Above average — CMS composite of the measures below.
The next survey window likely opens around February 2027
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 Copley Health Center during CMS and state inspections, most recent first.
The facility failed to ensure meals were served at a palatable temperature, as required by its food quality policy. Resident council minutes and multiple interviews with residents and a family member described food that was frequently cold or not palatable, and residents reported that warming plates were not always used. During an observed lunch service, hot foods that began at appropriate temperatures were significantly cooler by the time the last tray cart was delivered, and a test tray taste test confirmed the hot items were not at an acceptable or palatable temperature, affecting all residents receiving meals from the kitchen except those on NPO status.
Inconsistent advance directive documentation was found for multiple residents. For several residents, the EMR code status did not match the paper chart, and in other cases the paper advance directive section was blank. RN #500 and LPN #550 verified the discrepancies and stated there was no separate code status book. The facility policy required advance directive copies to be filed in both the EMR and paper record and communicated to staff.
Unspecified Dakin's Strength in Wound Care Order: A resident with Alzheimer's disease, AFib, malnutrition, depression, and dysphagia had a sacral wound order that directed use of Dakin's solution but did not specify the strength. An RN provided wound care using Dakin's 0.0125% solution and stated the order was not clarified to obtain the intended strength; manufacturer information showed Dakin's is available in multiple concentrations.
A resident with glaucoma was unable to attend a scheduled eye surgery due to the facility's failure to provide transportation. Despite the resident's need for supervision and the facility's policy to assist with transportation, staff were unavailable to accompany the resident. Interviews revealed a lack of communication and coordination between the Director of Nursing and the Transportation Coordinator, leading to the deficiency.
The facility failed to maintain clean and sanitary wheelchairs for four residents, as observed by surveyors. Residents reported that their wheelchairs, which were in poor condition with tears and dust accumulation, were not regularly cleaned. Staff interviews confirmed the lack of adherence to the cleaning schedule.
Two residents with COPD did not receive aerosol treatments per physician orders. An LPN failed to assess lung status before administering new doses and improperly added medication to leftover doses. Equipment was not stored correctly, and the facility's policy was not followed.
The facility failed to maintain infection control during aerosol treatments for two residents with COPD. Observations showed that aerosol equipment was left unbagged and uncleaned, with leftover liquid in the medicine cups. An LPN added new doses without cleaning the equipment, and the protocol for cleaning and storing the equipment was not followed, as confirmed by staff interviews.
Failure to Maintain Palatable Food Temperatures During Meal Service
Penalty
Summary
The deficiency involves the facility’s failure to ensure that meals were served at a palatable, appetizing temperature in accordance with its policy titled “Food: Quality and Palatability.” Resident council minutes documented that residents had complained of cold food. Multiple resident and family interviews corroborated these concerns: one resident stated the food was not palatable, another resident’s family member reported the food was not always hot, another resident stated the food “sucks,” and another resident reported the food was not always warm. During a resident council meeting, several residents reported that food was frequently cold and that the kitchen was not always using warming plates to keep food hot. The facility identified eight residents on NPO status who did not receive food from the kitchen, and thus the issue had the potential to affect all other residents receiving meals. Surveyors directly observed a lunch meal service and documented food temperatures at the start of service and at the end of tray delivery. At the start of service, hot dogs measured 190°F, baked beans 175°F, and coleslaw 32°F. By the time the last hallway cart was completed and delivered, a test tray on that cart showed significantly reduced temperatures: 105°F for the hot dog, 109°F for the baked beans, and 36°F for the coleslaw. A taste test of the hot dog and baked beans determined the food was not at a palatable temperature. The district manager who took the temperatures and participated in the taste test confirmed that the hot dog and baked beans were not at an acceptable or palatable temperature. This failure to maintain palatable temperatures occurred despite the facility’s written policy requiring food to be palatable, attractive, and served at a safe and appetizing temperature.
Inconsistent Advance Directive Documentation
Penalty
Summary
The facility failed to maintain consistent and accurate advance directives across the electronic and physical medical records for five residents reviewed for advance directives. Resident #9 had diagnoses including schizoaffective disorder bipolar, moderate vascular dementia, delusional disorder, generalized anxiety disorder, cognitive communication deficit, uncomplicated hallucinogen abuse, and chronic post-traumatic stress disorder. Her EMR physician orders listed her code status as CPR, but the advance directive section of the paper chart had no documentation. RN #500 and LPN #550 verified there was nothing in the paper chart and stated there was no separate code status book. Resident #14’s EMR listed code status as DNR-CCA, while the paper chart advance directive tab identified the resident as DNR-CC. Resident #18’s EMR listed CPR, but the paper chart advance directive tab was empty. Resident #96’s EMR listed DNR-CCA, but there was no code status information in the paper chart. Resident #128’s EMR listed CPR, while the paper chart advance directive tab listed DNR-CC. RN #500 and LPN #550 verified the paper charts for these residents were either empty or inconsistent with the EMR, and they stated there was no separate code status book. The facility policy stated that copies of advance directives should be filed in both the electronic health record and the physical paper medical record and communicated to staff.
Unspecified Dakin's Strength in Wound Care Order
Penalty
Summary
The facility failed to ensure the strength of a wound care solution was specified in a physician order for Resident #15, who had diagnoses of Alzheimer's disease, atrial fibrillation, malnutrition, depression, and dysphagia. The physician order dated 03/05/26 directed staff to cleanse the sacral wound with wound cleaner, pack it with Dakin's solution moistened gauze, apply Triad cream around the wound, and cover with a border foam dressing, but it did not identify the strength of the Dakin's solution. During observation on 03/18/26 at 10:46 A.M., RN #544 provided wound care using Dakin's 0.0125% solution, stating it was quarter strength. The nurse cleansed the wound, packed it with gauze saturated with Dakin's 0.0125%, applied Triad cream, and covered it with a foam dressing. In interview, RN #544 confirmed the order did not specify the Dakin's strength and stated the order was not clarified to obtain the desired strength. Review of the manufacturer's information showed Dakin's solution is available in multiple strengths, including 0.5%, 0.25%, 0.125%, and 0.0125%.
Failure to Provide Transportation for Scheduled Surgery
Penalty
Summary
The facility failed to ensure transportation for a resident, identified as Former Resident #120, to a scheduled eye surgery appointment. The resident, who had diagnoses including schizophrenia, glaucoma, and non-compliance with medication regimen, was scheduled to leave the facility for laser eye surgery related to glaucoma. Despite having intact cognition and requiring supervision for activities of daily living, the resident was unable to attend the appointment due to the unavailability of staff to provide transportation. Interviews with the Director of Nursing (DON) and the Transportation Coordinator (TC) revealed a lack of communication and coordination regarding the resident's transportation needs. The DON was unaware of the missed appointment, and the TC acknowledged responsibility for tracking appointments but could not explain why the resident was not transported. The facility's policy stated that assistance would be provided for transportation to necessary services, but this was not adhered to in this instance, resulting in a deficiency noted under Complaint Number OH00161972.
Failure to Maintain Sanitary Wheelchairs
Penalty
Summary
The facility failed to maintain resident wheelchairs in a clean and sanitary manner, affecting four residents. Observations revealed that the wheelchairs of these residents were in poor condition, with issues such as multiple tears in the backrests and armrests, large tears exposing foam in seat cushions, and significant accumulations of dust and food particles on the frames and foot pedals. Interviews with residents and staff confirmed that the wheelchairs were not being cleaned regularly, despite a supposed cleaning schedule. Resident #32, who is cognitively intact and uses a wheelchair due to Parkinson's disease and muscle weakness, was found with a wheelchair in disrepair and covered in dirt. Resident #18, also cognitively intact, had a wheelchair with a dusty frame and food crumbs, and reported that it had not been cleaned. Resident #105, with paraplegia and requiring maximum assistance, had a wheelchair covered in thick dust. Resident #13, who is severely cognitively impaired, had a wheelchair with thick dust and food particles, despite a weekly cleaning schedule. These findings were confirmed by staff, including a CNA, the Director of Maintenance, and the DON.
Failure to Administer Aerosol Treatments Per Physician Orders
Penalty
Summary
The facility failed to ensure that aerosol treatments for two residents, Resident #32 and Resident #113, were administered according to physician orders. Resident #32, who was cognitively intact and had multiple diagnoses including COPD and chronic respiratory failure, was observed self-administering an aerosol treatment without proper supervision. The LPN did not assess the resident's lung status before administering a new dose and added a new vial of medication to the remaining solution from the morning dose, which was against the facility's policy. Resident #113, also cognitively intact and diagnosed with COPD and emphysema, was found with aerosol tubing and a medicine cup containing leftover medication from a previous dose. The LPN did not verify if the morning dose was completed and proceeded to administer a new dose without assessing the resident's lung status. The resident's equipment was not stored properly, as it was left unbagged on the bed, contrary to the facility's policy. Interviews with the RN Unit Manager and the Director of Nursing revealed that nurses were required to check residents' pulse oximetry and lung sounds before and after treatments, remain nearby during administration, and ensure equipment was cleaned and stored properly. The facility's policy outlined these procedures, but they were not followed, leading to the deficiency noted in the report.
Infection Control Deficiency in Aerosol Treatments
Penalty
Summary
The facility failed to maintain proper infection control during and after aerosol treatments for two residents, Resident #32 and Resident #113. Resident #32, who was cognitively intact, had multiple diagnoses including chronic obstructive pulmonary disease (COPD) and chronic respiratory failure. Observations revealed that Resident #32's aerosol tubing and mouthpiece were left unbagged on the bed, and the medicine cup still contained liquid from a previous treatment. Licensed Practical Nurse (LPN #255) added a new dose to the remaining solution without cleaning the equipment, confirming that the equipment was not stored in a bag or cleaned between uses. Resident #113, also cognitively intact, had diagnoses including COPD and emphysema. Similar to Resident #32, Resident #113's aerosol equipment was observed unbagged on the bed with leftover liquid in the medicine cup. LPN #255 verified that the equipment was not cleaned or stored properly and did not ensure the completion of the morning aerosol dose. The Registered Nurse Unit Manager and Director of Nursing confirmed that the protocol required cleaning and proper storage of the equipment, which was not followed. The facility's failure to adhere to infection control protocols for aerosol treatments was documented through observations and staff interviews. The Device Cleaning and Infection Control in Aerosol Therapy guidelines emphasized the importance of cleaning and storing equipment to prevent contamination, which was not practiced in these cases. This deficiency affected the infection control measures for the residents involved.
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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 Copley
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Phoenix Of Fairlawn | 1 mi | ★★★★★ | 0 | 0 |
| Arbors At Fairlawn The | 1.3 mi | ★★★★★ | 0 | 0 |
| Concordia At Sumner | 1.4 mi | ★★★★★ | 10 | 0 |
| Timberland Ridge Nursing & Rehabilitation | 1.7 mi | ★★★★★ | 23 | 0 |
| Village At St Edward Nrsg Care | 1.9 mi | ★★★★★ | 9 | 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.