Below 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 Continuing Healthcare At Cedar Hill during CMS and state inspections, most recent first.
A resident with multiple medical conditions did not receive physical and occupational therapy at the frequency specified in their care plan. Therapy sessions were missed over several periods due to delays in insurance authorizations, as confirmed by the Rehab Director. The facility lacked a formal policy for therapy services, though it was expected that therapies would be delivered as ordered.
A resident who was edentulous and dependent on staff for oral hygiene did not receive necessary assistance or supplies for mouth care. The care plan lacked specific interventions for oral hygiene, and staff were unaware of the resident's edentulous status. Oral hygiene supplies were not present in the room, and the facility's policy did not address care for residents without teeth or dentures.
A resident admitted after a total knee replacement did not receive ordered ice pack therapy to the operative leg as prescribed in the hospital discharge instructions. The TAR showed only one documented application, and both the resident and their representative reported that no ice packs were provided since admission. An LPN did not recall the order, and the DON confirmed the omission after being notified by the resident's family.
Surveyors identified multiple environmental deficiencies affecting 12 resident rooms, including gouged and peeling walls, unpainted patches, damaged ceilings, missing baseboards, torn wallpaper, and broken fixtures. These issues were confirmed by the DON and impacted the overall safety and comfort of the living environment.
The facility failed to store perishable food items under sanitary conditions, affecting all 85 residents receiving meals. Observations revealed several undated and unlabeled items in the walk-in freezer, including hash browns, tater tots, chicken tenders, and more, stored improperly in plastic bags. A dietary staff member confirmed these findings, which violated the facility's policy requiring all food items to be labeled and dated for safety and quality.
The facility failed to maintain a clean and sanitary shower room, affecting 45 residents on the east wing. One shower stall had several chairs and green residue, identified as algae. Housekeeping was responsible for cleaning but did not clean the stall with chairs, expecting CNAs to do so. The issue persisted for months, and maintenance was aware but did not address it.
A resident, who was cognitively intact and had multiple medical conditions, reported receiving an opened package despite his preference for unopened mail. The receptionist routinely opened packages before delivery, contrary to facility policy. The administrator confirmed that packages should be delivered unopened.
A facility failed to accurately complete a PASRR form for a resident with mental health diagnoses, including bipolar disorder and major depressive disorder. The form incorrectly indicated no serious mental illness, despite the resident receiving medications for these conditions. Staff interviews confirmed the oversight, and the facility lacked a specific policy for PASRR completion.
A resident with diabetes, urinary retention, and major depressive disorder was not included in his quarterly care plan meeting, as evidenced by the absence of signatures on the care conference summary. Despite being cognitively intact and expressing a desire to participate, the resident had not attended a care plan meeting since admission. The facility's policy requires quarterly care conferences, which was not adhered to in this case.
A resident with chronic conditions and on a mechanically altered diet experienced a significant weight loss of 5.1% over 30 days. Despite facility policy requiring timely re-weighs and interventions, no re-weigh was conducted until nearly a month later, and the dietitian did not evaluate or address the weight loss until 25 days after it was noted. This resulted in a deficiency in the care provided to the resident.
A resident, identified as a fall risk, was struck by a dietary cart pushed by a staff member, resulting in a fall and a right hip fracture. The incident occurred because the staff member could not see over the tall cart and did not check both sides before moving it. The facility lacked a policy on safe cart transportation, contributing to the accident.
The facility failed to maintain a sanitary living environment, as evidenced by mouse droppings found in a resident's room. The resident confirmed seeing mice and the presence of droppings in her basket, which was corroborated by a State tested Nursing Aide. The Administrator noted that the room had been deep cleaned earlier, but it was unclear if the droppings were missed or appeared afterward.
A resident with severe cognitive impairment and a history of elopement exited the facility without staff assistance by following a dietary cook through doors that temporarily deactivated the wanderguard system. Staff immediately responded and brought the resident back inside without injuries.
Failure to Provide Prescribed Therapy Services Due to Authorization Delays
Penalty
Summary
The facility failed to ensure that a resident received specialized rehabilitative services, specifically physical therapy (PT) and occupational therapy (OT), as outlined in the resident's plan of care. The resident was admitted with multiple diagnoses, including a lumbar vertebra fracture, dementia, muscle weakness, and difficulty walking. The care plans for both PT and OT specified therapy services to be provided three to five times per week for various therapeutic interventions. However, medical record and therapy service log reviews revealed multiple periods in October and November during which the resident did not receive the prescribed therapy sessions. Interviews with the Rehab Director confirmed that the therapy frequencies were not met as written in the plan of care. The Rehab Director attributed the missed therapy sessions to delays in obtaining insurance authorizations from the corporate office, which resulted in interruptions in therapy services. Additionally, it was noted that the facility did not have a formal policy regarding therapy services, though it was expected that therapies would be provided according to the care plan.
Failure to Provide Oral Hygiene Care for Edentulous Resident
Penalty
Summary
The facility failed to ensure that a resident who was dependent on staff for oral hygiene received the necessary services to maintain good oral hygiene. The resident, who was edentulous and did not use dentures, was cognitively intact and able to communicate his needs. His care plan addressed an ADL self-care deficit and oral/dental health problems related to being edentulous, but did not specifically outline interventions for the provision of oral hygiene care. During interviews, the resident reported not receiving assistance with oral hygiene and stated he would have liked to be provided with mouthwash and a mouth swab, which he could use with set-up help from staff. He also confirmed that staff had not offered these supplies to him. A CNA interviewed was unaware that the resident was edentulous and initially believed he had some natural teeth. Upon checking, the CNA confirmed the resident had no teeth or dentures and found no oral hygiene supplies in the resident's room. The CNA then provided the resident with mouth swabs and mouthwash, acknowledging that oral hygiene care should be part of morning care. Review of the facility's oral hygiene policy revealed it only addressed care for residents with natural teeth or dentures and did not include guidance for edentulous residents. This lack of specific interventions and supplies resulted in the resident not receiving appropriate oral hygiene care.
Failure to Follow Post-Surgical Physician Orders for Ice Pack Application
Penalty
Summary
The facility failed to follow physician orders for post-operative care for a resident who was admitted after a left total knee replacement. The resident's hospital After Visit Summary (AVS) included an order for ice packs to be applied to the operative leg several times a day, with specific instructions for duration and frequency to decrease pain and swelling. Upon review, it was found that the Treatment Administration Record (TAR) only documented the application of an ice pack once, despite the order requiring multiple applications daily. The resident and their representative reported that no ice packs had been applied since admission, and this was confirmed through interviews and record review. The LPN responsible for the admission did not recall seeing the ice pack order and stated that if it was not in the computer system, it was not on the AVS. The DON was notified by the resident's daughter about the missed treatment and, upon review, confirmed the omission. The failure to implement and document the ordered ice pack therapy occurred from the time of admission until the issue was brought to the attention of facility administration, resulting in the resident not receiving the prescribed post-surgical care as ordered.
Environmental Deficiencies Impact Resident Living Areas
Penalty
Summary
Surveyors observed that the facility failed to maintain a safe, clean, comfortable, and homelike environment for its residents, as evidenced by multiple environmental deficiencies affecting 12 out of 41 occupied resident rooms. Specific issues included gouged and peeling walls, patched but unpainted areas, peeling and hanging ceilings, missing baseboards, torn wallpaper in several locations, and broken or missing fixtures such as heating unit covers and window blinds. These deficiencies were noted during a facility tour and were verified in an interview with the Director of Nursing. The resident census at the time was 70, and the findings were documented under a specific complaint investigation.
Improper Food Storage in Facility Freezer
Penalty
Summary
The facility failed to store perishable food items under sanitary conditions, which had the potential to affect all 85 residents receiving meals from the kitchen. During an observation of the walk-in freezer, several food items were found undated and unlabeled. These items included hash browns, tater tots, chicken tenders, frozen drumsticks, Hawaiian rolls, cinnamon rolls, lasagna, and hot dogs. Many of these items had been removed from their original packaging and stored in two-gallon plastic storage bags without proper labeling or dating. An interview with a dietary staff member confirmed the presence of these unlabeled and undated items, which had been previously opened, removed from their original packaging, and showed signs of being re-frozen or stuck together. The facility's policy on Sanitation and Food Safety required all food items in the freezer to be clearly labeled and dated to ensure food safety and quality. This policy included labeling leftovers, opened foods, and sealed packages removed from their original shipping box or case with the date they were received or opened.
Failure to Maintain Sanitary Shower Room
Penalty
Summary
The facility failed to maintain a clean and sanitary shower room, affecting all 45 residents residing on the east wing who utilized the facility's shower room. During an observation, one of the two shower stalls was found to host several shower chairs, and a moderate amount of green residue was noted along the shower wall. The Shower Cleaning Sheet indicated that housekeeping staff were responsible for cleaning the shower rooms on Mondays, Wednesdays, and Fridays, with Housekeeper #208 signing off on cleaning the room on two recent occasions. However, the presence of green mildew, reported by a Certified Nursing Assistant (CNA), had been an issue for a couple of months, and maintenance had been made aware of it but had not addressed it. The Regional Maintenance Director confirmed the environmental findings, identifying the residue as algae, and noted that the facility had recently lost their maintenance director, leading to several missed issues. Housekeeper #208 reported that she was responsible for cleaning the showers three times a week but had not been cleaning the stall with the shower chairs, expecting the facility CNAs to clean it after each shower. This deficiency was investigated under Complaint Number OH00161280.
Failure to Maintain Resident Mail Privacy
Penalty
Summary
The facility failed to maintain the privacy and confidentiality of a resident's personal mail. Resident #41, who was cognitively intact with a BIMS score of 15/15 and had a history of multiple medical conditions including type two diabetes mellitus, heart disease, and dementia, reported receiving a package that was opened before it was given to him. The resident had previously expressed a preference for receiving his mail unopened, as documented in his admission agreement. Interviews revealed that the receptionist routinely opened packages with a box cutter before passing them to the activities department for delivery, contrary to the facility's policy that packages should be delivered to residents unopened. The administrator confirmed that the facility's practice should have been to deliver packages directly to residents without opening them.
Failure to Accurately Complete PASRR Form for Resident
Penalty
Summary
The facility failed to correctly identify a resident's psychotropic diagnosis on a significant change Preadmission Screening and Resident Review (PASRR) form. The resident, who was admitted with diagnoses including traumatic subdural hemorrhage, bipolar disorder, major depressive disorder, and anxiety, was receiving medications such as Celexa, Depakote, and Lorazepam for these conditions. However, the PASRR form completed for the resident did not reflect these mental health diagnoses, as the section asking about serious mental illness was incorrectly marked as 'no'. Interviews with facility staff revealed that the social worker designee confirmed the oversight, acknowledging that the resident's diagnoses of major depressive disorder and bipolar disorder should have been indicated on the PASRR form. The facility administrator admitted that there was no specific policy for PASRR completion, and the facility relied on following the general regulations. This oversight affected the accuracy of the resident's assessment and the coordination of necessary services.
Resident Not Included in Care Plan Meeting
Penalty
Summary
The facility failed to ensure that a resident, identified as Resident #32, was provided the opportunity to participate in and attend his quarterly care conference meeting. This deficiency was identified during a review of the resident's medical record, which showed an admission date of March 27, 2024, and diagnoses including diabetes mellitus type two, retention of urine, and major depressive disorder. The Interdisciplinary Care Conference Summary dated December 16, 2024, lacked signatures, indicating that neither the interdisciplinary team members nor the resident were present for the meeting. Furthermore, the resident's quarterly Minimum Data Set assessment confirmed that he was cognitively intact, suggesting he was capable of participating in his care planning. Interviews conducted with Resident #32 and the Social Worker Designee revealed that the resident had not attended a care plan meeting since his admission, despite expressing a desire to meet with his care team. The Social Worker Designee confirmed the absence of a sign-in sheet to verify attendance at the last care plan meeting. The facility's Care Conference Guidelines Policy, dated February 2022, emphasized the importance of care conferences as a platform for the interdisciplinary team to discuss the plan of care with the resident and relevant parties. The policy also stipulated that care conferences should be scheduled at least quarterly, highlighting the facility's failure to adhere to its own guidelines in this instance.
Failure to Address Significant Weight Loss in Resident
Penalty
Summary
The facility failed to provide appropriate care and services related to a significant weight loss for Resident #17, who was admitted with chronic obstructive pulmonary disease, unspecified dementia, and anxiety disorder. The resident was on a mechanically altered diet and thickened liquids, and was at risk for malnutrition. Despite a care plan in place to monitor and address nutritional issues, Resident #17 experienced a significant weight loss of 5.1% over 30 days, dropping from 240 pounds to 227.8 pounds. The dietitian requested a re-weigh and notified the nurse practitioner of the weight loss, but no further assessment or intervention was documented in the medical record at that time. The facility's policy required re-weighs for significant weight changes and timely documentation and response to such changes. However, a re-weigh was not obtained until nearly a month later, and the dietitian did not evaluate the weight loss or implement any interventions until 25 days after the initial significant weight loss was noted. Interviews with the dietitian and the Director of Nursing confirmed that no interventions were put into place during this period, and the facility's policy on weight monitoring and response was not followed, leading to a deficiency in the care provided to Resident #17.
Resident Fall Due to Dietary Cart Collision
Penalty
Summary
The facility failed to prevent a fall incident involving Resident #14, who was identified as a fall risk. The resident, who had a history of falls and was using a walker, was struck by a dietary cart being pushed by a staff member, resulting in a fall and a right hip fracture. The incident occurred when the staff member, Dietary [NAME] #20, was maneuvering the cart through a corridor and did not see the resident due to the cart's height, which obstructed her view. Resident #14 had been admitted to the facility with multiple diagnoses, including Alzheimer's disease and a history of falls. The resident was moderately cognitively impaired and was independent with most activities of daily living, using a walker for mobility. On the day of the incident, the resident was attempting to retrieve a puzzle from a bookshelf when the dietary cart hit him, causing him to fall and sustain injuries, including a fractured right hip and multiple skin tears. The facility did not have a policy in place regarding the safe transportation of dietary carts, nor was there specific staff education on this matter prior to the incident. The staff member involved in the incident confirmed that she could not see over the tall cart and only checked one side before moving it, leading to the accident. The lack of a clear policy and adequate supervision contributed to the occurrence of this preventable accident.
Sanitary Living Environment Deficiency
Penalty
Summary
The facility failed to maintain a sanitary living environment, as evidenced by the presence of mouse droppings in a resident's room. Observations on 05/29/24 revealed mouse droppings in a basket containing personal items and snack cakes in Resident #68's bedroom. Resident #68, who has multiple diagnoses including type II diabetes, chronic obstructive pulmonary disease, and vascular dementia, confirmed seeing mice in her room a couple of weeks prior and acknowledged the presence of mouse droppings in her basket. The State tested Nursing Aide (STNA) also confirmed the presence of mouse droppings in the resident's basket. The Administrator was informed of the issue and noted that Resident #68's room had been deep cleaned on 05/15/24, but it was unclear whether the droppings were missed during the cleaning or appeared afterward. The facility's Room Cleaning Checklist indicated that various items within resident rooms should be cleaned daily by housekeeping staff, including furniture, blinds, windows/sills, mattress, doors/knobs, privacy curtains, floors, and more. This deficiency was investigated under Complaint Number OH00153908.
Resident Elopement Due to Sensor System Failure
Penalty
Summary
The facility failed to prevent a resident with severe cognitive impairment and a history of elopement from exiting the building without staff assistance. The resident, who had diagnoses including unspecified dementia, anxiety, and encephalopathy, was admitted on 06/09/23 and had a wanderguard placed on her ankle to alert staff if she attempted to leave. Despite these precautions, the resident was able to exit the facility on 05/07/24 by following a dietary cook through a series of doors that temporarily deactivated the wanderguard system, allowing her to leave without triggering an alarm. On the day of the incident, another resident alerted staff that the resident was outside. Staff immediately responded and found the resident in the parking lot, approximately 10 feet from the front door, looking for her daughter's car. The resident was brought back inside without any injuries. The facility's investigation revealed that the sensor system in place at the time allowed the resident to exit without setting off the wanderguard alarm, as the sensor temporarily deactivated the alarm when the second door was opened. Interviews with staff and review of witness statements confirmed that the resident was able to exit due to the sensor system's temporary deactivation of the wanderguard. The facility's administrator acknowledged that they were unaware that the second door's sensor could deactivate the wanderguard system. Observations during the survey confirmed that the resident was confused at times but was being encouraged to participate in activities and frequently interacted with by staff. The resident's care plan and elopement risk assessments were reviewed, showing that the resident was identified as being at high risk for elopement due to her cognitive impairments and history of wandering.
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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 Zanesville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Adams Lane Healthcare And Rehabilitation Center | 0.6 mi | ★★★★★ | 0 | 0 |
| Continuing Healthcare At Willow Haven | 0.9 mi | ★★★★★ | 58 | 0 |
| Oaks At Bethesda The | 1.6 mi | ★★★★★ | 4 | 0 |
| The Oaks Rehabilitation And Healthcare Center | 2.5 mi | ★★★★★ | 4 | 0 |
| Altercare Zanesville Inc. | 3.6 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.