specified that the g-tube site should be cleansed with normal saline and covered with a t-drain dressing daily. However, documentation in the March 2025 Treatment Administration Record indicated that the g-tube care was completed from 03/12/25 to 03/25/25. An observation on 03/24/25 revealed that the dressing on the resident's g-tube site was dated 03/21/25, indicating it had not been changed daily as ordered. This was confirmed by an LPN during an interview, who acknowledged that the dressing had not been changed as required.
Failure to Timely Initiate Wound Care for Resident
Penalty
Summary
The facility failed to accurately assess and timely initiate treatment for a new wound on a resident, leading to a deficiency in pressure ulcer care. The resident, who was cognitively intact and had a history of hemiplegia, morbid obesity, and chronic pain syndrome, reported a wound on the upper thigh under the buttocks. The wound was initially noted by an LPN, who cleansed the area and applied a dressing but did not obtain a new order for wound care, as the wound was not bleeding or deep. The wound was not reassessed or treated again until the wound team saw it two days later. The facility's policy required documentation of new skin alterations, provider notification, and obtaining new orders for wound care, which were not followed in this case. Interviews with staff revealed a lack of communication and follow-up, as the wound manager and nurse practitioner were not promptly notified, and the wound was not addressed until the next scheduled wound round. The resident reported that no one checked or changed the dressing for two days, and an LPN performing incontinence care was unaware of the wound or any treatment orders. This deficiency was investigated under Complaint Numbers OH00163742 and OH00162757.
Failure to Protect Resident from Abuse
Penalty
Summary
The facility failed to protect a resident from abuse, specifically involving inappropriate sexual contact by another resident. The incident involved a resident with severe cognitive impairment and multiple medical conditions, including chronic respiratory failure and mild intellectual disabilities. This resident was dependent on staff for various activities of daily living and did not ambulate. The inappropriate behavior was reported to the resident's guardian, who was informed that the facility was increasing staff monitoring as a response. The incident was reported as a self-reported incident (SRI) and involved another resident with a history of making lewd comments but no prior history of sexual abuse. The inappropriate contact included kissing and touching, which was admitted by the accused resident during the investigation. The facility's staff had not observed the two residents together in private areas, and the accused resident was placed under one-on-one supervision following the incident. The facility's policy on abuse, which includes protection from verbal, sexual, physical, and mental abuse, was not effectively implemented in this case. The facility was aware of the relationship between the two residents and had informed the guardian, who requested that interactions be limited to public areas. However, the measures taken were insufficient to prevent the inappropriate contact, leading to the deficiency being cited.
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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 Centerville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Centerville Health And Rehab | 0.9 mi | ★★★★★ | 3 | 0 |
| Bethany Village | 1.6 mi | ★★★★★ | 0 | 0 |
| Vienna Springs Health Campus | 1.9 mi | ★★★★★ | 1 | 0 |
| Walnut Creek Nursing Center | 2.3 mi | ★★★★★ | 13 | 0 |
| Wood Glen Alzheimer's Community | 2.3 mi | ★★★★★ | 4 | 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 June 2026) and official state health department websites.